When a person with cerebrovascular disease has difficulty expressing themselves, how can they be involved in communication during a cardiology clinic visit?

When scheduling the appointment, inform the clinic of the patient's communication needs and ask if extra time can be allowed for communication. Based on the person's usual habits, prepare written text, pictures, or simple choices, discuss only one issue at a time, and allow time for responses. Family members should distinguish between what the patient actually expresses and their own observations, and should not infer the patient's feelings or wishes on their behalf. Communication support strategies can be developed with help from the caregiving or rehabilitation team.