Reabilitação fonoaudiológica hospitalar na afasia após acidente vascular cerebral

Ha uma elevada e crescente incidencia de Acidente Vascular Cerebral (AVC) no Brasil, sendo a principal causa da afasia. Com o intuito de melhorar a qualidade do atendimento hospitalar e reduzir a mortalidade e as incapacidades foram elaborados programas assistenciais especificos. O fonoaudiologo atua na equipe multidisciplinar atendendo principalmente no rastreamento das disfagias. No entanto, as afagias podem ocorrer em 40% dos casos de AVC. Em busca de um paciente ativo, consciente e participativo durante a internacao, o planejamento terapeutico deveria corroborar a atuacao do fonoaudiologo nas afasias ja durante a hospitalizacao. Ainda que haja escassez de metodos e instrumentos para avaliacao e evolucao, o tratamento fonoaudiologico hospitalar beneficiaria o paciente, a familia e a equipe, objetivando o resgate e a adaptacao das capacidades residuais de expressao e compreensao perdidas com o AVC. E, dessa maneira, favorecer a reabilitacao para alta hospitalar. There is a high and increasing incidence of stroke in Brazil. It's the main cause of aphasia. To improve the patient's quality and reduce mortality and desability, specific assistance programs were developed. The speech terapy works in the multidisciplinary team for screening of dysphagia. However, aphasia may occur in 40% of cases of AVC. To obtain an active and cooparative patient post-stroke, treatment planning should support the role of the speech and language therapist in aphasia already during hospitalization. Despite the shortage of methods and tools for evaluation and evolution, the hospital speech therapy would benetfit the patient, family and staff, to recover and adapt the residual capacities of expression and understanding with the lost stroke and promote rehabilitation for discharge.