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Background: Speech and language therapists can improve the quality of life of people receiving palliative care through the management of communication and swallowing difficulties (dysphagia). However, their role in this domain is poorly defined and little is understood about the current international professional practice in this field. Aims: To examine how speech and language therapists perceive their role in the delivery of palliative care to clients, to discover current international speech and language therapist practices and to explore the similarities and differences in speech and language therapists’ practice in palliative care internationally. This will inform professional clinical guidelines and practice in this area.Design:Anonymous, non-experimental, cross-sectional survey design.Participants:Speech and language therapists working with adult and paediatric palliative care populations in Republic of Ireland, United Kingdom, United States, Canada, Australia and New Zealand where the speech and language therapist profession is well established. Method: Purposive and snowball sampling were used to recruit participants internationally using gatekeepers. An online survey was disseminated using Survey Monkey (http://www.surveymonkey.com). Results: A total of 322 speech and language therapists responded to the survey. Speech and language therapist practices in palliative care were similar across continents. Current speech and language therapist practices along with barriers and facilitators to practice were identified. The need for a speech and language therapist professional position paper on this topic was emphasised by respondents. Conclusion: Internationally, speech and language therapists believe they have a role in palliative care. The speech and language therapist respondents highlighted that this area of practice is under-resourced, under-acknowledged and poorly developed. They highlighted the need for additional research as well as specialist training and education for speech and language therapists and other multidisciplinary team members in the area of palliative care. [ABSTRACT FROM AUTHOR]

Objectives: The reported prevalence of vestibular dysfunction after cochlear implantation (CI) is varies between different scientific papers. The aim of this study is to determine the reported postimplantation outcome in terms of dizziness, and to measure its impact on quality of life using the Dizziness handicap inventory (DHI). Methods: This was a prospective questionnaire based study of postoperative cochlear implant patients. The questionnaire assessed the type and onset of dizziness in addition to the DHI. Results: 122 patients were recruited in this study, which is the largest sample size in the literature reported so far. Dizziness was evident in 45.9% of the population post-CI and in 27% pre-CI. The commonest subtype of the dizziness was unsteadiness followed by lightheadedness. The dizziness was mild in most of the patients. Conclusion: Although mild, dizziness is a common complaint post-cochlear implantation. An understanding of symptoms helps counsel patients preoperatively. [ABSTRACT FROM AUTHOR]

In this paper we connect existing work on rooming houses to literature dealing with the meaningful nature of ‘home’ and its impact on individuals' health and social well-being. We then examine the extent to which rooming houses provide low-income tenants with ‘homes’, drawing from in-depth interviews with rooming-house tenants living in Hamilton, a city of 450000 people in southern Ontario, Canada. Our analysis raises concerns about the capacity of rooming houses to provide affordable and stable accommodation. Poor living conditions and poor relations with rooming-house landlords worked directly against the capacity of rooms to offer private, controllable spaces and a degree of ontological security. Analysis also raised concerns about rooming houses as sites for social relations. Many respondents saw rooming houses as unpredictable and sometimes unhealthy social spaces, forcing them to seek other environments to cultivate and sustain relationships with friends and family. In general, respondents' experiences point to the shortcomings of rooming houses as ‘home’ environments, with implications for the health and social lives of the tenant population. Conceptual and policy implications are discussed in conclusion. [ABSTRACT FROM AUTHOR]