Developing a Culture of Successful Communication in Acute Care Settings: Part I. Solving Patient-Specific Issues

Abstract

Purpose Establishing services for hospitalized patients with complex communication needs requires identifying and addressing both patient-based and institutional barriers. In this 1st article, we focus on overcoming patient-based barriers. The companion paper ( Marshall & Hurtig, 2019 ) addresses overcoming institutional barriers. Method We present a series of cases that illustrate both the challenges and some of the solutions that have emerged in addressing the specific needs of individual patients with complex communication needs. Results Each case illustrates how a dynamic assessment approach was used to allow patients with complex communication needs to more effectively communicate with caregivers and participate in their care. Conclusion Building a culture of improved patient–provider communication involves more than just providing patients with augmentative and alternative communication tools.