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Language Disorders Across the Lifespan > Formal and informal aphasia assessment across ICF domains > Flashcards

Formal and informal aphasia assessment across ICF domains Flashcards

1
Q

What is the activity ICF domain for aphasia?

A

The 4 modalities: auditory comprehension, verbal expression, written comprehension, written expression
And tasks necessary for daily living

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2
Q

What is the participation domain for aphasia?

A

Functional tasks, eg. grocery shopping, playing a sport, getting a job

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3
Q

What are the goals of aphasia assessment? (5)

A
  1. Establish diagnosis/prognosis
  2. Describe and understand all components of language functioning
  3. Gathering background information (eg. literacy level, medial and social hx)
  4. Seeking input from PWA and family members re: rehab goals
  5. Establishing baseline and measuring outcomes
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4
Q

Considerations for assessment planning (3)

A

Must be planned case-by-case
- Current and prev level of functioning
- Current setting (acute/subacute/community)
- Client’s needs/goals/premorbid status

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5
Q

What do formal ax of aphasia? (5)

A
  • Thorough understanding of pre-therapy performace
  • May focus on impairment or activity/participation
  • Differentiate linguistic skills, eg. lexical-semantic retrieval, syntax, reading/writing
  • May be designed to classify aphasia syndrome
  • Help to prioritise therapy goals
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6
Q

Pros of formal ax of aphasia (5)

A
  • Language and cognitive skills examined in aphasia batteries support a range of functional behaviours.
  • Assist in identifying the individuals retained abilities.
  • Assist in determining: nature of problem, severity, resources that may be used in therapy and potential for recovery
  • May be useful for less
    experienced clinicians whose observations and hypothesis-testing skills may not be fully developed.
  • May highlight difficulties that had been overlooked or underestimated.
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7
Q

Cons of formal ax of aphasia (5)

A
  • Potentially important aspects of language and communication are not adequately assessed
  • Lengthy and timely
  • Provide a measure of
    language impairment rather than communication activities of daily living (e.g. conversation).
  • Time taken may be better used in observation of the individual person with aphasia and hypothesis driven administration of selective assessments (such as subtests of the PALPA)
  • Do not provide a clear description of the underlying nature of the language disorder.
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8
Q

What are some examples of informal assessment of PWA? (3)

A
  1. Discourse samples: oral and written
    Eg. pictural description, retelling a story, procedure
  2. Assessment involving PWA and family members - functional focus!
    Eg. Case history, communicative history
  3. Dynamic assessment
    Experimental approach, attempt to identify the effects of factors that may influence performance
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9
Q

How aphasia assessment can be made therapeutic (4)

A
  • Aims to help a person understand the changes to their communication
  • Assessment should be a learning process
  • Identifies both strengths and weaknesses
  • Explaining why the assessment is relevant to the person
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10
Q

Commonly used assessments in aphasia and related neurogenic communication disorders (4)

A
  1. Screening/bedside assessments (short, non-standardised)
  2. Comprehensive aphasia assessments
  3. Functional communication assessments
  4. QOL and self-esteem
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11
Q

What are some standardised aphasia test batteries? (4)

A
  • Comprehensive Aphasia Test (CAT)
  • Westerna Aphasia Battery (WAB)
  • Boston Diagnosic Aphasia Examination (BDAE)
  • Bilingual Aphasia Examination
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12
Q

What is the CAT?

A
  • Purpose: Nature of language impairment and identify suitable aspects for treatment
  • Part A: oral and written language comprehension
  • Part B: expressive language inc. repetition, naming, picture desc, reading aloud, writing
  • Also screens for neuropsychological difficulties
  • Includes a disability questionnaire
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13
Q

What is the WAB?

A

Obtain ‘aphasia quotient’ AQ from 31 subtests considering:
- Spontaneous speech (content + fluency)
- Auditory comprehension
- Repetition
- Naming
- Reading
- Writing
Takes 1 hour +

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14
Q

What is the BDAE?

A

34 subtests
- Conversational and narrative speech
- Auditory comprehension
- Oral expression
- Reading
- Writing
Scores converted to percentiles and registered on subject summary profile
Takes 2-6 hrs

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15
Q

What are some standardised aphasia tests of specific language skills? (2)

A
  1. Boston Naming Test (BNT)
  2. PALPA
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16
Q

What is the BNT?

A
  • Picture naming
  • Scored out of 60
17
Q

What is the PALPA?

A
  • Based off CAT, do CAT first
  • Not given in entirety, would take 6-8 hrs
  • Choose individual subtests based on hypothesis under investigation
18
Q

What are some aphasia assessments that focus on communication activities and participation (2)

A
  1. Inpatient Functional Communication Interview (IFCI)
  2. Communication Activities of Daily Living (CADL-2)
19
Q

What is the IFCI?

A
  • Measures how well inpatients with communication difficulties in an acute hospital setting can communicate in relevant hospital situations
    3 part interview
  • Gathering relevant information from the patient’s medical history
  • Interviewing the patient
  • Interviewing the relevant members of the healthcare team.
    Produce summary of ability to comm in hospital setting, strategies to facilitate effective communication and goals for intervention
20
Q

What is the CADL-2?

A
  • Examines a person’s ability to respond to everyday communicative acts and interactions in both spoken and written modalities
  • Eg. asking patient to use a menu, reading appointment care, medication bottle, bus timetable
21
Q

What are some family ratings in aphasia assessment? (2)

A
  1. Communicating Effectiveness Index (CETI)
  2. Communication History form: with family and PWA, info about premorbid communication and interests, pre or post intervention
22
Q

What are some assessments of aphasia focussing on participation? (2)

A
  1. Assessment for Living with Aphasia (ALA)
  2. Communication Disability Scale (CDS)
23
Q

What is the ALA?

A
  • Qualitative and quantitative data from PWA about their perspective
  • Pictographic approach
  • Captures real life issues for planning and evaluating aphasia treatment and making funding decision
24
Q

What is the CDP?

A
  • A tool to enable people with aphasia to express their views and experience of what life with stroke and aphasia is like for them.
  • Ideal for outcome measures, decision making and goal setting

Language Disorders Across the Lifespan (19 decks)

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