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Aphasia or RIght Hemisphere Problems?

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
More severe problems in naming, fluency, auditory comprehension, reading, writing   Aphasia  
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No left-sided neglect   Aphasia  
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No denial of illness   Aphasia  
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Generally relevant speech   Aphasia  
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Generally normal affect   Aphasia  
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Recognition of familiar faces   Aphasia  
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Simplification of drawings   Aphasia  
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No significant prosodic defect   Aphasia  
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Appropriate humor   Aphasia  
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May retell the essence of a story   Aphasia  
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May understand implied meanings   Aphasia  
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Pragmatic impairments less striking   Aphasia  
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Limited language, good communication   Aphasia  
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Dominant pure linguistic deficits   Aphasia  
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Mild problems in naming, fluency, auditory comprehension, reading, writing   R Hemi  
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Left-sided neglect   R Hemi  
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Denial of Illness   R Hemi  
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Speech often irrelevant, excessive, rambling   R Hemi  
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Lack of affect   R Hemi  
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May not recognize familiar faces   R Hemi  
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Rotation & left sided neglect when re-creating a drawing   R Hemi  
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Significant prosodic defect   R Hemi  
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Inappropriate humor   R Hemi  
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Retells only non-essential, isolated details (unable to integrate)   R Hemi  
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Understands only literal meanings   R Hemi  
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Pragmatic impairments more striking   R Hemi  
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Pure linguistic deficits not dominant   R Hemi  
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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  
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What is speech?   Muscles used to produce sounds- lips, tongue, throat, lungs  
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What is language?   "Dictionary" of words, word meanings, & rules for combining words into sentences  
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Is aphasia a speech or language disorder?   Language- stroke affects part of the brain that holds the language "dictionary"  
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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  
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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  
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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  
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