Department of Rehabilitation Programs, Madonna Rehabilitation Hospitals, 5401 South Street, Lincoln, NE 68506, USA.
Research Institute, Madonna Rehabilitation Hospitals, 5401 South Street, Lincoln, NE 68506, USA.
Phys Med Rehabil Clin N Am. 2024 Feb;35(1):175-191. doi: 10.1016/j.pmr.2023.07.002. Epub 2023 Aug 12.
Language and communication deficits are intrinsic to disorders of consciousness. This article will provide an overview of language and communication deficits that can significantly confound the accuracy of diagnostic assessment in these patients. Authors will also discuss interventions to promote early communication using assistive technology and augmentative communication rehabilitation strategies. Finally, this article will discuss the importance of family education as well as ethical considerations connected to the recovery of communication and adaptive strategies to support patient autonomy and enhance self-agency.
语言和沟通障碍是意识障碍的固有特征。本文将概述这些患者的诊断评估准确性可能受到严重干扰的语言和沟通障碍。作者还将讨论使用辅助技术促进早期沟通的干预措施,以及增强沟通康复策略。最后,本文将讨论与沟通恢复和适应性策略相关的重要性,以支持患者的自主性和增强自我决策能力,以及与这些策略相关的家庭教育和伦理考虑。