Exam 2 Flashcards
Goals of Interviewing
- Obtain information
- Provide information
- Provide Release and support
Key Components of Medical Recort
- Patient ID information
- Doctor’s orders
- Personal History
- Medical History
- Physical and Neurological Exam
- Specialists Consultations
- Progress Notes
- Lab Results and Imaging
Obtaining information
Be aware of nonverbal messages given both by you and the client.
Avoid yes/no questions or questions that inhibit full responses including negativistic or moralistic responses.
Always record information
Giving Information
Avoid providing too much information or information too soon.
Provide Release and Support
Demonstrate empathy and promote a state of comfort and well-being
Behavioral, cognitive, and emotional effects of brain injury (7)
- Altered responsiveness (do not assess a pt. who is not alert)
- Perseveration (frequent repetition)
- Diminished response flexibility
- Concreteness
- Impaired self-monitoring
- Poor attention
- Emotional lability
Purposes of testing (6)
- Deciding a diagnosis
- Making a prognosis
- Determining severity and nature of comm. impairments
- Determining appropriateness and focus of tx
- Measure recovery
- Measure efficacy of tx
NIH Stroke Scale
15-item neurological examination which can serve as a measure of stroke severity; takes less than 10 minutes to complete
Functional Independence Measure (FIM)
7-1 scale of how independently the patient performs specific tasks necessary to independent living such as grooming, eating and mobility
Stroke Impact Scale (SIS)
5-1 scale of difficulty completing various physical, mental, emotional, and communication tasks with additional self-assessment of recovery
Burden of Stroke Scale (BOSS)
Measures impact of stroke on phsyical, communication, emotional, and social aspects of life.
Input modalities of assessment batteries
Verbal and written
Output modalities of assessment batteries
Speech, writing, gesture (i.e. pointing)
Communicative activities of assessment batteries
Speaking, listening, reading, and writing
Screening Tests
Both designed by clinicans and commercially available. Determines the need for further assessment; gives a general sense of nature and severity of deficits
Can be useful in the event a patient cannot tolerate or afford a full assessment or in the early stages of recovery.
Language Screening Test (LAST)
Bedside test designed for “emergency” setting. Subtests in naming, repetition, automatic speech, recognition of images, and following verbal instructions.
The Aphasia Rapid Test
26-point bedside assessment to rate aphasia severity in acute stroke pts. Can be completed in less than 3 minutes.
Variables that influence single-word comprehension (4)
- Frequency of occurrence
- Semantic or acoustic relationship to foils
- Part of speech
- Ambiguity
Variables that influence sentence comprehension (4)
- Length and syntactic comprehension
- Reversibility and plausibility
- Predictability
- Personal reference
Tests of Sentence Comprehension (2)
- Token Test
2. Northwestern Syntax Screening Test
Variables that influence discourse comprehension (5)
- Salience
- Directness
- Redundancy
- Cohesion and coherence
- Rate and emphatic stress
Tests of Discourse Comprehension (1)
The Discourse Comprehension Test
Speech Characteristics in Aphasia (6)
- Paraphasias
- Neologisms
- Stereotypies
- Jargon
- Agrammatism
- Paragrammatism
Informal Speech Production Tests
Recitations, rhymes, and automatized sequences
Sentence completion
Repetition
