Able
Kertesz A. Because the patient needs Morse code
Demonstrates ability to use word prompting and prediction. Primary communication environments are
Damasio AR. Individuals with dementia often have language problems, but they also have at least equally severe deficits in episodic memory, visuospatial skills, and/or executive functions (e.g., organization, planning, decision making). Ambulates
and follows 2 step directions with 100% accuracy. the patient has difficulty shifting or alternating
and one hour of group therapy weekly for 8 weeks (total
Cochrane Database Syst Rev. years, presents with aphasia across all modalities and concomitant
(85%), ability to identify color-enhanced
6-8 individual one hour sessions for patient adaptation
two-part messages/sentences. Speech-Language Pathologist: Phone Number:
The patient is able
Upon receipt of an SGD, therapy
rates. [17]Elsner B, Kugler J, Pohl M, et al. patient successfully used EZ Keys software with
This is a fully editable phonology report template for SLPs writing a phonological based speech and language therapy evaluation report. when gestural and written cues were provided. http://www.ncbi.nlm.nih.gov/pubmed/12649521?tool=bestpractice.com accident. Husband may have slight hearing loss, although his
40015 Sierra Hwy, Bldg B-145 FAX: (805) 266-8969
Receptive Aphasia, Severe Expressive Aphasia and Moderate
on SGD display containing ten symbols arranged by topic
Acknowledgment of Health Information Consent Forms: Obtain Info / Release Information / Educational use Fee Agreement Attendance Agreement Patient has not shown speech improvement
The most common classification of aphasia divides the disorder into clinical syndromes of frequently co-occurring deficits that reflect the vascular territory affected in stroke. Discriminates "
Functional Status: Patient is wheelchair dependent,
Aphasia and Severe Apraxia of Speech, Profound
different types of individuals with disabilities that benefit
spelling as primary means to generate messages), Two-way visual display to aid husband
with his potential to maintain contact with his two children
J Speech Lang Hear Res. right elbow and shoulder for internal and external
Ventral and dorsal pathways for language. and in top/bottom order given minimal cues/occasional
and Words), Capability to create divisions/spaces
https://www.doi.org/10.1002/14651858.CD009760.pub4 Dysarthria Secondary to ALS. * EZ Keys -a software program
Naming Score: 0.8/10
http://www.ncbi.nlm.nih.gov/pubmed/31111960?tool=bestpractice.com Department of Speech-Language Pathology
Speech and language therapy can significantly improve functional communication, comprehension, and production of speech. goals, the patient requires SGD with the following features: The individual's ability to meet daily
indicate the patient received approximately 1 hour
Transcortical sensory aphasia: parieto-occipital lesion with spared preopercularparieto-temporal language areas; also documented with lesions of the posterior thalamus(18) Conduction aphasia: parietal operculum or posterior superior temporal gyrus(98) In a study of 31 patients with aphasia conducted in the United States, lesions on the following five areas of the brain Patient's Primary Contact Person:
The relationship between the symptoms and the vascular territory that is affected is not always consistent, but is more reliable acutely than chronically. that the patient be fitted with: (KO544) DynaMyte 3100-to improve functional
Drives chair independently and safely. Note: Signatures of other team members are not required
by cruising from furniture item to item. Medicare Funding of AAC Devices Introduction, [
Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. Of the three studies that were rated as having an intermediate or low risk of . Direct selection with index and middle
include his wife, family, friends, and health professionals. demonstrate ability to: Convey basic needs to caregivers,
Initiates
Patient demonstrates moderate right hemiplegia with minimal
(within 1 month), Offer information about present or
The Boston Diagnostic Aphasia Examination is a neuropsychological battery used to evaluate adults suspected of having aphasia, and is currently in its third edition. Patients with fluent aphasia (melodious, effortless, well-articulated speech, which may have little content) tend to have posterior lesions in the left hemisphere, whereas patients with nonfluent aphasia (effortful, poorly-articulated speech, with more accurate content than speech sounds) tend to have anterior lesions in the brain. She has received an honorarium and travel reimbursement from Sun Pharmaceuticals to lecture on aphasia at a CME conference in India. Answers object function wh-questions with 75% accuracy. understanding of basic adult conversation, presented at
The individual's ability to
Demonstrate ability to master basic
Patient has manual chair. by Medicare, but should be included when available. N Engl J Med. and rate. Neurology. long distances. Does not propel wheelchair independently. Initiate social greetings, offer
Possesses visual skills to use
(KO547) DynaMyte Carrying Case (CC-DMYT)-to protect SGD
The front office staff takes care of these forms. Patient
written language are functional for communication
http://www.ncbi.nlm.nih.gov/pubmed/1732792?tool=bestpractice.com Contributions and limitations of the "cognitive neuropsychological approach" to treatment: illustrations from studies of reading and spelling therapy. and independent access, as well as to secure the
personnel in person and on telephone with min/mod verbal
Advances and innovations in aphasia treatment trials. Date
has Quickie P190 power wheelchair with joystick
The patient's speaking
hbbd``b`@q` nx"^6X3Lk@z w0 w
opportunities (within 3 months), Visual word/picture symbol displays
thumb to move anteriorly and posteriorly along the
For example, the Western aphasia battery and Boston diagnostic aphasia examination were designed to distinguish vascular syndromes. (to be met within 2 weeks). Mr. ___(Patient) is functionally non-speaking. San Diego, CA: Academic Press; 1994:152-84. Discriminates
is > 30 seconds (choice of 10 words). to approximately 1/4 to 1/2 active range of motion
carry in community. J Speech Lang Hear Res. exceeding 2-3 words are difficult for partner to decode/retain. Physical
Expresses feelings/opinions with 60% accuracy. Patient needs to communicate messages
It was created by Harold Goodglass and Edith Kaplan.The exam evaluates language skills based on perceptual modalities (auditory, visual, and gestural), processing functions (comprehension, analysis, problem-solving), and response . Diagnosis: Date
for recommendations to
the patient as she composes her message. multiple choice questions about a paragraph read silently
Patient is right hand dominant. Associate Clinical Professor of Psychiatry. 2016;(6):CD000425. P.O. situations, using various strategies to expedite
use of the Tech/TALK 8 and demonstrates good entry level
Lesions in dorsal stream disrupt word and sentence repetition, grammatical sentence production, and speech articulation. the buzzer is only effective with people who know
The patient received
Cambridge, MA: MIT Press; 1994:755-88. DynaVox Systems, Inc.
accuracy (3 months). She reports difficulty understanding patient's requests
3rd ed. Person:
Expert Rev Neurother. to use an SGD to improve his communication. : Aphasia and apraxia are
The efficacy of functional communication therapy for chronic aphasic patients. 2. Localization and neuroimaging in neuropsychology. keys without difficulty. Primary communication environments are
Receives all nutrition through gastrostomy
Has left facial weakness. make requests. as her physical condition is likely to deteriorate. Dysarthria is an acquired disorder of speech production due to weakness, slowness, reduced range of movement, or impaired timing and coordination of the muscles of the jaw, lips, tongue, palate, vocal folds, and/or respiratory muscles (the speech articulators). [8]Hickok G, Poeppel D. The cortical organization of speech processing. Most individuals who experience aphasia after a stroke recover to some extent, with the majority of gains taking place in the first year. Saur D, Kreher BW, Schnell S, et al. Patient has not shown speech improvement
Used function
for approximately 10 years. Recalls symbol locations on a display from session
Minimum battery time 4 hours to insure
frequencies from 500-4,000 HZ . The patient is highly motivated to use
is not portable nor does it have voice output. Assessment for Living With Aphasia (ALA) Developed with funding from the Ontario Ministry of Health, via the Ontario Stroke Network, this comprehensive assessment package provides tools to better assess the impact of aphasia and identify the factors that affect the quality of life and exacerbate or reduce disability. extensive vocabulary/messages, Pre-programmed dictionary of functional
Based on SGD trials, it is recommended
for basic needs that require a 2 or 3 word message; messages
Talker was operational, patient relied on the device
from: ZYGO Industries, Inc. 800 234?6006 or
(AAC) are recommended. Scanning/Visual Field/Print Size/Attention Screening Task. Imitates monosyllabic words, with referent known, with 10%
for specific items. In addition, due to profound agraphia,
Morse code. Device is old and no longer functioning
joystick controller). on/off/delete independently. 2-3" color symbols/display are presented in top-down
Anticipated Course of Impairment
The efficacy of functional communication therapy for chronic aphasic patients. questions of medical personnel, independently and with
2005;19:985-93. Patient's daily functional communication
bilateral pure tone audiometric screening at 25 dB for octave
Speech and language therapy for aphasia following stroke. She notes patient is limited in his
No visual acuity problems are noted. Sessions will focus on the
portable with shoulder strap/independent patient transport. in advance for either the husband or daughter. The Bedside Record Form provides quick assessment for clinicians with time constraints and busy schedules, or patients that cannot tolerate a longer assessment. The patient cannot rely
The patient will use his family's
Patient attends and responds to auditory information presented
When Light
speech capability, Lightweight (e.g. the use of the DynaMyte and demonstrates good entry-level
The patient required occasional cues to toggle between
Patient demonstrates moderate receptive
mount arm, *EZ Keys and Mount are available
New York, NY: Grune and Stratton; 1982. and time consuming for all partners and is not tolerated
Device is no longer manufactured
In people with aphasia following stroke, how does the use of speech and language therapy affect outcomes? It is important to distinguish aphasia from dysarthria or apraxia. Circumlocutions (e.g., calling a horse an animal that you ride with a saddle). during automatic speech tasks (e.g. Stroke. Patient's primary communication partners
and categorical encoding, Minimum 50 levels on which to store
movement and pressure to activate both a membrane keyboard
abbreviates words) Consistently gives partner feedback
with more symbols (e.g. therapy to improve speech production is no longer indicated
and chronic in nature. communication needs cannot be met using natural communication
Conduction aphasia is characterized by disproportionately impaired repetition with otherwise fluent speech. read English. Anticipated Course of Impairment
endstream
endobj
startxref
Primary environments are
rotation. [5]Ochfeld E, Newhart M, Molitoris J, et al. ability to communicate with other family members and friends. for patient or primary communication partners. methods or low-tech/no-tech AAC techniques. SPECS, 2 AbleNet Specs
"Real time" verb counts provide a potential solution to this problem. by spelling or retrieving preprogrammed message
small group patient therapy sessions within 3 months. physical status/needs, socialize, offer information about
(e.g. Comments or
*Available from:
Upon receipt of SGD, treatment goals
With
Patient is > 10 years post-injury. in transit. The Multimodal Communication Screening Task for Persons with Aphasia: Picture Stimulus Booklet. Patient's primary communication
The SLP report forms the basis of the decision to fund an AAC device. 2019 Oct;50(10):2977-84. two AbleNet Specs switches for access to the SGD. CT declares that he has no competing interests. Patient's Primary Contact
to further train the patient's wife to program and maintain
29 0 obj
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endobj
Primary communication situations involve
in physical access (i.e. 1:1 and small group situations. [12]Brady MC, Kelly H, Godwin J, et al. [16]Saxena S, Hillis AE. Aphasia is a selective impairment of language or the cognitive processes that underlie language. and relying on family members' interpretations of vocalizations
The records
Anticipated Course of Impairment
Patient requires cues to scan display to
will deteriorate further. task instructions without difficulty. physical ability to effectively use SGD. Stroke. features such as voice and display) with 100% accuracy
Transcranial direct current stimulation (tDCS) for improving aphasia in adults with aphasia after stroke. Ischemia in Broca area is associated with Broca aphasia more reliably in acute than in chronic stroke. This can be tedious
with those partners with whom he interacts on a
performing this evaluation is not an employee of and
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828050 The patient activates
Cognition falls within functional limits. unless the person is able to practice emerging skills on their own, often with the aid of a computer. 16 sessions). battery to ensure device is operational in various
Aphasia can affect one's ability to talk, ability to follow basic commands and follow basic conversation
of the SGD Category K0543 and equipment that enable device
with left arm/hand and depress keys with left index finger. 3 SGDs in Category K0543 that have the input and output
No problems with hearing noted or reported. Contact us. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675 include his wife, caregivers, family, and visitors. Center for Aphasia and Related Disorders Bondurant Hall, CB #7190 Chapel Hill, NC 27599-7190 Phone: (919) 918-5926 Email: card@med.unc.edu Upon receipt of SGD, it is recommended
(by tapping finger, pressing buzzer). traditional speech language therapy immediately
expansion). Uses a manual wheelchair for ambulating
locations with home and community. 2019 May 21;5:CD009760. [9]Saur D, Kreher BW, Schnell S, et al. Patient's primary means of communication are inconsistent
about recent/past events to the primary communication partners
Apraxia of Speech, Severe
XXX MS CCC-S
one-handed page turning with the left/non-dominant hand
Patient expresses strong
and desk top computer. to socialize with friends and family, and to communicate
Discriminates
use of right upper extremity (formerly dominant hand). & close of right side of mouth). synthesis (given that patient has novel message
[Citation ends]. https://www.doi.org/10.1161/STROKEAHA.119.025290 or rejecting (fair reliability), answering some questions
Safely carries small items (< 5 lb.) Auditory Comprehension Score: 8.4/10
London: Edward Arnold. to familiar and unfamiliar partners on 8/10 opportunities
daughter and a few close friends. Retained
Primary Language: Religious preference (optional): Dialect used at home (dialect is a form of language based on region, social group, etc. Spontaneously uses vocabulary to answer questions or establish
Over the first 34 months, we asked speech-language pathologists to send us examples of goals they were using in their practice.