Jargon Aphasia Flashcards

1
Q

What is jargon aphasia?

A

A severe form of wernicke’s aphasia.

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2
Q

Verbal expression

A
Speech is verbose
Littered with paraphasia and neologisms
Perseveration is common
Fast rate
Pentiful output- speech output is an excessive "press of speech" often in response to minimal or no stimulus.
Speech makes little sense to listener
Normal/hypermelodic intonation
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3
Q

Auditory Comprehension

A

Significantly impaired

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4
Q

Reading Comprehension

A

Significantly impaired

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5
Q

Self awareness

A

Poor self-awareness
Poor awareness of listener- clasically talks confidently making little effort to ensure the listener understands
Show no communication frustrations
Any breakdown is fault of listener or attributed to something else e.g. noise, hearing etc.

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6
Q

Pragmatics

A

Insensitive to normal turn taking rules, assuming the speaker role and not attending to cues generated by the listener.
Interruption and talking over other person is common.

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7
Q

What difficulties are common?

A

Word-retrieval difficulties.

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8
Q

Name some characteristics of their responses

A

excessively long, tangential or unrelated to stimulus.

Use of low frequency words rather than high frequency ones.

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9
Q

Types of jargon

A

Semantic- real words, wrong context
Neologistic- phonological transformations and non words
Undifferentiated- strings of phonemes but few distinguishable words- sounds like foreign language

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10
Q

As aphasia recovery takes place, what tends to reduce?

A

Non-word errors.

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11
Q

What is there speculation about?

A

This could be “the jargon syndrome” as many additional behaviours are present.

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12
Q

Name additional behaviours.

A

Anosognosia is common- not aware of deficit :)
Disorientation in place and time
Euphoria - intense hapiness and self-confidence
Suspician
Social Disinhibition
Delusions
Confabulations- lies without conscious intention.

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13
Q

Assessment of jargon aphasia

A

Press of speech and poor attention hinder formal assessment and results are likely to be inconsistent & unreliable.

Formal tests are unlikely to be appropriate, especially in acute phase

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14
Q

Intervention aims

A

To increases wareness of themselves and others when communication
Attention Control
Turn-taking (non verbal e.g. card game)
Self-monitoring
Restrict output (gesture, intonation, touch or say “tell me one thing”)
Aim to maximise comprehension

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15
Q

How can comprehension be maximised?

A
Use slow rate
Pause
Stress important words
Gesture
Visuals
Written output too.
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16
Q

As the patient develops, what should be tried?

A

More traditional therapy e.g. single word activities for both expression and comprehension.

17
Q

What should intervention also involve?

A

Family, communication partners and care staff:

Explain aphasia
Advice on maximising attention and listening
How to limit output
Encourage turn taking behaviour
Attend to their facial expression and gesture

18
Q

What’s the difference between jargon intervention and non-fluent?

A

Non-fluent aim is to extend utterances

Jargon aim is to restrict output ( specific naming tasks, tell me one thing etc.)