Development of Aphasia friendly Modified Fluid patient information – Speech Pathology Allied Health Assistant (AHA) lead innovation

Mrs Lucy Whelan1,2, Ms Christine Yang1, Ms Lisa Terry1

1Monash Health, Clayton, Australia, 2Monash University, Clayton, Australia

To modify and improve existing modified fluids patient information to improve utilisation and accessibility for patients and families with communication impairment, and from culturally and linguistically diverse (CALD) backgrounds.


  1. Identified gap of no written Aphasia friendly/CALD modified fluids patient information for patients and families.
  2. Review of existing templates, and design of new template in collaboration with Speech Pathology (SP) department, and aligned with International Dysphagia Diet Standardisation Initiative framework (IDDSI) terminology and information on recipe instructions.
  3. Aphasia friendly practices were followed using large font and images, to enhance comprehension of the instruction.
  4. 2 month trial of new template with cognitively/ communicatively impaired and CALD patients and/or families at Monash Medical Centre (MMC), Clayton.
  5. Consumer review: Questionnaire provided via email or face-to face regarding the utilisation and accessibility of patient information.
  6. Staff review: guidance, support and verbal feedback regarding use of new patient information from SP department, and AHA and Support Workforce Advisor.


  • Consumer feedback: 6 questionnaires were completed with patient and/or families and 100% of consumers found the patient information helpful in demonstrating how to prepare modified fluids.
  • Patient feedback: “The visual instructions are extremely helpful, very easy to follow.”(consumer 1) and “Accessible information, very accommodating.” (consumer 2)
  • Staff feedback: “It is very well presented with clear instructions” and “I look forward to being able to offer this to our patients and families with communication impairments and CALD.”

The development of the Aphasia friendly/CALD patient information has been well received by both consumers/families and as a result will continue to be used by the Speech Pathology department.


Christine is a Grade 3 Speech Pathology Allied health assistant working in an acute adult inpatient unit at Monash Medical Centre. Christine has attained a Bachelor degree majoring in Linguistics with a minor in psychology and an Associate degree in Speech Language Pathology Assistance in the United States of America. Christine has also worked with the paediatric population in the past, with children who are diagnosed with Autism spectrum Disorder (ASD) and other disabilities in providing clinic-based therapy as well as home-based and specialist school visits. Christine is also an Applied Behaviour Analysis (ABA) trained Behavioural Therapist.

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