Auditory Comprehension Ax Flashcards
When Ax Auditory Comprehension…
Consider the person’s whole profile
Look for their strengths - are they better in written.
Does lip reading help?
What environmental factors may facilitate.
Pure deficits are rarely encountered
Ax must
Establish spared and impaired
Establish functional impact
Establish whether any strategies assist - lip reading/gesture.
Ax Issues
Obs/Family/Client report is not sufficient to rule out
consider different environments
Don’t assume mild impairment - mild impact
Start by using assessment that tests whole system = spoken word to picture matching.
Always compare, with reading comprehension.
Find out what processes support comprehension
Check hearing and vision
Formal Ax
Relevant sections of: PALPA, CAT, WAB, Boston,.
High level language processing - Mt Wilga and parts of Boston.
Ax for word sound deafness
RW/NW repetition - PALPA/CAT
Discrimination tasks - minimal and maximal pairs (PALPA)
Check performance with lip reading.
Word form deafness Ax
If someone has :( in APA than whole auditory processing will be impacted.
If repetition and auditory discrimination are OK try auditory lexical decision task, ask patient to define a word (may give definition of phonological similar).
Word Meaning Deafness Ax
Contrast spoken and written comprehension
Spoken word to pic matching vs written word.
Spoken synonym judgement vs written. = ax if it is access to semantics or semantics itself.
Ask client to define a word that they can repeat.