Aphasia
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Topics of this game:
- Anterior lesion, nonfluent output (agrammatism), AKA Broca's Aphasia, telegraphic speech, good comprehension (not intact)
- Posterior lesion, walking wounded, output if fluent (empty), AKA Wernicke's Aphasia, significant aud. comp. impairment, paraphrasic speech, neologisms
- Both portions of the lang. center are impacted by stroke, all lang. modalities of lang. are severely reduced, may be nonverbal, poor prognosis
- Lesion is in the arcuate fasciulus; the subcortical connection b/w Broca's and Wernicke's area, can't repeat, fluent, paraphrasic errors
- This aphasia is like Receptive Aphasia, but they CAN repeat
- This aphasia is like Expressive Aphasia, but they CAN repeat
- Naming or word finding problems
- Verbal or semantic, literal or phonemic and neologistic
- Patients may laugh or cry inappropriately
- Patients may get "stuck" on a particular response, and keep using it over and over again
- The ability to process verbal material in the auditory channel; receptive identification
- The ability to convey info. verbally; automatic sequences; confrontation naming; Responsive Naming + Divergent Naming
- The ability to process info. presented in the graphic modality
- The ability to generate info. using the graphic modality
- Provide a carrier phrase that the patient/client can complete
- Provide the beginning of the word; the first 1-3 phonemes
- Provide a gesture along with the presentation of the object/picture
- May speak very rapidly, interrupting others, going on and on...
- Semantic; consist of words usually of related meanings: knife for fork; car for truck
- Phonemic; consist of made up but sim. sounding syllables w/more than half the utterance correct. Easy to recognize the target
- Less than half of the utterance is correct (bot for fork). Can be hard to recognize the target. Sometimes the neologisms are used consistently
- An aphasia assessment must examine all lang. modalities; Auditory comp., verbal expression, reading comp. and written/graphic expressions
- May be able to carry on normal convo. in many comm. settings; may have trouble understanding lang when complex or long; anomia
- May understand almost nothing of what is said to them; say little or nothing; yes or no responses; hi or thanks
- Able to communicate some info verbally but may need extra time; output not flawless
- The approach here is that the patient will have to learn how to live life with his language problem; compensate for the aphasia
- Restorative; practice the skills that the patient cannot do; provide cues to help them achieve success; fade cues as pt does better with lang. task
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