Neurogenic Final Flashcards

1
Q

Evaluation is ongoing..

A

Can’t gather all info from 1 initial assessment. need to continually evaluate to see if they’re improving or if you need to make adjustments to therapy.

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2
Q

AAC

A

Should attempt speech but if they can’t get point across/function with speech and are frustrated then can recommend AAC.

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3
Q

Stimulation approach

A

most widely used. defines aphasia as an impairment that is regular and orderly, so therapy is regular and orderly.

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4
Q

strengths of stimulation approach

A

structured so easy to get data and family can incorporate tasks based on this model at home.

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5
Q

weaknesses of stimulation approach

A

only targets body function and its completely clinician controlled and a more passive form of therapy.

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6
Q

cognitive neuropsychological approach

A

based on idea that aphasia is a cognitive problem that results in client’s inability to use language properly. determine cognitive underpinnings of language and treat or compensate for those.

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7
Q

strengths of neuropsychological approach

A

identifies what’s impaired and what’s retained by hypothesis driven testing and allows a more clear identification of location of impairments.

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8
Q

weaknesses of cognitive neuropsychological approach

A

model of function, not rehab and limited research to show generalization.

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9
Q

neurolinguistic approach

A

views aphasia as a neurologically caused language disorder that can be described using linguistic concepts.

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10
Q

strengths of neurolinguistic approach

A

better understanding of types of errors and focused therapy on sentence comprehension and production deficits.

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11
Q

weaknesses of neurolinguistic approach

A

only looks at language aspects. does not consider importance of language in a pragmatic context or focus on communicative competence.

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12
Q

psycho-social approach

A

client-centered approach. self worth, personality traits, and whats important to client, etc. realistic, functional training.

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13
Q

strengths of psycho-social approach

A

comprehensive picture of how person is living with aphasia. functional and leads to carryover.

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14
Q

weaknesses of psycho-social approach

A

difficult to measure and harder to plan and execute.

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15
Q

prognosis

A

give a good prognosis for insurance companies. look at personal and environmental factors.

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16
Q

families are hidden victims of aphasia

A

focus of therapy generally on aphasic person and spouses often experience disturbed marital relationships, social isolation, and minor psychiatric illnesses. spouses often feel guilted into giving up their hobbies and giving up having a life. families that are viewed as most supportive are often doing the worst mentally and emotionally because they’re sacrificing their own health for the aphasic family member.

17
Q

Promoting Aphasics’ Communicative Effectiveness (PACE)

A

Treatment designed to improve conversational skills using any modality to communicate messages. promotes active participation. Promotes compensatory strategies and good for patients who are easily frustrated.

18
Q

4 Principles of PACE

A
  1. clinician and patient exchange new info
  2. clinician and patient participate equally as senders and receivers of message.
  3. patient has a free choice as to the communicative modes used to convey a message.
  4. clinician’s feedback as a receiver is based on patient’s success in conveying the message.
19
Q

Constraint-induced language therapy (CILT)

A

Intense but good statistical results. patients must be in good enough health for 3 hours a day of therapy. Instead of compensatory strategies, only works on speech to “fix the problem.”

20
Q

3 principles of CILT

A
  1. Mass practice.
  2. Constraint of all modes of communication except speech.
  3. Forced use of spoken language in relevant communication exchange.
21
Q

PACE vs. CILT

A

Depends on client. Try speech first, but don’t want to force to point of being so frustrated they don’t want to communicate. for patients that are easily frustrated, PACE would be better. Or could start with compensatory strategies and then back off.

22
Q

Discharge

A

best to tell them at beginning how long they’ll be in therapy and tell them that if they continue to practice strategies they’ll improve and that they didn’t hit a plateau. refer to it as “graduation” we’ve taught them what they need to know. family may think discharge means they can’t improve anymore.

23
Q

therapy outcomes

A

how client’s life is changed due to therapy. should start therapy with client’s end goal in mind. “what is it that you cannot do that you want to do?”

24
Q

Schuell approach

A

another name for stimulation approach. uses intensive auditory stimulation to maximize recognition of language. repetitive auditory stimuli, drill approach. each stimulus should elicit max responses.

25
Q

strengths of Schuell approach

A

structured, so easy to keep track of data/progress and family can incorporate tasks at home.

26
Q

weaknesses of Schuell approach

A

only targets body function and patterns of speech of aphasics aren’t always that predictable. clinician controlled and more passive form of therapy.

27
Q

Aphasia ICF

A

environmental factors-communicative partners and places/settings where the client needs to communicate.
personal factors-patient motivation, frustration level, can they self-correct, etc.
body function-impairment at word level
body structure-left hemisphere affected
activity and participation-patient’s capacity in clinic vs at home

28
Q

right hemisphere syndrome ICF

A

environmental factors-communication partners and settings
personal factors-motivation, frustration, can they self-correct, are they lacking insight
body function-impairment in prosody, discourse, theory of mind, etc
activity and participation factors-home vs. clinic, ability to understand idioms, metaphors, etc. when given context

29
Q

when doctor says therapy won’t help

A

improvement can be made at any stage or severity of aphasia. each person with aphasia is different and will have different abilities in speaking, reading, writing, using gestures, etc. as the person with aphasia improves, therapy is changed, so we really cannot say that neither mild nor severe will benefit from therapy. may just “not be ready for therapy yet”

30
Q

“mild aphasia”

A

may be able to have a conversation, but may have difficulty finding words or understanding complex conversations. therapy may be directed by patient and their goals.

31
Q

“severe aphasia”

A

provide strategies to understand/participate in conversation. teach how to communicate wants and needs