Cognitive Screening Flashcards
Language is the combination of
comprehension and speech
Characteristics of Language
spontaneous speech fluency word comprehension repetition object naming reading comprehension writing
dysarthria
speech difficulties due to impaired motor control of one or more of the structures that control speech
these structures are
tongue, pharynx, palate
characteristics of dysarthria
slurred, nasal or indistinct
dysarthria results of
motor lesions to CNS or PNS Parkinsons Huntingtons ALS cerebellar dysfunction
Dysphonia
difficulty in voice production
low volume, quality, pitch
parkinsons
Aphasia
difficulty with or inability to PRODUCE or UNDERSTAND LANGUAGE
typical dominant hemisphere
LEFT
Types of Aphasia
Brocas (expressive)
Wernickes (receptive)
Global Aphasia
Anomia
Anomia
inability to name objects
Global Aphasia
expressive & receptive deficits
Receptive Aphasia
Wernickes long sentences w/ no meaning invent new words rapid effortless unaware of errors impaired word comprehension, repetition, object naming, reading comprehension and writing
Expressive
Brocas
short meaningful phrases with great effort
omit small words
easily frustrated by inability to communicate
non-fluent
impaired
good reading comprehension but can’t read out loud
Simple Assessment includes
understanding of questions (simple/complex) Word comprehension Repetition Naming Writing
Cognition includes
orientation attention memory problem solving perception
What do you start with?
Alertness
Alertness is located
brainstem
levels of alertness
Normal Lethargy Obtundation Stupor Coma
Lethargy
slight reduction
clouding of consciousness
think more slowly
Obtundation
moderate reduction in alertness
Stupor
excessively long or deep sleep like state
arouse only by vigorous stimulation
coma
complete unresponsiveness
lacks most basic response
reflexes may be present
Orientation Status is located
Frontal lobe
A&O x 1 to 4