Augmentative and Alternative Communication in Acute and Critical Care Settings

First Edition

Richard Hurtig, Debora A. Downey

Details: 224 pages, B&W, Softcover + DVD, 7" x 10"

ISBN13: 978-1-59756-079-5

© 2009 | Available

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A practical text on the implementation of Augmentative and Alternative Communication/Assistive Technology in hospital venues, AAC/AT in Acute Care Settings, reviews the more traditional use of AAC and expands it into the acute and critical care arenas.

It is a "how to handbook" filled with protocols, realistic solutions for implementation across hospital units and rich case examples that provide validation of the efficacy of AAC with the acute care population. This text is an ideal resource for speech-language pathologist considering expanding their hospital practice to include patients who experience temporary or permanent loss of oral language due to trauma, neurological changes or surgical interventions.

View a sample video from the DVD here.


"Named to Doody's Core Titles in the Health Sciences 2015 list"
—Doody's (2015)

  • Preface
  • Chapter 1: History of AAC
    Defining AAC
    A Brief History of AAC
    How Technology Has Impacted AAC
    Etiologies That May Benefit from AAC
    ASHA’s Stand on AAC
  • Chapter 2: Challenges
    Access Challenges
    Opportunity Challenges
  • Chapter 3: The Impact of Assistive Technology (AT) in Acute Care Settings
    Review of AAC in Acute Care Settings
  • Chapter 4: Assessment Protocol
    Videos for This Chapter
  • Chapter 5: Switches as the First Step to Establishing Communication
    Nurse Call: Alternatives and Modifications
    Standard Switches
    Advanced Technology Switches
    Iowa Smart Switch
  • Chapter 6: Iowa AAC Templates
    One Button Template
    Two-Three Button Templates
    Grid Pattern Button Templates
    Simple Buttons with Links Template
    The Iowa Template
    • Top Level Menu Page
    • Feelings Pop-Up Page
    • Pain Pop-Up Page
    • Entertainment Pop-Up Page
    • Chat Menu Page
    • Medical Questions Pop-Up
    • Jokes Pop-Up
    • Room-Control ECU Pop-Up
    • Bed Control Pop-Up
    • TV Control Pop-Up
    • Help Pop-Up
    • Personal Pop-Up
    • Novel Message Generation
    • Rate Enhancement Strategies
  • Chapter 7: Mounting and Access Issues
    • Device Mounting Solutions
    • Hand-Held Implementations
    • Bed Tray Implementations
    • Bed Rail Implementations
    • IV Pole Implementations
      Switch Adaptation and Mounting Solutions
    • Adapting Switches
    • Mounting Strategies
      Videos Associated with This Chapter
  • Chapter 8: Pain Management
  • Chapter 9: Environmental Control Units (ECU)
  • Chapter 10: Bad News-Communication Issues
  • Chapter 11: Cases
    A: Solving the Language Barrier
    B: Maintaining a Personal Voice - Adding Humor
    C: Don’t Assume Full Understanding
    D: Don’t Assume Too Little Understanding/Be Prepared for Surprises
    E: Voicing Anger Case
    F: Codependency
    G: Failure All Around
    H: Against-All-Odds: Success
  • Chapter 12: Setting Up and Funding an AAC/Assistive Technology Service
    Current State of Affairs
    Organization of an AT Service
    • Assessing Staff Needs
    • In Service Training
    • Competency Assessment
      Funding Issues
  • Chapter 13: Useful Products and Links
    The MacGyver Kit: Essential Tools and Materials
    AAC Manufacturer Links
    AAC Resource Links
  • Appendix A: Assessment Scenarios
  • Appendix B: Major AAC Manufacturers
  • Appendix C: AAC/AT Resources
  • References
  • Index

DVD Contents:

  • Figures
  • Video Clips
  • Nursing Tutorial
  • Iowa Hospital Boards (Word, PDF)
  • Iowa Low-Tech Hospital Boards (BoardMaker Files)
  • Iowa Low-Tech Keyboards (BoardMaker Files)
  • Iowa Templates for:
    • DYNAVOX Users (English, Spanish, Eye Gaze)
    • Speaking Dynamically Pro
    • SDP (Eye Gaze)
    • VIKING Software
    • VIKING Software (Eye Gaze)

Richard Hurtig

Richard Hurtig is Professor and Starch Faculty Fellow at the University of Iowa, where he joined the faculty in 1976. In addition to his appointment in the Department of Communication Sciences and Disorders, he serves on the faculty of both the Neuroscience and Foreign Language Acquisition Research and Education doctoral programs. He earned a B.A. in English and M.A. in Linguistics from New York University and an M.Phil. and Ph.D. in Psychology from Columbia University. He served as department chair from 1996 to 2005 and continues to direct the university’s American Sign Language program. He has been actively involved with the Council of Academic Programs in Communication Sciences and Disorders and served as president for the 2005-2006 academic year. He directs the Psychology of Language and the Assistive Devices laboratories and teaches undergraduate and graduate courses in Psycholinguistics, as well as a course on Designing Assistive Devices. His research interests lie in the areas of speech perception and cognitive neuroscience as well as the development of assistive technologies. His research is currently funded by a grant from the Institute of Education Sciences, a division of the U.S. Department of Education.

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Debora A. Downey

Debora A. Downey, MA, CCC-SLP is doctoral candidate at the University of Iowa, Iowa City, in the department of Communication Sciences and Disorders. Downey received her MA in Speech Pathology from University of Northern Colorado in 1986. She is the facilitator of the Augmentative/Alternative Communication Service at the Center for Disabilities and Development, University of Iowa Hospitals & Clinics. She has worked with both pediatric and adult AAC users with a wide range of communication disabilities. Downey has extensive experience in teaching about augmentative/alternative communication to speech-language pathology trainees as well as individuals in related professions. She has been a frequent presenter on the topic of augmentative/alternative communication practice at national conferences and has published in a variety of academic journals.

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Augmentative and Alternative Communication Intervention: An Intensive, Immersive, Socially Based Service Delivery Model

First Edition

Janet L. Dodd

Details: 288 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-725-1

© 2017 | Available

Intervention for Preschoolers using Augmentative and Alternative Communication: Practical Strategies

First Edition

Prathibha Karanth, Celeste Roseberry-McKibbin, Priya James

Details: 200 pages, B&W, Softcover, 8.5 x 11"

ISBN13: 978-1-59756-974-3

© 2017 | Available

Intervention for Toddlers using Augmentative and Alternative Communication: Practical Strategies

First Edition

Prathibha Karanth, Celeste Roseberry-McKibbin, Priya James

Details: 192 pages, B&W, Softcover, 8.5" x 11"

ISBN13: 978-1-59756-975-0

© 2017 | Available

Augmentative and Alternative Communication: Engagement and Participation

First Edition

Erna Alant

Details: 320 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-713-8

© 2017 | Available

Patient-Provider Communication: Roles for Speech-Language Pathologists and Other Health Care Professionals

First Edition

Sarah W. Blackstone, David R. Beukelman, Kathryn M. Yorkston

Details: 352 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-574-5

© 2015 | Available

Tele-AAC: Augmentative and Alternative Communication Through Telepractice

First Edition

Nerissa Hall, Jenifer Juengling-Sudkamp, Michelle L. Gutmann, Ellen R. Cohn

Details: 330 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-145-2

© 2020 | Available

Inpatient Functional Communication Interview: Screening, Assessment, and Intervention

First Edition

Robyn O'Halloran, Linda Worrall, Deborah Toffolo, Chris Code

Details: 170 pages, B&W, Spiral Bound, 8.5" x 11"

ISBN13: 978-1-63550172-8

© 2020 | Available

Augmentative and Alternative Communication: Challenges and Solutions

First Edition

Billy T. Ogletree

Details: 399 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-63550-286-2

© 2021 | Available

AAC for All: Culturally and Linguistically Responsive Practice

First Edition

Mollie G. Mindel, Jeeva John

Details: 200 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-63550-285-5

© 2022 | Available

Supporting Individuals Who Use Augmentative and Alternative Communication: Breaking Down Opportunity Barriers

First Edition

Susan S. Johnston, Cindy Gevarter, Samuel Sennott, Lateef McLeod, Eric J. Sanders

Details: 270 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-63550-391-3

© 2023 | Available