SLP215 Final Flashcards
techniques when treating adults
Tell them what they are doing and why,
provide concrete feedback,
tell the person what they are doing a great job at, provide feedback for errors,
with adults progress its own reward.
Aphasia
is a language disorder due to damage to the left hemisphere most often due to stroke
Nonfluent aphasias
Broca’s: production impaired but comprehension intact. Difficulties in articulation
Fluent aphasias
Wernicke’s - fluent but nonsensical words, difficulty with auditory of verbal comprehension, poor repetition
Anomic aphasia
is also fluent aphasia (cannot name objects, can comprehend speech and ave fluent speech.
Pure aphasias
selective impairments in reading and writing like agraphica
Aphasia goals
involve communicative competence to communicate in any context.
Generally, you should see progress in the first three months of therapy with aphasia.
We should focus on usable skills and contexts within therapy.
-auditory comprehension treatment (aphasia)
involves practicing following directions, listen and tell if true false, wh questions, yes no questions
-expressive language treatment- (aphasia)
story telling and retelling, conversation, picture description, practicing content words, gradually increase length and complexity
Reading comprehension (aphasia)
identifying letters, matching words to pictures, stance matching to pictures, short stories, realistic reading menu, telephone book etc.
Right Hemisphere Disorder Characteristics what can they do
RHD is often not aphasic like with strokes that have affected the left side.
CAN normally process words and sentences in isolation.
CAN follow directions and have good short-term memory.
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Right hemisphere disorder characteristics difficulties
- difficulty arranging words in a grammatical sentence.
- Problems with sentence comprehension with thematic roles in passive sentences
- generate fewer words
- problems with attention, perception, organization skills,
- lack of awareness of disease or disability (anosognosia)
- left neglect
- emotional effects/flat affect or monotone is unable to identify emotional tones and detect emotional faces.
- Metaphor comprehension
Right Hemisphere disorder treatment
- left neglect such as having them follow your finger or specifically work on attention and practice looking to the left.
- Tasks practicing understanding social conversations and emotions using social situations or cue cards with emotions/practice expressing emotions.
- work on attention that can be practice paying attention or alternating attention tasks.
- metaphor practice cards
With neurogenic disease many clients experience
dysarthria and dysphagia (swallowing). They experience difficulties with word-finding, organizing language, cognition, and narrative language.
Therapy approaches neurological disorders/diseases:
to enable people with these diseases to live to improve their quality of life and communication.
-Such as alternative communication for when they lose the ability to speak,
OR focusing on sequencing and performing daily living tasks