Clinical Question Is Augmentative and Alternative Communication (AAC) and Assistive Technologies (AT) to support the communication of children recovering from traumatic brain injury and spinal cord Injury effective? II. Title of the Article Augmentative and alternative communication intervention in children with traumatic brain injury and spinal cord injury III. Study Characteristics A. Population This was a study conducted on pediatric patients who sustain a severe traumatic brain injury (TBI) and/or a spinal cord injury (SCI). Clinical illustrations presented in this article were exempt from IRB review as they described everyday clinical interventions and all identifying information (e.g., names, specific mechanisms of injury, timelines and locations) were changed to protect the individuals’ identities. B. Intervention compared The aim of the study is to describe various AAC tools and strategies and support require for a successful AAC intervention for children with TBI and SCI. This was a descriptive study conducted to pediatric patients with TBI and SCI from Madonna Rehabilitation Hospital in Lincoln, Nebraska, USA. Assessment used in patients with TBI is the Pediatric Rancho Scale of Cognitive Functioning which has five levels. In patients with SCI, the ASIA standard neurological classification of SCI from the American Spinal Injury Association and International Medical Society of Paraplegia is used because it identifies the level of injury and associated deficits at each level- High Tetraplegia (C1C4 SCI) and Low Tetraplegia (C5 C8). C. Outcome Monitored AAC is essential to support the broad range of communication needs of children with TBI who are unable to communicate effectively. AAC helped reduced children’s confusion and anxiety, as well as it enabled them to participate more actively in the rehabilitation process. D. The study did really focus on a significant problem in clinical practice.

IV. Methodology/Design A. Methodology

Result of the Study It was observed in TBI that most patient have physical. help them recover their functional speech. F. language. it provided them the opportunity to engage in social networks where they can keep in touch with their family and friends. Nebraska. D. And AAC. mostly. Nurses should be aware that the result of AAC is dependent in the nature and severity of the injury of the patient. NE. VI. Author's Conclusion and Recommendations . strategies to establish a consistent “yes” “no” response.B. Data Sources Susan Fager and Colleen Spellman Institute for Rehabilitation Science and Engineering at Madonna Rehabilitation Hospital. AAC approaches may include having access to a nurse’s call signal. including the family of the patient will collaborate with other specialists and professional outside the community. The original study had not been replicated. This study helped in enhancing the nursing ability in taking care of pediatric patients by knowing devices and its strategies and support required in improving the condition of patients with TBI and SCI efficiently and effectively. In patients with SCI. and cognitive deficits affecting their communication skills. USA E. USA.Design C. it also provide them to see for their selves the information about their medical condition. V. Setting Madonna Rehabilitation Hospital in Lincoln. Lincoln. speech. Benefit of the nursing action or intervention tested in the study Patient can benefit from augmentative and alternative communication (AAC) interventions that specifically address their ability to communicate basic needs and feelings to medical personnel and family members as well as ask and respond to questions. techniques that help a child “eye point” to simple messages. But because of the complex residual disabilities caused by TBI. some patients needed to undergo a long-term rehabilitation period and it could be essential if health care team in the rehabilitation center. Because of giving them an access to written and electric communication. many patients with tetraplegia returned to school within the average of 62 days post discharged.

Applicability Alternative Augmentative Communication or AAC is applicable in the Philippine setting since this intervention does not necessarily mean using a high technology which is costly if based in the economy of the country. language. schools and communities and as adults. writing and using mainstream technologies. A myriad of technology options are currently available that not only address face-toface interactions. This study enhances our knowledge in dealing patients with this kind of condition knowing that some children who sustained TBI and SCI have the chance to recover and live normally with their families and the people around them. AAC interventions in medical settings address the communication of basic medical needs and facilitate a child’s recovery and engagement in the rehabilitation process. needs and feelings to healthcare providers and family members. For those who continue to need communication supports. leisure and employment needs. educational. Presentation of alphabets. AAC strategies and technologies can support their varied and ongoing communication needs across environments and over time. Effective communication with them is essential to long-term recovery and positive outcomes for children with TBI and SCI. Children with TBI and SCI have physical and/or cognitive language deficits that may interfere with typical ways of communicating. and improvised communication boards. It widened our knowledge that as future nurses. social.Competence of the care provide c. and emotional skills. speech. (AAC) tools and strategies is essential in helping and addressing the communication needs of children enabling them to communicate their wants. VII. cut. language. Evaluation Nursing Care Practice a.Safety b.we should be aware and updated in the use of technology because technology really plays a vital part in medical field as well as in our lives. IX. can take on desired social roles. However. Hospitals around the world are recognizing and addressing patients’ needs for communication access and have begun to implement communication screenings and assessments and interventions at admission and throughout the hospital stay. VIII. pictures. Reviewer's Conclusion The study which is primarily centered on nursing supplementation in improving the condition of pediatric patients who happens to have TBI and SCI that impaired their motor abilities.Acceptability . affecting their ability to communicate face-to-face.Communication is essential for the development of cognitive. AAC therapy can be done using a low technology made from the available materials in the schools or homes such as newspapers. but also distant social networking. drawings. cognition. AAC technologies increase the likelihood that children with TBI and SCI will make successful transitions to their homes.out pictures from magazines. and icons are the basic symbols used in AAC since these are well known to most people.

Effectiveness e.d.Efficiency .Appropriateness f.