4- SLP/ OT Approach to Neuro Pt

Question 1

Impairment in sensorimotor planning or programming is indicative of what speech disorder?

planning- define/ sequence articulatory goals

programming- preparing flow of motor info across muscle/ timing and force of movement

Answer 1

Apraxia- motor speech disorder

Question 2

Impairment in neuromuscular execution is indicative of what speech disorder?

(activating relevant muscles)

Answer 2

Dysarthria- motor speech disorder

Question 3

Pt presents w/ pronunciation difficulties, trouble moving tongue/ lips/ jaw, abnormal speaking rate, or abnormal voice changes (slurred, soft, choppy, hoarse). What do you refer them for?

Answer 3

Speech and language eval

Question 4

How do language difficulties a/w aphasia present?

Answer 4

Expresive language

Receptive language

Speaking, listening, reading, writing

Question 5

What 3 disorders are a/w language impairment?

Answer 5

Aphasia

Right hemisphere disorder (RHD)

TBI (combo of aphasia and RHD)

Question 6

What type of aphasia is a/w a difficulty producing language but no issues with understanding?

Answer 6

Broca’s aphasia

Question 7

What type of aphasia is a/w difficulty in understanding but no issues with speech production (although it doesn’t make sense)?

Answer 7

Wernicke’s aphasia

Question 8

Pt who says the wrong words, switches sounds in words, has a hard time producing sentences, has difficulty understanding what others say, or difficulty reading/ writing should be referred for what?

Answer 8

Speech and language eval

Question 9

What disorders are a/w impaired cognition? (4)

Answer 9

Dementia

TBI

RHD

Hemispatial neglect (can see but unable to process info)

(also issues w/ memory and executive functions)

Question 10

Pt presents with concerns of forgetfulness w/ specific examples, does not get lost in familiar territory, has occasional word finding difficulties, and is independent in ADLs. Are you concerned for normal aging or dementia?

Answer 10

Normal aging

Question 11

Pt presents with close family members who express concern about pts memory loss, getting lost in familiar territory, frequent word finding difficulties. Family members state pt is critically dependent on others for ADLs. Are you concerned for normal aging or dementia?

Answer 11

Dementia

Question 12

Pt who presents with difficulty concentrating/ remembering, visual field cuts, and difficulty completing ADLs should be referred for what?

Answer 12

Cognitive-linguistic eval

Question 13

What are the 3 phases of swallowing?

Answer 13

Oral, pharyngeal, esophageal

(dysphagia can be secondary to difficulty in any stage)

Question 14

What must occur to prevent coughing/ choking in the pharyngeal phase of swallowing?

Answer 14

Airway needs to close

Question 15

Pt w/ issues with sensory aspects of feeding should be referred to who?

Answer 15

OT

Question 16

Pt w/ issues with motor movements a/w swallowing should be referred to who?

Answer 16

SLP

Question 17

If you suspect a disordered swallow, what should you do?

Answer 17

Refer to SLP

Question 18

What tests can be ordered for dysphagia? (3)

Answer 18

Bedside swallow eval

Modified barium swallow (MBS)

Endoscopic assessment- FEES

Question 19

What are the domains of OT treatment? (5)

Answer 19

Occupations

Client factors

Performance skills

Performance patterns

Contexts/ environments

Question 20

What are the 5 treatment approaches of an OT?

Answer 20

Create/ promote

Establish/ restore

Maintain

Modify

Prevent

Question 21

What OT treatment approach does not assume a disability in present and is designed to provide enriched contextual/ activity experiences that will enhance performance?

Answer 21

Create/ promote

(ex. parenting class, fall prevention for elderly)

Question 22

What OT treatment approach is designed to change client variables to establish a skill or activity that has not yet developed or restore a skill/ ability that has been impaired?

Answer 22

Establish/ restore

(ex. task list to avoid becoming overwhelmed)

Question 23

What OT treatment approach allows for clients for preserve the performance capabilites they have regained with the assumption that without continued maintenance, performance would decrease?

Answer 23

Maintain

(ex. modified gardening tools for arthritis)

Question 24

What OT treatment approach attempts to find ways to revise the current context or activity demands to support performance in the natural setting?

Answer 24

Modify

(ex. building homes w/ layout condusive to disability)

Question 25

What OT treatment approach is designed to address the needs of clients w/ or w/o a disability who are at risk for occupational performance problems and also to prevent the occurence or evolution of barriers to performance in context?

Answer 25

Prevent

(ex. prevent social isolation w/ after work activities)