People with disabilities are more likely to be hospitalized and use health care services than people without disabilities. They also report negative experiences interacting with health care providers during these encounters, placing them at risk for preventable adverse medical events, poor quality of life, and dependence on others. Fortunately,…

The sudden loss of intimacy can have a dramatic effect on satisfaction in a relationship. As many caregivers shift roles and try to personally adjust to their new reality, a steep drop in intimacy can often simultaneously occurs. Aphasia presents a significant barrier to opening discussions about intimacy and sexual contact. The purpose of this…

When people with aphasia have difculty communicating, there is a risk for miscommunication and negative outcomes related to medical care and safety (Blacksone, Beukelman, & Yorkson, 2015). This risk can be reduced by ensuring that each person with aphasia can communicate efectively when using diferent types of discourse and at diferent points…

Communication supports for people with motor speech disorders can include strategies and technologies to supplement natural speech efforts, resolve communication breakdowns, and replace natural speech when necessary to enhance participation in all communicative contexts. This article emphasizes communication supports that can enhance…

This article describes intervention techniques for facilitating adolescent expository text comprehension that uses a blended approach, combining content instructional techniques with the use of facilitative strategies. The suggestions in this article are based on informal review of the literature and the author's clinical experience. An adolescent…

Three modes of using the microcomputer in aphasia rehabilitation include the dependent mode (with the clinician in the clinic setting), the clinic-based independent mode, and the home-based mode. Also considered are hardware and software selection, patient selection, clinician responsibilities, and family support. A case study illustrates…

The Shock Trauma Center of the Maryland Institute for Emergency Medical Services Systems instituted a comprehensive speech-language pathology program to provide acute intervention for communicative disorders in a critical/intensive care environment. This article provides a profile of the Center, a review of communicative impairments, and examples…