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Aphasia v. R Hemi
Aphasia or RIght Hemisphere Problems?
| Question | Answer |
|---|---|
| More severe problems in naming, fluency, auditory comprehension, reading, writing | Aphasia |
| No left-sided neglect | Aphasia |
| No denial of illness | Aphasia |
| Generally relevant speech | Aphasia |
| Generally normal affect | Aphasia |
| Recognition of familiar faces | Aphasia |
| Simplification of drawings | Aphasia |
| No significant prosodic defect | Aphasia |
| Appropriate humor | Aphasia |
| May retell the essence of a story | Aphasia |
| May understand implied meanings | Aphasia |
| Pragmatic impairments less striking | Aphasia |
| Limited language, good communication | Aphasia |
| Dominant pure linguistic deficits | Aphasia |
| Mild problems in naming, fluency, auditory comprehension, reading, writing | R Hemi |
| Left-sided neglect | R Hemi |
| Denial of Illness | R Hemi |
| Speech often irrelevant, excessive, rambling | R Hemi |
| Lack of affect | R Hemi |
| May not recognize familiar faces | R Hemi |
| Rotation & left sided neglect when re-creating a drawing | R Hemi |
| Significant prosodic defect | R Hemi |
| Inappropriate humor | R Hemi |
| Retells only non-essential, isolated details (unable to integrate) | R Hemi |
| Understands only literal meanings | R Hemi |
| Pragmatic impairments more striking | R Hemi |
| Pure linguistic deficits not dominant | R Hemi |
| Understanding aphasia | Patient will continue to have thoughts, possess all former knowledge, have same ability to make decisions Cannot rely on spoken or written words to help understand |
| What is speech? | Muscles used to produce sounds- lips, tongue, throat, lungs |
| What is language? | "Dictionary" of words, word meanings, & rules for combining words into sentences |
| Is aphasia a speech or language disorder? | Language- stroke affects part of the brain that holds the language "dictionary" |
| Strategies to help person with aphasia get their message across | Write down or draw words/phrases if possible Point to things ID general topic first, then move onto understanding details later Ask Yes/No ?s (written Yes/No if needed) Use words PT writes down to communicate |
| Strategies to help you get YOUR point across | Look at the person when speaking One idea at a time, not a big sequence with multiple tasks Write down key words Use gestures & facial expressions Use objects from the environment to help get your message across Use Yes/No ?s Draw |
| Supported Communication Approach Framework | Acknowledge competence- be respectful Reveal competence- get messages in AND out Verify the message (reflect, expand, summarize) Use iconic, meaningful gestures Ask ?s "skillfully" Written key words to support communication- let pt take that home to |
Created by:
1190550002
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