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APHASIA Julie Lecture 1
Terms in this set (27)
_______ therapy is the most traditional/common/drill based/impairment-oriented
if we want a comprehensive/complete program, it should be made up of direct therapy and indirect therapy (t/f)
word for word from Julie wha?
_______ is used to make sure we aren't missing out on anx Tx details that are important to the client w/ aphasia (activities/leisure, etc)
family, employer, school etc. may seek out the SLP but does that affect what the goals will be?
NO! the person w/ aphasia is always the client that we are gonna center around no matter who wants what acheived
__________ rehab has best outcomes (inpatient rehab>outpatient rehab>continued daily services)
12 months post stroke is the window in which to make therapy gains (t/f)
false! debunked! plateau concept in rehab is outdated...u can still make progress in context w/ ICF consideration
what may be a solution for dementia client who feels that their room is getting broken into every time cleaner/nurse comes in
something as simple as a call ahead etc.
sentence completion is a type of _______ cue
Direct therapy may include group Tx (t/f)
Direct therapy: one-on-one treatment of the communication deficit associated with aphasia.
check out dopeswag table on Lecture 7 slide 7
does therpay also target family members, friends, colleagues, and health-care workers that need to be able to communicate with the patientÉ
Therapy goals: improvement in communicative functions, reduction of the disability, ability to participate in social activities as well as transfer and __________ of the target language and communication skills to real world
Paradigms in aphasia rehabilitation: name 2 main experts in aphasia therapy
SLP as expert & clients as expert
when patient is medically unstable and unable to do direct Tx, what can u start buy doing
INDIRECT Tx (can start really early) which can focus on family, hospital visitors etc.
when do we want to diagnose the aphasia/begin Tx?
ASAP...Diagnosis in the very early acute stages following a stroke and beginning of the therapy once the patient is alert and medically stable & as early as possible.
ICF takes on the __________ approach to therapy
know lecture 7 slide 11
table may be in pap textbook
The 5 steps of therapy (Worrall, 1999)
1. Information gathering and sharing (aphasia education, patient med/social/enviro Hx )
2. Collaborative goal setting (client-centered)
5. Pretherapy assessment (baselining/progress measurement)
4. Therapy (impairment-level, activity-level, environmental factor & participation-level tasks)
5. Reassessment (overall progress measurement or baselining)
1. Identification of the change required in the performance of the person with aphasia.
2. Discussion of the nature of the change.
3. Production of the desired target _________ or with the help of the clinician through the use of a ________ hierarchy to facilitate the response (reinforce).
4. Repetition stabilization (reinforce), first ________ and then by _______
5. Transition to _________ control (laddering: increasing length, complexity, and/or naturalness) (reinforce).
6. Check that the target is being performed in the clinic and then in real life.
spontaneously / cueing/prompts (e.g., phonologic cueing) / immediately / delay / volitional
all health care providers working with persons with stroke should be trained about aphasia, including the recognition of the impact of aphasia and methods to support communication (t/f)
true (the whole team should know about dysarthria, apraxia of speech and cognitive communication deﬁcits, etc)
All stroke patients should be screened for communication disorders using a simple, reliable, validated tool (t/f)
Patients with any suspected communication deficits should be referred to SLP for Ax in the following areas using valid and reliable methods: (8...name 7)
use of technology
Treatment to improve functional communication;
a. production and/or comprehension of words, sentences and discourse, (including reading and writing)
b. conversational treatment, and constraint induced language therapy (Evidence Level B);
c. use of non-verbal strategies, assistive devices and technology (e.g., I-Pads, Tablets, other computer-guided therapies) which may be incorporated to improve communication
d. Use of computerized language therapy to enhance beneﬁts of other therapies
true as an arrow me son
Treatment for aphasia should include group therapy and conversation groups. Groups can be guided by trained volunteers and caregivers overseen by an SLP to supplement the intensity of therapy during hospitalization and/or as continuing therapy following discharge (t/f)
false (jk true hahaha)
Treatment to improve functional communication should include ________ __________ techniques for potential communication partners of the person with aphasia
Supported Conversation techniques
gotta b careful to communicate to patient with aphasia-friendly format... give an example of one very supported way to give them info
The impact of aphasia on functional activities, participation and QoL, including the impact on relationships, vocation and leisure, should be assessed and addressed as appropriate from early post-onset and over time for those chronically aﬀected (t/f)
yes b'y (weirdest quizlet deck in Hx)
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