3: Impact on Communication Flashcards
Give 4 impacts of communication described by the medical/deficit model.
Increasing difficulties, impaired WM and ability to hold and use information during conversation, speech can seem repetitive and difficult to follow, and misunderstanding of speech becomes prevalent.
What can happen to speech in very advanced dementia?
Understanding and production may entirely disappear.
Why should abrupt topic shifting not be considered exclusively as a deficit in dementia?
It actually happens to healthy people too, and we typically allow this and follow this train of thought.
Give 4 conversational deficits.
Abrupt topic shifting, egocentric speech, failure to ask for clarification and discontinuity.
What is anomia?
Word finding difficulties.
Give 2 pragmatic deficits.
Poor topic maintenance and pronoun use.
What are semantically empty words?
Stuff, thingy, etc.
What are paraphasias?
Word and sound substitutions.
What is dysarthia?
Poor articulation.
What is echolalia?
Repetitions of others.
What is palilalia?
Repetition of self.
What might be a reason we perceive babbling differently in babies and elderly people?
We are babies are developing and elderly people as losing skills.
Give 5 issues that communication difficulties can cause.
Negative impact of people with dementia, professional and family caregivers, strain on relationships, fewer attempts by carers to communicate, reduced self esteem and potential social withdrawal.
Give 6 skills retained according to the psychosocial/person-centred model.
A range of communication skills, social knowledge, desire to interact, sense of self, recognition and comprehension of emotions in others, and expression of positive and negative affect.
Give a selection of skills retained that can be very positive.
Echolalia, modulation, extralinguistic communication, being a listener, stock phrases, politeness, turn-taking, etc.
