Module 5

Question 1

Know 4 ways aphasia can effect participation in everyday living

Answer 1

Changes in health, living situation, employment, community participation

Question 2

What 4 functions of communication can aphasia effect?

Answer 2

Wants/needs, information transfer, social etiquette, social closeness in various settings of daily living and various speakers.

Question 3

Partner dependent communicators

Answer 3

will not initiate communication

Question 4

Emerging communicators

Answer 4

have expressive, receptive, and cognitive impairments

Question 5

what to use with emerging communicators

Answer 5

use real objects for choices, pointing, agree/reject, concrete objects

Question 6

contextual choice communicators

Answer 6

recognize symbols, partial awareness of predictable routines/topics, but no linguistic ability to initiate or add to convo

Question 7

what to use with contextual choice communicators

Answer 7

pointing, giving choices for answers to limit answer set, ask questions through intonation/pointing, use symbols to increase participation (visual photos signs or highlight key points)

Question 8

transitional communicator

Answer 8

able to use symbols/strategies but need partner to initiate or prompt use of strategies

Question 9

what to use with transitional communicator

Answer 9

use gestures, partial speech to ask/request/comment, use a low or high tech strategy to initiate in structured contexts, move toward more independent level

Question 10

independent communicator

Answer 10

comprehend what is said, need AAC to prevent breakdowns, independent use of AAC

Question 11

independent communicators may use:

Answer 11

stored messages, generative (will convey message independently but need aac intervention) or specific need only (only need aac in certain situations)

Question 12

What are multimodal communication components persons with aphasia frequently use

Answer 12

Topic cards, role playing, tagging questions, written choice, spiral notebooks

Question 13

Primary progressive aphasia affects

Answer 13

lose communication first, then have dementia symptoms…anomia will affect their language skills

Question 14

Dementia affects

Answer 14

cognitive decline, memory difficulties with transfering info from short term to long term. deficits in language and abstract thinking, judgement, exectutive functions

Question 15

what to use for dementia

Answer 15

memory books to help with recognition/memory of meaningful topics, eliminating distractions while interacting, and chunking info

Question 16

What are some effective strategies when communicating with someone who has PPA and Dementia?

Answer 16

Communication notebooks, cards with specific information, written choice techniques, labels on location around the home, multimedia biographies

Question 17

methods to supplement language or speech impairments that occur after TBI

Answer 17

Communication boards, yes/no response, written communication, gestures, alphabet, portable voice amplification

Question 18

intervention for Ranchos level 1,2,3

Answer 18

minimal/no formal assessment, identify changes in response patterns, get info from family about interests/pre-injury activities, shape responses into meaningful communication

Question 19

intervention for Ranchos level 4,5

Answer 19

minimal/no formal assessment, identify residual capabilities, initial assessment to focus on seating and postural issues, determine if direct selection or scanning options, consider visual perceptual/acuity disturbances…intervention: compensate for attention/memory impairments, use messages to relate to wants, needs, info sharing, use small activity displays, written choice strategies, single switches

Question 20

Intervention for ranchos level 6,7,8

Answer 20

assessment: have cognitive capability to be natural speaker, oriented, socially appropriate behaviors, AAC team id comm. Needs, barriers, capabilities, constraints to match technology, Intervention: augmented writing systems, system must be functional for patient in long term plan, use of letters, words, sentences. Be weary in changing system after patient has learned it (difficulty learning)

Question 21

What is a secondary cause for communication impairments in acute medical settings?

Answer 21

Respiratory support can prohibit speech production

Question 22

endotracheal intubation

Answer 22

negative impact by oral interference in oral cavity so no articulation, tube passes thru vocal folds so no phonation

Question 23

tracheostomy

Answer 23

air does not pass through the vocal folds or oral cavity, so no phonation

Question 24

What are some opportunity barriers in acute medical settings for use of AAC?

Answer 24

Patient may not get AAC referral, personnel may not use AAC with patient, SLP and professionals have little experience with AAC

Question 25

What are 3 components to address when completing a Preliminary screening for patients in acute medical settings?

Answer 25

Determine capabilities, id natural comm. Signals, id yes/no signals, id comprehension and attention strategies.

Question 26

What are communication options for people who have sufficient oral-motor/voice

Answer 26

electrolarynx (oral or neck type), passy muir valve on trach.

Question 27

What are communication options for people who do not have sufficient oral-motor/voice

Answer 27

comm. Systems that use writing, direct selection, or scanning