Academic Journal

Preserving Connection: The Vital Window of Speech-Language Therapy Intervention in Dementia Care--A Case Study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Preserving Connection: The Vital Window of Speech-Language Therapy Intervention in Dementia Care--A Case Study.
Συγγραφείς: Combs, Collean, Venkatesh, Malathy
Πηγή: Perspectives of the ASHA Special Interest Groups; Aug2026, Vol. 11 Issue 4, p1414-1431, 18p
Θεματικοί όροι: Cognition disorders diagnosis, Auditory perception testing, Alzheimer's disease, Grammar, Spouses, Vision testing, Speech-language pathology, Communicative disorders, Patient-centered care, Caregivers, Language disorders, Communication, Quality of life, Aging, Dementia, Interpersonal relations, Speech therapy, Disease complications
Περίληψη: Purpose: The purpose of this study was to report the clinical outcomes of delayed speech-language pathology intervention in an individual with Alzheimer's disease and highlight implementation barriers in dementia care. Method: A 63-year-old man diagnosed with Alzheimer's disease went 4.5 years without a speech-language consultation, despite declining cognitive-linguistic abilities noted by his neurologist. Neither he nor his care partner received guidance on interventions, leading the care partner to independently seek services, self-referring to a speech-language pathology clinic where a comprehensive cognitive-communication evaluation was completed. Following the evaluation, a person-centered intervention was implemented incorporating cognitive-communication strategies and care partner training, providing specific methods to enhance communication with the goal of improving quality of care (QoL). Results: The evaluation revealed that, despite severe cognitive impairment and notable word-finding difficulties, he had relatively intact syntactic and grammatical language skills. However, the patient lacked compensatory communication strategies, which hindered his ability to convey overall message effectively, resulting in frequent communication breakdowns. Following speech-language pathology intervention, the patient demonstrated improved functional communication abilities, and both he and his care partner reported enhanced QoL, as documented through standardized outcome measures. Conclusions: This case presentation demonstrates that despite delayed speech-language pathology intervention, individuals with severe dementia and their care partners could benefit from person-centered intervention approaches targeted at communication, safety, and social connection. This case presentation is also a call to action for health care systems to develop standardized clinical pathways where speech-language pathology referrals are initiated early in the progression of the condition. [ABSTRACT FROM AUTHOR]
Copyright of Perspectives of the ASHA Special Interest Groups is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Preserving Connection: The Vital Window of Speech-Language Therapy Intervention in Dementia Care--A Case Study.
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  Data: Perspectives of the ASHA Special Interest Groups; Aug2026, Vol. 11 Issue 4, p1414-1431, 18p
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  Data: <searchLink fieldCode="DE" term="%22Cognition+disorders+diagnosis%22">Cognition disorders diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+perception+testing%22">Auditory perception testing</searchLink><br /><searchLink fieldCode="DE" term="%22Alzheimer's+disease%22">Alzheimer's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Grammar%22">Grammar</searchLink><br /><searchLink fieldCode="DE" term="%22Spouses%22">Spouses</searchLink><br /><searchLink fieldCode="DE" term="%22Vision+testing%22">Vision testing</searchLink><br /><searchLink fieldCode="DE" term="%22Speech-language+pathology%22">Speech-language pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+disorders%22">Communicative disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Language+disorders%22">Language disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Aging%22">Aging</searchLink><br /><searchLink fieldCode="DE" term="%22Dementia%22">Dementia</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
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  Data: Purpose: The purpose of this study was to report the clinical outcomes of delayed speech-language pathology intervention in an individual with Alzheimer's disease and highlight implementation barriers in dementia care. Method: A 63-year-old man diagnosed with Alzheimer's disease went 4.5 years without a speech-language consultation, despite declining cognitive-linguistic abilities noted by his neurologist. Neither he nor his care partner received guidance on interventions, leading the care partner to independently seek services, self-referring to a speech-language pathology clinic where a comprehensive cognitive-communication evaluation was completed. Following the evaluation, a person-centered intervention was implemented incorporating cognitive-communication strategies and care partner training, providing specific methods to enhance communication with the goal of improving quality of care (QoL). Results: The evaluation revealed that, despite severe cognitive impairment and notable word-finding difficulties, he had relatively intact syntactic and grammatical language skills. However, the patient lacked compensatory communication strategies, which hindered his ability to convey overall message effectively, resulting in frequent communication breakdowns. Following speech-language pathology intervention, the patient demonstrated improved functional communication abilities, and both he and his care partner reported enhanced QoL, as documented through standardized outcome measures. Conclusions: This case presentation demonstrates that despite delayed speech-language pathology intervention, individuals with severe dementia and their care partners could benefit from person-centered intervention approaches targeted at communication, safety, and social connection. This case presentation is also a call to action for health care systems to develop standardized clinical pathways where speech-language pathology referrals are initiated early in the progression of the condition. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Perspectives of the ASHA Special Interest Groups is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2025_PERSP-25-00125
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        Text: English
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      – SubjectFull: Language disorders
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      – SubjectFull: Quality of life
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      – SubjectFull: Aging
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      – SubjectFull: Dementia
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      – SubjectFull: Interpersonal relations
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      – SubjectFull: Speech therapy
        Type: general
      – SubjectFull: Disease complications
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      – TitleFull: Preserving Connection: The Vital Window of Speech-Language Therapy Intervention in Dementia Care--A Case Study.
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              Text: Aug2026
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