Although it is certainly possible to edit previously-created documents to make them accessible, the easiest way to ensure documents are accessible is to build them that way from the beginning. Once you decide to make all documents accessible, build new ones using the accessibility standards and work through old documents by starting with the ones that are least accessible (i.e. need the most work to become accessible)--since those would be the least useful to someone using adaptive technology.
Just like with Word, PowerPoint has built-in features that, when used correctly, allow screen readers to accurately interpret the contents of the slides.
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