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Speech Pathology

Speech pathologists are university trained allied health professionals who assess, diagnose, and treat communication and mealtime support difficulties.

 
 
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Older people represent one of the most at-risk populations for communication, swallowing and mealtime difficulties.

This is usually the result of: 

  • Age-related sensory loss such as hearing and/or vision loss

  • Loss of sense of taste and/or smell

  • Acute conditions such as stroke

  • Degenerative conditions, such as dementia

  • Cancer

  • Trauma

  • Frailty in older age

Common consequences of these conditions include: 

  • Aphasia - difficulty understanding and producing language

  • Apraxia - motor planning difficulty impacting speech production

  • Cognitive-communication impairment - difficulty communicating due to impaired cognition

  • Dysarthria - motor difficulty impacting speech production

  • Dysphonia - impairment of voice

  • Dysphagia – difficulty swallowing

The medical, nutritional, and psychosocial consequences of these difficulties can be significant, including: 

  • Impacting on the person’s ability to make life decisions and to act on these decisions

  • Inability to access and utilise basic human services including medical care

  • Acute medical events such as aspiration pneumonia - food and/or fluid entering the lungs

  • Nutritional deficits such as dehydration and malnutrition

  • Difficulty taking medication

  • Increased feelings of anxiety, depression, frustration, and reduced self-esteem

  • Social isolation, loss of independence, and loss of autonomy

  • Loss of intimacy, shared interests, and emotional support

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Speech pathologists play a crucial role in reducing the negative impact of these difficulties by providing intervention to optimise communication and mealtime function, increase independence and participation, and facilitate quality of life of older people regardless of age, medical condition, or place of residence. 

Speech pathologists also provide a valuable contribution to the assessment of decision-making capacity and the facilitation of active decision making for older people with communication support needs, including developing communication accessible health information and decision making procedures and protocols. This service helps to ensure that older people with communication support needs are afforded opportunities for choice and control, essential under a consumer directed care model. 


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