- Section 1 The worldwide status of palliative care
- Section 2 The challenge of palliative medicine
- Section 3 Service delivery issues in palliative care
- Section 4 The interdisciplinary team
- 4.1 The core team and the extended team
- 4.2 Teaching and training in palliative medicine
- 4.3 Nursing and palliative care
- 4.4 Social work in palliative care
- 4.5 The role of the chaplain in palliative care
- 4.6 Occupational therapy in palliative care
- 4.7 Music therapy in palliative care
- 4.8 The contribution of the dietitian and nutritionist to palliative medicine
- 4.9 Physiotherapy in palliative care
- 4.10 Speech and language therapy in palliative care
- 4.11 The contribution of art therapy to palliative medicine
- 4.12 Stoma therapy in palliative care
- 4.13 Clinical psychology in palliative care
- 4.14 The contribution of the clinical pharmacist in palliative care
- 4.15 Medical rehabilitation and the palliative care patient
- 4.16 Burnout, compassion fatigue, and moral distress in palliative care
- 4.17 Integrative oncology in palliative medicine
- Section 5 Ethical issues
- Section 6 Communication and palliative medicine
- Section 7 Assessment tools and Informatics
- Section 8 Common symptoms and disorders
- Section 9 Common symptoms and disorders: pain
- Section 10 Common symptoms and disorders: gastrointestinal symptoms
- Section 11 Common symptoms and disorders: skin problems
- Section 12 Issues in populations with cancer
- Section 13 Cancer pain syndromes
- Section 14 Cancer-associated disorders
- Section 15 Issues in populations with non-cancer illnesses
- Section 16 Issues of the very young and the very old
- Section 17 Psychosocial and spiritual issues in palliative medicine
- Section 18 The terminal phase
- Section 19 Research in palliative medicine
(p. 202) Speech and language therapy in palliative care
- Chapter:
- (p. 202) Speech and language therapy in palliative care
- Author(s):
Tim Luckett
and Katherine L.P. Reid
- DOI:
- 10.1093/med/9780199656097.003.0410
Palliative care is an emerging specialty within the field of speech and language therapy (SLT); the discipline is currently under-represented both in specialist services and the research literature. This belies the fact that many patients in the palliative phase suffer problems with swallowing (dysphagia) and communication, the core domains of SLT practice. This chapter provides an overview of difficulties encountered in these domains by people with life-limiting conditions together with common approaches to assessment and management. Assessment and management should be person-centred, integrated into multidisciplinary care, and seek to maintain function via minimal intervention for maximum gain. More research is needed to inform appropriately integrated, person-centred models of SLT provision that enable difficulties with communication and swallowing to be addressed alongside other symptoms and care needs. It seems likely that difficulties in these domains are currently under-identified and under-treated in many cases.
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- Section 1 The worldwide status of palliative care
- Section 2 The challenge of palliative medicine
- Section 3 Service delivery issues in palliative care
- Section 4 The interdisciplinary team
- 4.1 The core team and the extended team
- 4.2 Teaching and training in palliative medicine
- 4.3 Nursing and palliative care
- 4.4 Social work in palliative care
- 4.5 The role of the chaplain in palliative care
- 4.6 Occupational therapy in palliative care
- 4.7 Music therapy in palliative care
- 4.8 The contribution of the dietitian and nutritionist to palliative medicine
- 4.9 Physiotherapy in palliative care
- 4.10 Speech and language therapy in palliative care
- 4.11 The contribution of art therapy to palliative medicine
- 4.12 Stoma therapy in palliative care
- 4.13 Clinical psychology in palliative care
- 4.14 The contribution of the clinical pharmacist in palliative care
- 4.15 Medical rehabilitation and the palliative care patient
- 4.16 Burnout, compassion fatigue, and moral distress in palliative care
- 4.17 Integrative oncology in palliative medicine
- Section 5 Ethical issues
- Section 6 Communication and palliative medicine
- Section 7 Assessment tools and Informatics
- Section 8 Common symptoms and disorders
- Section 9 Common symptoms and disorders: pain
- Section 10 Common symptoms and disorders: gastrointestinal symptoms
- Section 11 Common symptoms and disorders: skin problems
- Section 12 Issues in populations with cancer
- Section 13 Cancer pain syndromes
- Section 14 Cancer-associated disorders
- Section 15 Issues in populations with non-cancer illnesses
- Section 16 Issues of the very young and the very old
- Section 17 Psychosocial and spiritual issues in palliative medicine
- Section 18 The terminal phase
- Section 19 Research in palliative medicine