Exam 2: cognitive-linguistic Ax Flashcards
other ways to check speech-language
dynamic Ax, conversation, discourse
most important things to check if you only had limited time?
- level of consciousness
- vision, hearing acuity, dentition
- basic language comprehension abilities
- basic language production abilities
- basic cognitive skills
- swallowing abilities
- neglect
IF TIME: - reading decoding & comprehension
- writing
- calculation
- drawing
basic language comprehension abilities
following “point to” or touch commands
yes/no questions
basic language production abilities
general conversation
repetition
naming
description of picture
types of naming
responsive
confrontation
generative
responsive naming
“wh” questions
generative naming
word fluency task
generate certain words in a category
repetition task helps to
differentiate between corticals and transcorticals
basic cognitive skills
orientation
memory (declarative)
orientation
1 person
2 place
3 time
neglect
hemispatial neglect
writing task
name
address
sentence clinician speaks
calculation tasks
check 4 functions (+ - x ÷)
drawing tasks
clock
house
spontaneous speech subtest
- how are you today?
- have you been here before?
- what is your name?
- what is your address?
- what is your occupation?
- tell me a little about why you are here. OR what seems to be the trouble?
- description of picture
scoring of spontaneous speech: nonfluent aphasia
never score a person with nonfluent aphasia above a 5
wab
western aphasia battery
lake picture
bdae
boston diagnostic aphasia examination
cookie theft picture
positive Hx of central neuropathology
aphasia
prior Hx of normal language
aphasia
lack of education but does not explain problems
aphasia
level of literacy does not explain the problem
aphasia
current environment could not explain the problem
aphasia
sudden onset
aphasia
negative Hx of central neuropathology
aphasic-like but normal language
prior Hx of limited language
aphasic-like but normal language
lack of education could explain the problems
aphasic-like but normal language
level of literacy could explain the problem
aphasic-like but normal language
current environment could explain the problem
aphasic-like but normal language
life-long problem
aphasic-like but normal language
sudden onset
aphasia
slow onset
dementia
damage to the left hemisphere
aphasia
bilateral brain damage
dementia
focal brain lesions
aphasia
diffuse brain damage
dementia
mood is usually appropriate, though depressed or frustrated at times
aphasia
may be moody, withdrawn, agitated
dementia
cognition is mostly intact
aphasia
mild to severely impaired cognition
dementia
memory is typically intact
aphasia
memory is impaired to various degrees, often severely
dementia
generally relevant, socially appropriate, and organized
aphasia
often irrelevant, socially inappropriate, and disorganized
dementia
semantic, syntactic, and phonologic performance simultaneously impaired
aphasia
progression of deterioration from semantic to syntactic to phonologic performance
dementia
fluent or nonfluent
aphasia
fluent until symptoms get worse
dementia
no confabulation
aphasia
confabulation
confusion, schizophrenia
early onset
schizophrenia
late onset
aphasia
thought disorders
schizophrenia
inappropriate emotional responses
schizophrenia
no left sided neglect
aphasia
left side neglect
right hemisphere problems
no denial of illness
aphasia
denial of illness
right hemisphere problems
lack of affect
right hemisphere problems
generally normal affect
aphasia
recognizing familiar faces
aphasia
may not recognize familiar faces
right hemisphere problems
simplification of drawings
aphasia
rotation and left sided neglect
right hemisphere problems
no significant prosodic defect
aphasia
significant prosodic defect
right hemisphere problems
inappropriate humor
right hemisphere problems
may retell the essence of a story
aphasia
may retell only nonessential, isolated details
right hemisphere problems
may understand implied meanings
aphasia
understands only literal meanings
right hemisphere problems
pragmatic impairments more striking
right hemisphere problems
though limited in language skills, communication is often good
aphasia
though possessing good language skills, communication is very poor
right hemisphere problems
pure linguistic deficits are dominant
aphasia
pure linguistic deficits are NOT dominant
right hemisphere problems
mini mental state examination
orientation
registration
recall
attention and calculation
language
MMSE: 28-30
normal
MMSE: 20-27
mild dementia
MMSE:12-19
moderate dementia
MMSE: 0-11
severe dementia
SLUMS + high school education: 27-30
normal
SLUMS + high school education: 21-26
MNCD
SLUMS + high school education: 1-20
dementia
SLUMS + < high school education: 25-30
normal
SLUMS + < high school education: 20-24
MNCD
SLUMS + < high school education: 1-19
dementia
GDS 1
normal
no impairment in thinking, remembering, and reasoning
GDS 2
very mild
forgetting names and objects
GDS 3
mild
poor performance at work, beginning to get lost, not remembering material that is read
GDS 4
moderate
cannot remember current events or information about one’s past and loss of ability to travel and handle finances
GDS 5
moderately severe
cannot survive on their own; disoriented to time and place; only remembers major facts about themselves and others
GDS 6
severe
unaware of surroundings, recent events, and past experiences; may not remember the name of family member
GDS 7
very severe
loss of speech; requires assistance with toileting and feeing
GDS
global deterioration scale
seven stages of dementia
most common disease seen in all of medicine
depression
occurs in 10-30% of all patients with AD and stroke
depression
is caused by general medical illnesses or conditions 10-15% of the time
depression
occurs in approx. 15-25% of patients in long term care facilities
depression
management of depression
patient education
family education
