Article

The contribution of stroke units to improve morbidity, mortality
and recovery in stroke victims is clearly demonstrated. However, acute management
of language disorders in these specialized units is controversial and little
standardization is seen for the management of swallowing disorders. The recently validated French scale for rapid screening for language
disorders (LAST) in acute stroke patients should enable optimal detection and
early management. A standardized protocol should be used to screen for and manage
swallowing disorders. This protocol should include daily evaluations,
individually tailored rehabilitation sessions, adaptation of food textures,
patient education for adequate eating position, team training, and information
for families. PERSPECTIVES AND CONCLUSIONS: These protocols imply co-operation
and coordination between the medical and allied profession teams and the daily
presence of a speech and language therapist. This presence is crucial for
patients in stroke units to achieve the full benefits of the management scheme
proposed in this paper.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS