Case Examples

In this case study, a speech-language pathologist describes the method she used to determine a patient's most effective "yes", "no", and "I don't know" signals to communicate with hospital staff.

Last year, a 70-year-old woman was diagnosed with a mass on her neck, which restricted her ability to swallow and manage her secretions. A tracheostomy and a percutaneous endoscopic gastrostomy, or PEG tube were placed, requiring her to use a speaking valve to communicate. She also began chemotherapy.

Recently, during chemotherapy treatment, she unexpectedly developed respiratory failure and was transferred to the ICU. She tested positive for Influenza A and was under investigation for COVID-19.

How a speech-language pathologist and nurse worked together to support an older adult who could not speak after intubation to communicate with her family and healthcare providers.

Strategies: finding a consistent yes/no signal, using partner-assisted scanning, partner training

How a speech-language pathologist used communication supports to help a patient who was on "COVID-19 Rule-out" precautions and unable to speak.

Strategies: writing, paper communication boards, partner-assisted scanning

A speech-language pathologist's experience working with a patient who was not able to speak after having a tracheostomy to interact with his wife using video messaging.