Inpatient Functional Communication Interview
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Inpatient Functional Communication Interview
Author: Robyn O'Halloran
language: en
Publisher: Plural Publishing
Release Date: 2019-10-08
The Inpatient Functional Communication Interview: Screening, Assessment, and Intervention (IFCI: SAI) is a set of four resources for speech-language pathologists (SLPs) and other healthcare professionals working in acute and rehabilitation hospitals. They can be used separately or together to enhance patient-provider communication in hospitals. The IFCI: SAI has been developed so healthcare professionals can identify and support patients who have difficulty communicating, with a focus on patients with communication disability. The following resources are included: *Screening Questionnaire. Designed to identify patients who have difficulty communicating about their healthcare and will need support to communicate with healthcare providers in hospital. *Inpatient Functional Communication Interview (IFCI). A semi-structured interview that the SLP conducts at the patient’s bedside. During the interview, the SLP investigates how well the patient can communicate in everyday healthcare communication activities. If the SLP and patient have difficulty communicating, the clinician investigates if any communication supports or strategies enable successful communication. *Impairment Rating Scales. These assist the SLP to rate their initial clinical impressions of the patient’s speech intelligibility, spoken language, and cognitive-communicative function. Each rating scale provides descriptions of speech, language, and cognitive-communicative function on a five-point scale ranging from no impairment to complete impairment. *Environmental Questionnaires (EQs). The set of EQs assist SLPs and other healthcare professionals to screen the communicative environment for factors influencing patient-provider communication in their setting. Once the factors that influence patient-provider communication have been identified, SLPs and other healthcare professionals may be better informed and more able to systematically address these factors to develop communicatively accessible hospital services.
IFCI
The IFCI provides speech & language therapists working in the acute hospital setting with a measure of how well in-patients with communication difficulties can communicate in relevant hospital situations. Assessing the patient's ability to communicate is crucial for successful health care.
IFCI
The IFCI provides speech & language therapists working in the acute hospital setting with a measure of how well in-patients with communication difficulties can communicate in relevant hospital situations. Assessing the patient's ability to communicate is crucial for successful health care. With the IFCI, the therapist has a structured assessment that provides a comprehensive evaluation of the everyday communication needs of patients whilst they are in hospital. The interview is conducted in three parts: gathering relevant information from the patient's medical history; interviewing the patient and interviewing any relevant members of the health care team. Finally the clinician writes an overall summary, which will describe the patient's ability to communicate in the hospital setting, identifies the strategies that facilitate effective communication and identifies any goals for intervention. The IFCI consists of fifteen hospital communication situations that were identified by observing the communication that occurs between staff and patients in an acute hospital setting. The situations were selected because they ranked the highest in terms of importance in providing health care, importance from a patient perspective, ease of observation, how typical they were of hospital situations, and that they could all be assessed at the patient's bedside within a 30-45 minute period. From the Foreword by Professor Audrey Holland: The IFCI is well conceived and evaluated, timely, and innovative. Its detailed description and organisation guarantee easy administration. [It] provides a map and a flashlight to help practitioners find their way in the almost uncharted territory of the inpatient hospital, and the communication needs of its inhabitants. ... This little gem of an interview approach, thoroughly specified and rich with examples from its extensive pre-testing, straightforwardly provides a way to assess communication needs in this unique setting. Readership Speech & language therapists working in the acute hospital setting with adults with communication difficulties, particularly those with aphasia.