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Augmentative and alternative communication for adults following glossectomy and laryngectomy surgery

This article describes a collaborative approach to augmentative and alternative communication (AAC) assessment and intervention for persons who undergo radical head and neck cancer surgery. Included is a description of the demographics and characteristics of surgical patients who undergo total glossectomy and total laryngectomy and how those characteristics may affect AAC assessment and intervention. Emphasis is given to the grief response that surgical patients experience and to the challenges placed on the intervention team by that response. The unique characteristics of grief following loss of communication are discussed in the context of a case study. The case study illustrates AAC intervention strategies with a focus on patient empowerment and flexibility.