Speech (Guest Speaker) Flashcards
1
Q
What is Aphasia?
A
Loss of language when you had it before
2
Q
What is Fluent Aphasia/Wernicke’s Aphasia?
A
- Refers to the flow of speech
- Not stuttering
- Diffisulty understanding communication
- Associated with lesions to Wernicke’s area (Posterior portion of Temporal lobe)
3
Q
What are the impairments in Fluent Aphasia/Wernicke’s Aphasia?
A
- Auditory Comprehension
- Integration
- Language Formulation
4
Q
How do you communicate with someone with Fluent Aphasia/Wernicke’s Aphasia?
A
- They make you think they understand, but they really may not
- Rule of 5’s - five words max
- Keep it simple
- Keep langauge & directions similar
- Check for understanding
- have them show you
- NOT a hearing deficit - DONT talk louder!
5
Q
What is Non-Fluent Aphasia/Broca’s Aphasia?
A
- Good auditory comprehension
- Difficulty initiating speech
- Rate reduced
- Effortful
- Damage to Broca’s area (left frontal cortex in the premotor cortex)
6
Q
What is Global Aphasia?
A
- Combo of fluent and non fluent aphasia
- More sever form of aphasia
-
Usually caused by acclusion of the left middle cerebral artery
- diffuse damage to temporal, frontal and parietal lobes
7
Q
How do you communicate with people with non fluent aphasia?
A
- Allow them time to speak
- Positive reinforcement
- Indirect modeling of the correct word
- Communication does not NEED to be verbal
- Dont assume they know what you want
8
Q
What is dysphagia?
A
difficulty swallowing
9
Q
What are the four phases of swallowing?
A
- Oral preparatory
- Oral
- Pharyngeal
- Esophageal
10
Q
What are swallowing precautions you might see?
A
- Diet modification - or - NPO
- Chin Tuck
- Chin Tilt (L,R)
- Head Turn (L,R)
- Double Swallow
- Alternate Solids and Liquids
- Small Bits/Sips
- 24/7 Supervision
