Hinckley Jacqueline, Jayes Mark
Department of Speech/Language Pathology, Nova Southeastern University, Ft. Lauderdale, FL, United States.
Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom.
Front Rehabil Sci. 2023 Oct 20;4:1236534. doi: 10.3389/fresc.2023.1236534. eCollection 2023.
Shared decision-making is a fundamental aspect of person-centered care, and can and should be part of many different aspects of the rehabilitation process. Communication disabilities like aphasia, which affects people's ability to use and understand spoken and written language, can make shared decision-making especially challenging to the resources and skills of rehabilitation practitioners. The purpose of this narrative review is to provide a comprehensive description of tools that can support successful shared decision-making with people with aphasia in the rehabilitation environment. These tools and strategies are appropriate for use by physicians, nurses, social workers, physical therapists (also referred to as physiotherapists), occupational therapists, and other service or care providers. The important role of speech-language pathologists as consultants is also described. Case scenarios throughout the paper illustrate the application of recommended tools and strategies along with best practices.
共同决策是以人为本的护理的一个基本方面，并且能够而且应该成为康复过程中许多不同方面的一部分。像失语症这样的沟通障碍会影响人们使用和理解口头及书面语言的能力，这会给康复从业者的资源和技能带来特别大的挑战，使共同决策变得尤为困难。本叙述性综述的目的是全面描述在康复环境中能够支持与失语症患者成功进行共同决策的工具。这些工具和策略适用于医生、护士、社会工作者、物理治疗师（也称为理疗师）、职业治疗师以及其他服务或护理提供者。文中还描述了言语治疗师作为顾问所发挥的重要作用。贯穿本文的案例场景说明了推荐工具和策略的应用以及最佳实践。
