Lecture 3 Flashcards
List the Basic components of SLP assessment:
Case History Aphasia battery/ language tests Cognitive screening Semantic knowledge Behaviour and other changes
What aspects are important in a Case history of someone with dementia?
Basic info, vision/ hearing, language/s,
History of present illness: progression, neuroimaging
Level of functioning in daily activities
Medical history (vascular dementia?)
Social/ occupational history: lvl of edu., occupation
What do you assess for dementia Ax?
Pragmatic skills: Verbal, Non-verbal Verbal Expression: Spontaneous Speech, OME, Functional Communication Auditory comprehension Reading and reading comprehension Written expression Cognitive Skills Semantic Knowledge
T or F: During an assessment of language in dementia it is important to get the history from one other person.
True -client might not have good insight
If the clients medical history indicates high blood pressure, obesity and high cholesterol this could indicate ______
vascular dementia
How would you assess Verbal Pragmatic skills?
- ability to use a variety of speech acts (questions etc.)
- Topic (introduction, maintenance)
- Turn Taking
- Appropriate lexical selection, pauses and word substitution
When assessing non-verbal pragmatic skills you note difficulty maintaining physical proximity and kinesics (abnormal movements). This could indicate?
BvFT
When would you assess spontaneous speech during functional communication?
If the person is too impaired for standardized tests.
What standardized tests would assess Verbal Expression in dementia patients?
Parts of the: BDAE BNT WAB TAWF PALPA ABCD
When assessing Spontaneous speech what 6 things do you look for?
- Fluency
- Word/ sound substitutions
- Motor Speech problems
- Types of errors
- Syntax (intact, simplified)
- Cohesion
In general what would you use to assess verbal expression?
- Spontaneous speech
- picture description
- Repetition
- Naming to confrontation (Give pictures they have to name)
- Responsive naming
- Automatic speech
“you write with this” is an example of a _______ task
responsive naming
“say the days of the week, Monday . . .” is an example of _______
automatic speech
If a picture is presented and the person has to name it this is a ________ task
naming to confrontation task
When assessing Auditory Comprehension you would look at:
Comprehension of conversational speech Auditory word recognition Yes/no questions Comprehension of sentences of various lengths and complexity Paragraph length material
What standardized tests could be used to assess auditory comprehension of a client with dementia?
BDAE WAB PALPA ABCD TROG Token Test
What is important to know prior to an assessment of writing, reading and reading comprehension?
Premorbid skill and habits
What would you look at when assessing reading?
Single words - regular, irregular, non-words
Sentences - simple, complex, passive
Paragraphs - time, accuracy, comprehension
Mechanics: fluent, sounding out vs whole words, consonant clusters
What standardized tests could be used to assess reading and reading comprehension?
BDAE WAB ABCD RCBA PALPA GORT-D
How would you assess written expression?
- copying
- writing to dictation (regular, irregular and non-words_
- written picture description
- free narrative (thought organization, harder b/c abstract)
What standardized test could be used to asses written expression?
BDAE TOWL ABCD WAB PALPA
If a client is able to spell regular words correctly but not irregular words this is ______
surface dysgraphia
If a client is able to spell irregular words correctly but not regular words this is ______
phonological dysgraphia
What Cognitive Skills should be assessed?
Orientation, Insight, Attention, Memory, Learning, Visual-perceptual skills, judgement, abstract thinking
What standardized tests can be used to assess cognitive skills?
ABCD ATFR TOPS Clock drawing Figure copying
When assessing ___________ we are looking at their verbal and nonverbal access to semantic store
semantic knowledge
How would we assess semantic knowledge?
Receptive vocabulary (PPVT) Lexical decision (word or non-word) Synonym judgement and semantic associations Word definitions Category-specific impairment
What standardized tests could be used to assess semantic knowledge?
PPTT PPVT BDAE PALPA The WORD Test
During a picture description task you could assess:
- cohesion
- word finding
- syntax
- literal vs inferences
- Gist and understanding
