Speech, language and communication difficulties
A guide for patients and carers
Speech difficulties: What can you do to help communication?
Tips for the person with dysarthria
- make sure background noise is kept to a minimum
- make sure you are in a good posture for speaking - that your chest is
unrestricted and upright and your head up, allowing you to breathe freely - choose words and sentences that make your speech most clear
- don’t leave the most difficult words until the end of the sentence as that is
often the hardest place - advise the listener how best to help you - the more relaxed they are the
more successful things will be try and pay attention to the listener - if they look puzzled only repeat the part of the phrase that they have not understood, not the whole thing - if you can’t make a sentence understood, try rephrasing it
- if speech is very difficult, establish a reliable way of communicating yes or
no answers and agreed signals for other things that crop up regularly - use all the devices you have been given, e.g. amplifier, alphabet board
- always consult with a speech and language therapist for advice
Tips for the communicative partner/listener
- assume that the person with dysarthria has good understanding and
intelligence, so don’t simplify your language or slow it down - ask the person with dysarthria if there is anything special that they would
like you to do - allow more time for communication and be patient - don’t rush in making
assumptions about what the person is trying to say, but don’t be too reticent and unwilling to have a guess either - make sure that the place where you talk is quiet and not too distracting
- encourage them to repeat the words you have not understood by telling
them what you have understood e.g. ‘I know you went somewhere
yesterday but I didn’t get where’ - encourage the person to spell out loud or at least give you the first letter of
a word if necessary - establish clear signals for yes and no
- encourage the strategies which you know help make the person’s speech
clearer, such as slowing down or over-exaggerating articulation - if you are using spelling strategies write down each letter as you find it out - it’s easy to lose track
- liaise with the speech and language therapist for advice
Contents
- Introduction
- What is communication?
- Why do neurological disorders affect communication?
- Language difficulties: What is language?
- Language difficulties: What is aphasia?
- Language difficulties: Speech and language for people with aphasia
- Language difficulties: Recovery
- Language Difficulties: Progressive aphasia
- Language difficulties: Personal experiences of aphasia
- Language difficulties: What can you do to help a person with aphasia communicate?
- Speech difficulties
- Speech difficulties: How is speech affected in people with neurological disorders?
- Speech difficulties: Speech and language therapy for people with dysarthria
- Speech difficulties: Medical and surgical treatment
- Speech difficulties: Personal experiences
- Speech difficulties: What can you do to help communication?
- Other communication problems
- Further reading
- Other organisations that may be able to help