Augmentative and Alternative Communication in Acute and Critical Care Settings

First Edition

Richard Hurtig, Debora A. Downey

Details: 224 pages, B&W, Softcover + DVD, 7" x 10"

ISBN13: 978-1-59756-079-5

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About

A practical text on the implementation of Augmentative and Alternative Communication/Assistive Technology in hospital venues, AAC/AT in Acute Care Settings, reviews the more traditional use of AAC and expands it into the acute and critical care arenas.

It is a "how to handbook" filled with protocols, realistic solutions for implementation across hospital units and rich case examples that provide validation of the efficacy of AAC with the acute care population. This text is an ideal resource for speech-language pathologist considering expanding their hospital practice to include patients who experience temporary or permanent loss of oral language due to trauma, neurological changes or surgical interventions.

View a sample video from the DVD here.

Reviews

"Named to Doody's Core Titles in the Health Sciences 2015 list"
—Doody's (2015)

Preface
Chapter 1: History of AAC
Defining AAC
A Brief History of AAC
How Technology Has Impacted AAC
Etiologies That May Benefit from AAC
ASHA’s Stand on AAC
Chapter 2: Challenges
Access Challenges
Opportunity Challenges
Chapter 3: The Impact of Assistive Technology (AT) in Acute Care Settings
Review of AAC in Acute Care Settings
Chapter 4: Assessment Protocol
Videos for This Chapter
Chapter 5: Switches as the First Step to Establishing Communication
Nurse Call: Alternatives and Modifications
Standard Switches
Advanced Technology Switches
Iowa Smart Switch
Chapter 6: Iowa AAC Templates
One Button Template
Two-Three Button Templates
Grid Pattern Button Templates
Simple Buttons with Links Template
The Iowa Template
- Top Level Menu Page
- Feelings Pop-Up Page
- Pain Pop-Up Page
- Entertainment Pop-Up Page
- Chat Menu Page
- Medical Questions Pop-Up
- Jokes Pop-Up
- Room-Control ECU Pop-Up
- Bed Control Pop-Up
- TV Control Pop-Up
- Help Pop-Up
- Personal Pop-Up
- Novel Message Generation
- Rate Enhancement Strategies
Chapter 7: Mounting and Access Issues
- Device Mounting Solutions
- Hand-Held Implementations
- Bed Tray Implementations
- Bed Rail Implementations
- IV Pole Implementations
  Switch Adaptation and Mounting Solutions
- Adapting Switches
- Mounting Strategies
  Videos Associated with This Chapter
Chapter 8: Pain Management
Chapter 9: Environmental Control Units (ECU)
Chapter 10: Bad News-Communication Issues
Chapter 11: Cases
A: Solving the Language Barrier
B: Maintaining a Personal Voice - Adding Humor
C: Don’t Assume Full Understanding
D: Don’t Assume Too Little Understanding/Be Prepared for Surprises
E: Voicing Anger Case
F: Codependency
G: Failure All Around
H: Against-All-Odds: Success
Chapter 12: Setting Up and Funding an AAC/Assistive Technology Service
Current State of Affairs
Organization of an AT Service
Staffing
Equipment
Training
- Assessing Staff Needs
- In Service Training
- Competency Assessment
  Funding Issues
Chapter 13: Useful Products and Links
The MacGyver Kit: Essential Tools and Materials
AAC Manufacturer Links
AAC Resource Links
Appendix A: Assessment Scenarios
Appendix B: Major AAC Manufacturers
Appendix C: AAC/AT Resources
References
Index

DVD Contents:

Figures
Video Clips
Nursing Tutorial
Iowa Hospital Boards (Word, PDF)
Iowa Low-Tech Hospital Boards (BoardMaker Files)
Iowa Low-Tech Keyboards (BoardMaker Files)
Iowa Templates for:
- DYNAVOX Users (English, Spanish, Eye Gaze)
- Speaking Dynamically Pro
- SDP (Eye Gaze)
- VIKING Software
- VIKING Software (Eye Gaze)
- PRENTKE-ROMICH ECO Software

Authors

Richard Hurtig

Richard Hurtig is Professor and Starch Faculty Fellow at the University of Iowa, where he joined the faculty in 1976. In addition to his appointment in the Department of Communication Sciences and Disorders, he serves on the faculty of both the Neuroscience and Foreign Language Acquisition Research and Education doctoral programs. He earned a B.A. in English and M.A. in Linguistics from New York University and an M.Phil. and Ph.D. in Psychology from Columbia University. He served as department chair from 1996 to 2005 and continues to direct the universitys American Sign Language program. He has been actively involved with the Council of Academic Programs in Communication Sciences and Disorders and served as president for the 2005-2006 academic year. He directs the Psychology of Language and the Assistive Devices laboratories and teaches undergraduate and graduate courses in Psycholinguistics, as well as a course on Designing Assistive Devices. His research interests lie in the areas of speech perception and cognitive neuroscience as well as the development of assistive technologies. His research is currently funded by a grant from the Institute of Education Sciences, a division of the U.S. Department of Education.

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Debora A. Downey

Debora A. Downey, MA, CCC-SLP is doctoral candidate at the University of Iowa, Iowa City, in the department of Communication Sciences and Disorders. Downey received her MA in Speech Pathology from University of Northern Colorado in 1986. She is the facilitator of the Augmentative/Alternative Communication Service at the Center for Disabilities and Development, University of Iowa Hospitals & Clinics. She has worked with both pediatric and adult AAC users with a wide range of communication disabilities. Downey has extensive experience in teaching about augmentative/alternative communication to speech-language pathology trainees as well as individuals in related professions. She has been a frequent presenter on the topic of augmentative/alternative communication practice at national conferences and has published in a variety of academic journals.

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