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Stroke communication — DGM MCQ

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ModerateStroke and rehabilitationStroke communicationDGM

An 86-year-old man has expressive aphasia after stroke and becomes frustrated during ward rounds. He understands simple commands but cannot find words. His daughter says he wants to be involved in decisions. Current medicines include clopidogrel. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BUse supported communication and involve speech and language therapy

Aphasia does not equal incapacity; supported communication and speech and language therapy help participation. Assuming incapacity, bypassing him, avoiding discussion and relying on complex written information breach person-centred decision-making. Capacity assessment must maximise communication support.

Reference: NICE NG236; Mental Capacity Act 2005