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
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Speech, language and communication difficulties

ISBN 1 901893 12 X
£3