Chapter 8: Adult Communication Disorders Flashcards
right hemisphere dysfunction
responsible for paralinguistic features (tone of voice, expression)
what does right hemisphere dysfunction result from?
stroke in the right hemisphere
what does RHD affect?
language and cognition
visual spatial information
emotional expression
Characteristics of RHD
denial
left side neglect
difficulty recognizing faces
decreased pragmatic skills etc.
dysarthria
motor speech disorder
brain can’t make articulators move
dysphagia
swallowing disorder
what areas do we assess to identify RHD
speech/language/reading/writing
higher level language skills
visual perceptual performance
pragmatic appropriateness
treatment targets of RHD
attention
visual disruptions
memory
higher level cognitive linguistic tasks
paralinguistic aspects
traumatic brain injury
neurological damage to the brain resulting from the impact of external forces
how might someone get a TBI?
open/closed head injuries
concussions
fall
accident
abuse
characteristics of TBI?
psychosocial
cognitive
linguistic
psychosocial skills (TBI)
decreased ability to express and comprehend emotions, express empathy
decreased motivation to communicate with others
cognitive skills (TBI)
attention
memory
planning
organizing
reasoning
linguistic skills (TBI)
decreased vocabulary/grammatical skills/conversational skills
Identifying TBI
initially relies on rating scales of conscientiousness and once clients become more aware they do more cognitive testing
treatment targets of TBI
stimulation/arousal
follow simple commands
increase basic communication, memory, orientation, word retrieval and problem solving
aphasia
absence of language
aphasia results from?
neurological injury to the language dominant hemisphere (usually left)
aphasia includes
disturbances of receptive and expressive abilities for language
stroke
most common cause of aphasia
when supply of oxygen to brain is interrupted
cerebrovascular accident
risk factors of stroke
age
gender
racial/ethnic backgrounds
males great risk
controllable factors of stroke
high BP
diabetes
smoking
alcohol
classification of aphasia
depends on location of brain that is damaged and language symptoms occur
2 ways to classify fluency
fluent
nonfluent