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IMPORTANT: Starting from Wednesday, May 22, 2024, all manuscripts accepted for publication in 2025 must also be published in an English version. This translation must be managed and funded by the authors, as the journal will no longer cover these costs.

The Revista Chilena de Fonoaudiología accepts manuscripts on an ongoing basis throughout the calendar year. The journal operates under a "continuous publication" model.

Speech-language pathology in palliative care for adults and older adults: foundations, roles, approaches and challenges

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Vol. 20 (2021)
https://doi.org/10.5354/0719-4692.2021.58486

Abstract

The Chilean population is aging rapidly, generating a sustained increase in the number of people living with a chronic disease that limits their life, condition that frequently requires specialized teams in palliative care. In these, the inclusion of the speech-language pathologist is recent in most of the countries, even more so in our country. Therefore, there are few local guidelines that facilitate the active participation of this professional under a model focused on the care, well-being and accompaniment of the person, their family and/or significant others. In this context, In this context, the objective of this narrative review is to delve into the foundations that support the inclusion of the speech-language pathologist in palliative carea teams. For this, speech-language pathology action areas, roles and responsibilities are described. In this regard, the available information shows two major fields of action. related to communication and swallowing, which must be addressed in orden to promote the participation and autonomy of the person in making decisions about their care, as well as respect for their advance directives, when necessary. Under this paradigm, the findings are clear in stating that the speech-language pathologist should move away from the traditional rehabilitation model, to migrate towards a group of actions that aloe them to address -in the best possible way- those conditions that generate suffering, pain or discomfort to the person. These actions are addressed in this review, with sufficient detail to allow six major challenges to be raised and proposed for those professionals who work (or want to) in the area.

Keywords:

Speech-language pathology, Palliative care, End-of-life care, Communication, Feeding Behavior, Swallowing

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How to Cite
Tobar-Fredes, R., Olivares-Matus, C. A., & Tapia-Saavedra, S. (2021). Speech-language pathology in palliative care for adults and older adults: foundations, roles, approaches and challenges. Revista Chilena De Fonoaudiología, 20, 1–16. https://doi.org/10.5354/0719-4692.2021.58486
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Revista Chilena de Fonoaudiología
Facultad de Medicina
Universidad de Chile
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