Speech-Language Pathologists' Role in the Multi-Disciplinary Management and Rehabilitation of Patients with Covid-19.

Bijoyaa Mohapatra, Ranjini Mohan
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Abstract

Respiratory and neurological complications in patients in various stages of COVID-19 emphasize the role of speech-language pathologists in the assessment and management of swallowing and communication deficits in these patients. The speech-language pathologist works within a multidisciplinary team to identify these deficits, and aims to improve swallowing, nutrition, hydration, speech, and quality of life in the medical settings. This paper describes the unique symptoms and complications associated with COVID-19 that require speech-language pathologist services in medical (acute care, inpatient, and outpatient rehabilitation) facilities. The speech-language pathologist is primarily responsible for dysphagia screening and diagnosis in the acute care units, dysphagia and tracheostomy management in the inpatient units, and swallowing, speech and voice rehabilitation and neurocognitive management in the outpatient units. This paper also discusses the current therapeutic services and the precautions that speech-language pathologists must take to reduce transmission of the virus.

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言语病理学家在 Covid-19 患者的多学科管理和康复中的作用。
COVID-19 各阶段患者的呼吸系统和神经系统并发症强调了语言病理学家在评估和管理这些患者的吞咽和交流障碍方面的作用。言语病理学家在多学科团队中负责识别这些缺陷,并致力于改善医疗环境中的吞咽、营养、水合、言语和生活质量。本文介绍了与 COVID-19 相关的独特症状和并发症,这些症状和并发症需要语言病理学家在医疗机构(急症护理、住院和门诊康复)提供服务。言语病理学家主要负责急症监护病房的吞咽困难筛查和诊断、住院病房的吞咽困难和气管切开术管理,以及门诊病房的吞咽、言语和语音康复以及神经认知管理。本文还讨论了当前的治疗服务以及言语病理学家为减少病毒传播而必须采取的预防措施。
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