Week 5

Question 1

Supported Conversatioin

Answer 1

-I know you you know and have a lot to say
o Language finding and not a cognition impairment
o Speak slowly, use yes /no questions pictures, talk, always
o Talk to the caregiver
o Be mindful of tone

• Tool kit
  o Message in, message out from client, verify
  o Include family members make sure you aren’t only talking to family member
• Foundations
  o Allow time to respond
  o Observe body language
  o Slowing things down
• Acknowledging competence
• Revealing competence

Question 2

Assessment: setting

Answer 2

• Rehabilitation begins with diagnosis and assessment
• looks different depending on the setting
• acute setting goals
• swallow safety and ability
• informal assessment of communicative abilities
  -Might not tolerate full hour of an assessment

-Speech vs language? For discharge planning
-Education by helping the family for how to communicate
-Speech vs language? (for planning next stage)

Question 3

What are our goals when we do an assessment?

Answer 3

*Identifying strengths & weaknesses (severity too)
*Type of aphasia they have
* Case history
* Understand patients goals
* Communication partners
* Document baseline
* Inform prognosis
* Inform treatment decisions
* Inform treatment decisions
* Where will you focus your treatments
* Discharge decisions
* Impact of life participation
* Documentation for payers

Question 4

The first visit, acute care

Answer 4

• Explain who you are and why you are there
• talk rehabilitation process, not prognosis
• may do informal bedside evaluation
• quickly assess comprehension and verbal expression

Question 5

Which approach to use?

Answer 5

Use a person-centered model over a clinician-centered approach

Question 6

Treatment begins the moment assessment starts

Answer 6

o From the moment you meet the person you are educating, motivating, helping the person
o Think about the end

Question 7

Medical History Information

Answer 7

• key items in the chart
• Date of CVA
• incl. prior CVA and ST
• Medical history, including any conditions that may complicate prognosis
• current medications
• Review imaging, including neurologist’s report
• social worker/case manager reports