Name of the Procedure:

Accessory for Speech Generating Device, not otherwise classified (E2599)

Summary

This procedure involves the provision of an accessory to augment a speech generating device. These accessories are designed to assist individuals who have severe speech impairments, enabling them to communicate more effectively.

Purpose

• Medical Conditions or Problems it Addresses: Severe speech impairments due to conditions like ALS, cerebral palsy, stroke, or traumatic brain injury.
• Goals or Expected Outcomes: To enhance the functionality of speech generating devices, improving communication abilities for individuals with speech impairments.

Indications

• Specific Symptoms or Conditions: Severe articulation issues, inability to speak, non-functional speech due to multiple neurological conditions.
• Patient Criteria: Patients already using speech generating devices requiring additional support or enhancements for optimal use.

Preparation

• Pre-procedure Instructions: No specific fasting or medication adjustments are typically needed.
• Diagnostic Tests or Assessments: Assessment by a speech-language pathologist (SLP) to determine the most suitable accessory.

Procedure Description

• Step-by-Step Explanation:
  1. Assessment: Evaluation by an SLP to identify the need for a specific accessory.
  2. Selection: Choosing the appropriate accessory based on the patient's needs and device compatibility.
  3. Fitting and Training: Attachment of the accessory to the speech generating device followed by training the patient and caregivers on its use.
• Tools, Equipment, or Technology Used: Various accessories like switches, mounts, or specialized software may be used.
• Anesthesia or Sedation: Not applicable.

Duration

Generally completed within one or two sessions lasting about 1 to 2 hours each.

Setting

Typically conducted in an outpatient clinic, rehabilitation center, or occasionally at home depending on patient needs.

Personnel

• Speech-language pathologists (SLPs)
• Assistive technology specialists

Risks and Complications

• Common Risks: Minor adjustments or troubleshooting needed for optimal function.
• Rare Risks: Device incompatibility or patient difficulty adapting to the new accessory.

Benefits

• Expected Benefits: Improved communication ability, higher quality of life, increased independence.
• Realization Time: Benefits are often realized immediately after successful training and adaptation.

Recovery

• Post-procedure Care: Ongoing support and periodic evaluations.
• Expected Recovery Time: None required; patients can resume usual activities immediately.
• Restrictions or Follow-up: Regular follow-up appointments for equipment adjustments and reassessment.

Alternatives

• Other Treatment Options: Manual communication boards, other augmentative and alternative communication (AAC) devices.
• Pros and Cons of Alternatives:
  • Manual boards might be less expensive but are less efficient.
  • Other AAC devices may work but might not offer the same level of personalization and ease.

Patient Experience

• During and After the Procedure: Patients might feel excitement and relief in gaining enhanced communication abilities.
• Pain Management and Comfort Measures: No pain is involved; adjustments and support are provided to ensure comfort and effective use.