Speech Language Pathology provides assessment and treatment for patients with communication and swallowing difficulties. Patients with stroke are assessed for both swallowing and communication difficulty. Patients in the ICU likely to need Speech Pathology services are patients who are recently extubated, have a tracheostomy, and/or are medically fragile, unwell and weak. For patients with a tracheostomy, speaking valve assessments and augmentative communication are considered. Speech pathologists liaise with all team members, family and caregivers when assessing and treating patients.