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Accepting some support, further information required, learning more about the patient

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Individual was supported to share his views and his preference was followed

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Clarification, continued conversations

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severe dysarthria, lack of insight, eye pointing

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2. Having time to complete some decision making conversations (like a TM) with his wife who had a LD

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1. Successful outcome. The lady moved to a place she was happy with. Family pleased with outcome. Promoted autonomy and preferences. Lack of dubiety

2. Gentleman was able to make decisions about end of life plans and had control over how and when that happened

3. The lady got married! :)

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stroke and LD

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1. Talking mats - Supported with decision making around accommodation choices

2. E-Tran frame and closed questions. Scripted conversation.

3. Discussion about marriage- Balance sheet for emotions and "what would make you happy"

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Talking Mats support referrals to services, student voice within EHCP

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We were talking about the range of factors that impact on the communication difficulty that are often NOT to do with the individual but are more to do with the impact of the other people who might be involved and having influence. Also the effect of trauma and emotion.

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1. Stroke - Expressive aphasia & apraxia

2. Locked in syndrome - Only able to communicate with eye movements

3. Learning Disability- Cognitive challenges and global developmental delay

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Learning disability, reduced comprehension and severely dysarthric.

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Stroke and LD

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Dysphagia preferences and communication preferences. One mat went well the second one didn't go well due to internal and external factors.

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Ideally started working with her sooner to help address other things earlier.

Start to have these resources sooner in a person journey.

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Intellectual disability, epilepsy and dysarthria

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Talking Mat completed and difficult due to fatigue, trauma and pain.

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She expressed that nursing staff on ward didn't always provide enough time to engage, supported increased awareness of her needs.

Spiritual needs and TM supported what she wanted in relation to this.

Because of extent of verbal communication difficulties these things would never have been identified.

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Know the social dynamic in the house and the context

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she was able to decide what she liked and did not like . interesting was on the day of the mat was an argument about TV remote so the other resident was 'don't like' then did another mat and he went back to like. so BE AWARE OF THE CONTEXT!!

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Learning disabilities and Parkinsons Disease

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Individual with aphasia following a stroke

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Talking Mats around his views about transitioning home from a hospital/ neurorehab setting. This included looking at what the individual would feel comfortable with re. carers, activities etc.

Different responses were provided when mats were repeated.

Advocacy professional involved.

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prepared resources of her home, staff etc top scale was simple.

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Talking Mats - Thinking Ahead resource to support discussion about end of life decisions and tasks - such as quality of life, eating and drinking

Other symbol communication yes/no boards (but able to do this through facial expressions).

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review of housing and care and did she want to stay

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someone with learning disabilities, review of housing and care

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easy read

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maybe done a mat sooner- could have helped with supporting mum.

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Autism, learning disability, Angelman syndrome

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Video tools used to show transition destinations

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Challenges around verbal communication, speech significantly reduced, no writing skills retained facial expressive abilities and gestures. Cognitive abilities queried

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showed the mat to mum-she could see her son did not want to eat and drink. talking mat backed up what he wanted for the medical staff. he had a PEG fed and looked well.

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MND, queried undiagnosed Learning Disability, complex social issues, receiving palliative care

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re: dysphagia; he was aspirating and needed PEG fed. family against it, he lost weight, Suzanne used symbols-stop /eat. did a talking mat- things that might help eg pureed food, cutlery; peg-he said it would help.

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cognitive impairment, reduced understanding. Unclear speech

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learning disability- downs syndrome

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used low and high tech aac

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17 year old CP used low and high tech AAC