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Physical Medicine and Rehabilitation , 102 (6), 1084–1090. https://doi.org/10.1016/j.apmr.2021.01.063 Australian Bureau of Statistics. (2017). 2016 Census QuickStats: West Melbourne. https://quickstats. censusdata.abs.gov.au/census_services/getproduct/ census/2016/quickstat/SSC22743 Australian Government. (2021, 10 Sept.). Coronavirus (COVID-19) case numbers and statistics. Australian Government Department of Health. https://www.health.gov. au/news/health-alerts/novel-coronavirus-2019-ncov-health- alert/coronavirus-covid-19-case-numbers-and-statistics Belsky, J. A., Tullius, B. P., Lamb, M. G., Sayegh, R., Stanek, J. R., & Auletta, J. J. (2021). COVID-19 in immunocompromised patients: A systematic review of cancer, hematopoietic cell and solid organ transplant patients. Journal of Infection , 82 (3), 329–338. https://doi. org/10.1016/j.jinf.2021.01.022 Bolton, L., Mills, C., Wallace, S., & Brady, M. C. (2020). Aerosol generating procedures, dysphagia assessment and COVID-19: A rapid review. International Journal of Language & Communication Disorders , 55 (4), 629–636. https://doi.org/10.1111/1460-6984.12544 Boushra, M. N., Koyfman, A., & Long, B. (2021). COVID-19 in pregnancy and the puerperium: A review for emergency physicians. The American Journal of Emergency Medicine , 40 , 193–198. https://doi.org/10.1016/j.ajem.2020.10.055 Daroische, R., Hemminghyth, M. S., Eilertsen, T. H., Breitve, M. H., & Chwiszczuk, L. J. (2021). Cognitive impairment after COVID-19—A review on objective test data. Frontiers in Neurology , 12 , 1238–2147. https://doi. org/10.3389/fneur.2021.699582 Dawson, C., Capewell, R., Ellis, S., Matthews, S., Adamson, S., Wood, M., Fitch, L., Reid, K., Shaw, M., Wheeler, J., Pracy, P., Nankivell, P., & Sharma, N. (2020). Dysphagia presentation and management following coronavirus disease 2019: An acute care tertiary centre experience. The Journal of Laryngology & Otology , 134 (11), 981–986. https://doi.org/10.1017/s0022215120002443 Freeman-Sanderson, A., Ward, E. C., Miles, A., de Pedro Netto, I., Duncan, S., Inamoto, Y., McRae, J., Pillay, N., Skoretz, S. A., Walshe, M., Brodsky, M. B., Archer, S. K., Baker, S., Bergström, L., Burns, C. L., Cameron, T., Cimoli, M., Clayton, N. A., Clunie, G., & Zaga, C. J. (2021). A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19. Archives of Physical Medicine and Rehabilitation , 102 (5), 835–842. https://doi.org/10.1016/j.apmr.2020.10.113 Hampton, T., Crunkhorn, R., Lowe, N., Bhat, J., Hogg, E., Afifi, W., De, S., Street, I., Sharma, R., Krishnan, M., Clarke, R., Dasgupta, S., Ratnayake, S., & Sharma, S. (2020). The negative impact of wearing personal protective equipment on communication during coronavirus disease 2019. The Journal of Laryngology & Otology , 134 (7), 577–581. https://doi.org/10.1017/s0022215120001437 Huang, A. J. R., Siyambalapitiya, S., & Cornwell, P. (2019). Speech pathologists and professional interpreters managing culturally and linguistically diverse adults with communication disorders: a systematic review. International Journal of Language & Communication Disorders , 54 (5), 689–704. https://doi.org/10.1111/1460-6984.12475 John Hopkins University and Medicine. (2021). COVID-19 Map. Johns Hopkins Coronavirus Resource Center. https:// coronavirus.jhu.edu/map.html Kearney, A., Searl, J., Erickson-DiRenzo, E., & Doyle, P. C. (2021). The impact of COVID-19 on speech-language

CALD group varies significantly from another. For example, while we report on S.R.’s priority to commence oral intake as soon as possible, previous research has reported the experience of providing dysphagia intervention to COVID-19 patients who were fasting during the Islamic holy month of Ramadan (Dawson et al., 2020). This highlights that clinicians involved in the care of CALD patients with COVID-19 not only require high level clinical skills, but also flexibility, responsiveness and sensitivity to meet the distinct and discrete needs of different CALD groups. While COVID-19 has had a significant impact on the clinical role of the SLP, it also has profound implications on patient well-being and quality of life. A high prevalence of depression, anxiety and stress has now been reported for patients with COVID-19 (Zandifar et al., 2020). While the significant mental health impacts associated with critical illness and ICU admissions is well known, challenges inherent in COVID-19 critical care such as strict isolation protocols, being unable to communicate verbally or eat orally, and having no visitors may further impact the quality of life of patients (Righy et al., 2019; Williams & McGrath, 2021). In this case, S.R. highlighted his priority goals to ‘talk’ and to ‘eat and drink’, indicating the inextricable link between the SLP clinical role and promoting quality of life. On reflection, we did not initially appreciate the extent to which our unique skillset could facilitate quality of life in the context of this novel virus. As our understanding of COVID-19 developed over time, this strong focus on enabling quality of life established itself as an integral part of our role during the pandemic, particularly with patients from CALD backgrounds. Conclusion This case report contributes to the literature by outlining the experience of adapting clinical practice, responding to guidelines and overcoming barriers to provide best practice to a patient from a CALD background with COVID-19. Our case highlights the ability of SLPs to successfully adapt and modify their practice in light of the current situation and should instil confidence in SLPs to continue this approach throughout the remainder of the COVID-19 crisis. While the limitations of this paper lie in the study design and the nature of the retrospective data collection, it sets a foundation for studies with a larger sample size and robust methodology to further examine the impact of the SLP on supporting patients from CALD backgrounds with COVID-19. Moreover, the learnings from the current situation will remain relevant indefinitely, as it is more than possible that a further pandemic or other acute global health issue will occur in the foreseeable future. The fluid role of SLPs within the health care system during this time provides a unique opportunity to support broad positive health impacts such as communication access and improved quality of life. Acknowledgements Informed consent was gained from our study participant. This study received Ethics Approval (Reference: CS2020.04). Declaration of interest The authors report no declarations of interest. References Archer, S. K., Iezzi, C. M., & Gilpin, L. (2021). Swallowing and COVID-19: An observational cohort study. Archives of

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JCPSLP Volume 23, Number 3 2021

Journal of Clinical Practice in Speech-Language Pathology