{"id":3302,"date":"2025-11-03T09:15:49","date_gmt":"2025-11-03T14:15:49","guid":{"rendered":"https:\/\/www.med.unc.edu\/healthsciences\/sphs\/card\/?page_id=3302"},"modified":"2025-11-20T09:32:01","modified_gmt":"2025-11-20T14:32:01","slug":"acutecarefourc","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/healthsciences\/sphs\/card\/resources\/aphasia-goals\/acutecarefourc\/","title":{"rendered":"Acute Care FOURC model"},"content":{"rendered":"

The Acute Care FOURC model is designed to establish early communication and participation for patients with neurologic communication disorders. Speech, language, and cognition abilities often evolve rapidly during acute care. Patients and family have significant information and communication needs, while SLPs have limited time to work with each person. The model operates through three intervention prongs to maximize impact. The same four goals are used for all patients and they are graded on a scale from 0 to 4 for degree of initiative and comprehensiveness. For most patients, the goal is a rating of 3 at the time of discharge. See resources below. A tutorial is under development.<\/p>\n\n\n\n\n
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\"\"<\/strong><\/h3>\n<\/td>\n<\/tr>\n

\n\n\n\n\n
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Three Prongs<\/strong><\/h3>\n
    \n
  • Intentional Strategies<\/li>\n
  • Environmental Supports<\/li>\n
  • Motivation and Confidence<\/li>\n<\/ul>\n<\/td>\n

\n

Goals<\/strong><\/h3>\n
    \n
  • Communication Experience<\/span><\/li>\n
  • Comprehending Diagnosis(es)<\/span><\/li>\n
  • Comfort, Safety, Preferences<\/span><\/li>\n
  • Care and Discharge Planning<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n

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Resources for SLPs<\/strong><\/h3>\n

<\/h4>\n

Documentation and Outcome Measurement<\/h4>\n\n\n\n\n\n
Rating scale for outcome measurement<\/td>\nFOURC Rating scale<\/a><\/td>\n<\/tr>\n
Documentation template<\/td>\nDocumentation template<\/a><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/h4>\n

General Visual supports<\/h4>\n\n\n\n\n\n
Visual for talking about goal options<\/td>\nGoal choices<\/a><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Goal 1: Communication Experience<\/h4>\n\n\n\n\n\n\n\n\n
Visual for talking about hospital admission<\/td>\nMy Story<\/a><\/td>\n<\/tr>\n
Checklist for communication supports<\/td>\nInfo In & Out handout<\/a><\/td>\n<\/tr>\n
Information for family members<\/td>\nAphasia Institute: talking to your family member<\/a><\/td>\n<\/tr>\n
Communication training resources for families<\/td>\nCPT resources to use with families<\/a><\/td>\n<\/tr>\n
Visual for referring to parts of body<\/td>\nBlack & White body<\/a><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/h4>\n

Goal 2: Comprehending Diagnosis(es)<\/h4>\n\n\n\n\n\n\n\n\n
Visual for talking about diagnoses<\/td>\nTalking about diagnoses<\/a><\/td>\n<\/tr>\n
Brochure for talking about aphasia<\/td>\nWhat is aphasia?<\/a><\/td>\n<\/tr>\n
Brochure for talking about stroke<\/td>\nWhat is a stroke?<\/a><\/td>\n<\/tr>\n
Brochure for talking about dysphagia<\/td>\nWhat is dysphagia?<\/a><\/td>\n<\/tr>\n
Brochure for talking about brain injury<\/td>\nWhat is BI<\/a>?<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/h4>\n

Goal 3: Comfort, Safety, Preferences<\/h4>\n\n\n\n\n\n\n\n\n\n\n\n
Checklist for comfort, safety, preferences<\/td>\nTalking about preferences and precautions<\/a><\/td>\n<\/tr>\n
Visual for explaining the call light<\/td>\nCall light<\/a><\/td>\n<\/tr>\n
Visual for explaining weight bearing precautions<\/td>\nWeight bearing precautions<\/a><\/td>\n<\/tr>\n
Visual for explaining IV precautions<\/td>\nIV precautions<\/a><\/td>\n<\/tr>\n
Visual for explaining feeding tube precautions<\/td>\nNGT precautions<\/a><\/td>\n<\/tr>\n
Visual for explaining safe swallow<\/td>\nSafe swallow<\/a><\/td>\n<\/tr>\n
Visual for comfort, safety, preferences (drawings)<\/td>\nPreferences_Line Drawings<\/a><\/td>\n<\/tr>\n
Visual for comfort, safety, preferences (photos)<\/td>\nPreferences_Photos<\/a><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/h4>\n

Goal 4: Care and Discharge Planning<\/h4>\n\n\n\n\n\n\n\n
Visual for topics around discharge planning<\/td>\nDischarge planning<\/a><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Register to stay updated about the Acute Care FOURC model: click here<\/a><\/h4>\n<\/td>\n<\/tr>\n

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References:<\/strong><\/h3>\n

Corwin M, Haley KL, Potocnik A, Reichneker C, & Tillson A. (2025). You can do that in a hospital?\u00a0 Using the acute care FOURC model in treatment. Seminar to be presented at: American Speech-Language Hearing Association Annual Convention.<\/em> Washington DC.<\/p>\n

Potocnik A, Corwin M & <\/span>Haley KL (2025, May). Acute care aphasia assessment & intervention: Applying the FOURC acute care model. Roundtable presented at: Clinical Aphasiology Conference<\/i>, Albuquerque, NM.<\/p>\n

Corwin M & Haley KL. (2025, May). Aphasia Assessment and Treatment in Acute Care Settings: Using the FOURC Model. Seminar presented at: Texas Speech-Language Hearing Association, San Antonio, TX.<\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

The Acute Care FOURC model is designed to establish early communication and participation for patients with neurologic communication disorders. Speech, language, and cognition abilities often evolve rapidly during acute care. Patients and family have significant information and communication needs, while SLPs have limited time to work with each person. The model operates through three intervention … Read more<\/a><\/p>\n","protected":false},"author":33434,"featured_media":0,"parent":2304,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-3302","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"\nAcute Care FOURC model - Center for Aphasia and Related Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/sphs\/card\/resources\/aphasia-goals\/acutecarefourc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acute Care FOURC model - Center for Aphasia and Related Disorders\" \/>\n<meta property=\"og:description\" content=\"The Acute Care FOURC model is designed to establish early communication and participation for patients with neurologic communication disorders. 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