FINAL EXAM- treatment approaches

Question 1

stimulation approach

Answer 1

primary role is stimulating language to facilitate performance, this approach does not teach new learning, but focuses on old learning and stimulating learned knowledge

Question 2

What is the role of cueing and prompting in treatment of aphasia?

Answer 2

Treatment is not testing, so you should be prepared to provide help to the client in finding the answer. Use a hierarchy of cues or prompts to elicit the correct response.

Question 3

Why is flexibility significant in treatment of aphasia?

Answer 3

If the task is too easy or too hard, you should be prepared to scale the activity up or down. Have a variety of cues and prompts prepared, as well as a variety of activities. If all else fails, be prepared to come up with something to do on the spot!

Question 4

What should each stimulus elicit?

Answer 4

A response from the client that reflects the treatment goal.

Question 5

What kind of feedback should be provided for someone with aphasia during treatment?

Answer 5

age-appropriate and sincere

Question 6

what kinds of tasks should you end each session with?

Answer 6

one that boosts the confidence of the client.

Question 7

what kind of material should be presented to the client during treatment sessions?

Answer 7

relevant, varied, and of interest to the patient

Question 8

What is the most effective type of stimulation for individuals with severe impairments?

Answer 8

multi-modal stimulation

Question 9

Do individuals with aphasia have hearing loss?

Answer 9

They can, but don’t always. Therefore, don’t scream at them in therapy, they can probably hear just fine (especially if they have amplification or don’t have a hearing loss)

Question 10

What are ways to alert the patient to ensure they are ready for the presentation of a new task?

Answer 10

Asking “are you ready?”
repeating instructions
provide examples (if appropriate)

Question 11

At what level of performance should you provide treatment?

Answer 11

Where performance is slightly deficient but not completely inadequate. For example, 60-80% accurate.

Question 12

best length of treatment

Answer 12

long lasting and intensive; or brief, intense periods (chronic intensive aphasia therapy); or tailored to an underlying process

Question 13

treatment team

Answer 13

• neurologist
• physiatrist (rehab issues)
• PT (muscle strength, passive/active ROM, mobility issues)
• OT (ADLs, functional muscle strength, visuospatial issues)
• vocational therapists
• recreation therapists
• neuropsychologists (cognitive function)
• dietitians
• psychologist
• social worker (emotional issues, discharge planning, case management)

Question 14

treatment settings

Answer 14

• acute care
• acute care rehab
• OP clinic/rehab center
• home health care
• nursing home