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Aphasia v. R Hemi

Aphasia or RIght Hemisphere Problems?

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