The aim of this study is to describe hospice caregivers’ perceptions and practices in the management of dysphagia in neurodegenerative disorders. In South Africa, hospices provide support and care for people with neurodegenerative disorders and have been offering palliative care to patients and their families facing life-threatening illnesses since 1989. Detailing the management practices of hospice caregivers may assist in determining whether there is a need for the services of a speech-language therapist in the transdisciplinary model. A non-experimental, descriptive survey research design was selected for the purpose of this study as it allowed the researcher to describe the characteristics of a large number of respondents. Information was gathered by means of mail-distributed, self-administered questionnaires. The collected data was descriptively analysed and graphs and figures were used to summarise and display the frequency distribution and associations within the data. It was evident from the findings that dysphagic patients with neurodegenerative disorders form part of the hospice caregivers’ caseloads. However, there appears to be limited specialist involvement in the management of neurodegenerative dysphagia within the hospice setting. Furthermore, caregivers’ perceptions of the subtle symptoms of dysphagia, the positions that facilitate safe swallowing and the consistencies that are most easily swallowed by people with dysphagia were found to be inadequate. The results obtained have numerous significant clinical and theoretical implications regarding current dysphagia management in the South African hospice setting. Recommendations are made to hospices, speech-language therapists and future researchers. / Dissertation (MCommunication Pathology)--University of Pretoria, 2009. / Speech-Language Pathology and Audiology / unrestricted

This study examined the nature of the undergraduate curricula for Auditory Processing Disorders (APD) for communication pathologists (speech-language therapists and audiologists) within the South African context. An exploratory descriptive survey design was utilised. The respondents were the authoritative voices in the area of APD, i.e. academics based at training institutions involved in the training of Speech-Language Therapists and Audiologists in the field of APD. They represented five of the six South African training institutions training speech-language therapists and audiologists. Information on the training programmes offered in APD was obtained with the use of a specifically designed questionnaire. This was further supplemented by copies of the course descriptors and / or study guides supplied by the respondents from the respective training institutions. A curriculum analysis framework was utilised to analyse the curricula (Jansen&Reddy, 1998). The findings of the study indicated that the curricula offered in APD at all training institutions compared well to current research and literature in the field of APD. However, information was not transparent on how the South African social and contextual issues were incorporated into training in APD. The researcher proposed that the curricula currently in use did not require major changes but appropriate amendments are required to be considered. The critical paradigm of inquiry was advocated to be used when training in the area of APD. Additionally, the researcher motivated for and recommended additions to the curricula on APD to address the South African situation as an essential part of the curriculum. The researcher’s principle guideline for amending the curricula was to incorporate these issues into the training based on the adoption of an ecological approach to assessment and remediation of APD. / Dissertation (M(Communication Pathology))--University of Pretoria, 2005. / Speech-Language Pathology and Audiology / unrestricted