Speech Pathology · Referral letter · Task 1

Communication support after stroke

You are a speech pathologist. The case notes below record your work on 1 September 2026. Write to Ms Sarah Bell, Community Speech Pathologist, Community Speech Pathology, 44 College Road, Brookfield. Request community speech pathology input, preserving the communication and consent needs. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Leon Hughes

Case notes

• N01Date: 1 September 2026. Patient: Leon Hughes.
• N02Discharged after left hemisphere stroke; word-finding/lengthy spoken instruction difficulty.
• N03Inpatient assessment: simple questions reliable with extra time/visual choices; multiple ideas reduce consistency.
• N04Can point to familiar written words; complex information not tested.
• N05Goal: participate in household appointments; not have wife answer everything.
• N06Wife supportive but sometimes answers too quickly; both agree pauses/message confirmation rather than guessing.
• N07Home: independently mobile; separate medical follow-up.
• N08Qualification: communication referral does not establish capacity for every situation.
• N09Plan: Ms Sarah Bell, Community Speech Pathologist; home assessment, supported direct goal setting, family guidance; wife may join first visit with agreement; share goals.
• N10Enclosures: communication assessment/discharge summary.
• N11Background: former accountant; enjoys watching documentaries.