{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:03:40Z","timestamp":1789715020019,"version":"4.0.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Loss of speech due to mechanical ventilation is common among patients admitted to intensive care. This condition, often referred to as voicelessness, can generate negative emotions such as frustration and anger. Augmentative and Alternative Communication (AAC) techniques are useful for facilitating communication, but their use can be complex in patients with extensive burns. This case study describes the use of a high\u2010tech AAC system based on a motion sensor in an adolescent with second\u2010 and third\u2010degree burns covering 60% of the total body surface area, requiring both invasive and non\u2010invasive mechanical ventilation. Due to injuries to their hands and neuromuscular weakness, the patient was unable to use conventional low\u2010 or high\u2010tech AAC devices. The use of the motion\u2010sensor\u2010based AAC system enabled the patient to communicate specific needs and formulate complex sentences, facilitating individualised nursing care. The patient and family reported high satisfaction with the quality of care, while nurses noted a positive impact on the care relationship without increasing their workload. This case highlights the importance of personalised communication strategies in critically ill burn patients and suggests that the adoption of appropriate AAC systems may reduce missed nursing care and improve emotional and care outcomes.<\/jats:p>","DOI":"10.1111\/nicc.70496","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T09:38:24Z","timestamp":1776937104000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["High\u2010Tech Augmentative and Alternative Communication in a Burn Patient With Voicelessness: A Case Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4227-0782","authenticated-orcid":false,"given":"Silvia","family":"Porcarelli","sequence":"first","affiliation":[{"name":"ASST Grande Ospedale Metropolitano Niguarda  Milan Italy"},{"name":"Nursing Sciences and Public Health, University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Codara","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori  Monza Italy"},{"name":"School of Medicine and Surgery, University of Milano\u2013Bicocca  Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5152-8804","authenticated-orcid":false,"given":"Diletta","family":"Fabrizi","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, University of Milano\u2013Bicocca  Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Luciani","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, University of Milano\u2013Bicocca  Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Ausili","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, University of 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