7 - Non-Standardized Aphasia Assessment + Aphasia Prognosis Flashcards
Do most aphasia patients change severity ranking due to treatment?
No but they can make functional progress
Those with mild aphasia struggle mostly with ____________.
Word finding difficulties
What is fluency like in Broca’s Aphasia?
Comprehension?
Repetition?
Poor
Good
Poor(ish)
What is fluency like in Wernicke’s Aphasia?
Comprehension?
Repetition?
Good
Poor
Poor
What six areas can we assess during an informal assessment?
Comprehension
Expression
Reading
Writing
Cognition
Pragmatics
What four things can we ask the patient to write to test their writing ability during an informal assessment?
Name
Address
Telephone
Contact
What are we looking when assessing cognition during an informal assessment?
(3)
Attention
Memory
Regulation
What kind of environment should we test comprehension in during an informal assessment?
A quiet setting free of distractions
What is an Aphasia Prognosis?
An educated, best estimate of where the patient will be in a specific time period (1 month, 6 months, 1 year, etc.)
What do patients want to learn when they ask about their prognosis?
When they will get better
What FIM score is associated with a higher likelihood of functional improvement after a stroke?
60+
Functional Independent Measure
What is the most common type of stroke in the acute phase?
Global
Aphasia _________ in first year post-stoke.
Improves in general
___% of patients experience complete recovery by one year.
40%
Don’t tell patients this
When does aphasia recover the FASTEST?
First 3 months
When does the GREATEST amount of aphasia recover occur?
First 6 months
When does aphasia recovery tend to slow down?
After 12 months
When do most aphasia types often resolve to less severe forms?
Within 12 months
___% of patients have residual impairments at 12 months.
61%
_______ and ______ of recovery may be different across language domains.
Degree
Rate
What is often QUICK to recover?
Repetition
What is often SLOWER to recover?
2
Naming
Fluency
Where is more improvement noted in aphasia patients: Auditory Comprehension or Language Production?
Auditory Comprehension
Where is more improvement noted in aphasia patients: Oral Expression or Written Expression?
Oral Expression
What is the most important predictor of aphasia recovery?
Initial aphasia/stroke severity