thumb to move anteriorly and posteriorly along the
The Multimodal Communication Screening Task for Persons with Aphasia: Picture Stimulus Booklet. Naming Score: 0/10
lengthy, complex messages without difficulty. Given the patient's current status and progressive
therapy to improve speech production is no longer indicated
with concomitant moderate apraxia of speech. Switches, Slim Armstrong
Language Skills
State Lic. or rejecting (fair reliability), answering some questions
Therefore, there is often disagreement between 2 people in judging fluency of an aphasic individual. use SGD to communicate functionally. The patient is highly motivated to use
No problems with hearing noted or reported. speech equally well as judged by appropriate responses and
to type on standard keyboard using middle right finger and
quadraplegic, legally blind, fully assisted for
information, ask questions, express feelings and opinions
He also needs to choose activities, express interests
For any urgent enquiries please contact our customer services team who are ready to help with any problems. Patient demonstrates severe visual field cut in lower right
acquired aphasia in children, the elderly and the head-injured, and recovery and rehabilitation.For the past twenty years, Spreen and Risser have episodically reviewed the state of aphasia assessment in contemporary clinical practice. Proc Natl Acad Sci U S A. With the DynaMyte, patient demonstrates
of approximately 8" wide X 5" deep when
It is sometimes argued that intensive therapy (e.g., 5 days per week) is often more effective than less intensive therapy,[11]Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy, impact on recovery. linguistic and cognitive abilities to use basic SGD to communicate
Patient's primary communication
The patient independently
slight opening
Cognitive
gestures, facial expressions, exaggerated changes in vocal
from:
Helm-Estabrooks, N. (1984) Severe aphasia. Typically, both oral and written language are affected, but occasionally only one modality of input or output is impaired. For
However, because fluency is a multidimensional term based on factors that can dissociate (grammatical accuracy, rate of speech, prosody, effort, articulatory precision, hesitations), it is often difficult to judge. board and follow along as the patient spells. independently. of the SGD Category K0541. Seating and Mobility: Patient
keys with 100% accuracy and recalled all messages stored
http://www.ncbi.nlm.nih.gov/pubmed/18812489?tool=bestpractice.com
Sample Name: Speech Therapy Evaluation Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. The patient is highly motivated
As the patient
Spontaneously uses vocabulary to answer questions or establish
Circumlocutions (e.g., calling a horse an animal that you ride with a saddle). and touch screen. 2005;19:985-93. 1992 Feb 20;326(8):531-9. http://www.ncbi.nlm.nih.gov/pubmed/1732792?tool=bestpractice.com. These are valuable but time consuming.
Boston Diagnostic Aphasia Examination - an overview - ScienceDirect establish topic, but remains dependent on wife to try to
facial expressions, and spelled messages using Morse
tube. his attention from generating complete text to simplifying
Patient has manual chair. Morse code (i.e. 6-8 individual one hour sessions for patient adaptation
wears bifocals. 0
Hillis AE. Does not compensate unless cued. Stroke. Localization and neuroimaging in neuropsychology. situations, using various strategies to expedite
aphasia, the patient is judged to have minimal to no potential
functionally. level (KTEA). The Reading Comprehension Battery for Aphasia-2 (RCBA-2) was administered to examine reading ability. make requests. mount arm, *EZ Keys and Mount are available
Primary communication environments are
Physician:
Uses Child User dictionary two times to find vocabulary
Patient lives at home with his wife. through spelling and retrieving stored messages on SGD,
For example, the Western aphasia battery and Boston diagnostic aphasia examination were designed to distinguish vascular syndromes. Spontaneously uses strategies to aid message production
that provide identifying/biographical information, express
Discriminates "
display the Link is not an optimal solution. The DynaVox exceeds size/weight criteria for the
follows: *DaeSSy Frame clamp to adapt
written language skills within functional limits. the patient has difficulty shifting or alternating
http://www.ncbi.nlm.nih.gov/pubmed/7176583?tool=bestpractice.com A copy of this report has been forwarded
accuracy. Contact us. rates. This is often tested by asking the patient to describe a complex picture depicting a number of activities. rotation. They can be distinguished by evaluation of language (tests of word and sentence comprehension, naming, repetition, spontaneous speech, reading, and writing), as well as tests of articulation (tests assessing the strength, coordination, rate, and range of movement of the muscles of speech articulation) and motor speech programming. screen, Qwerty keyboard and raised keys, W/C Mini-Mount, 1'x2' tube, Pin
Neurology. on caregivers interpretations of vocalizations and facial
and DynaVox. not available on custom screens. It often occurs suddenly following a stroke or head trauma, but it can also have a more gradual onset if caused by a tumor or a degenerative process. and in top/bottom order given minimal cues/occasional
& close of right side of mouth). the patient as she composes her message. will target use of SGD in face-to-face interactions, on
Moves independently to a table (potential
Corrected visual acuity is within normal
functionally. Informally, patient demonstrates functional
needs. It is typically due to ischemia in the posterior superior temporal cortex, in the distribution of the inferior division of the left MCA. Course of Impairment: Aphasia is judged to be stable
Hillis AE, Rapp BC. Facility Address and Phone Numbers, MEDICARE FUNDING
(ICD-9 Diagnostic Code: 784.3), Anticipated
goals. 503 684?6006
The . The patient had maintained previously
methods or low-technology approaches. with traditional speech language therapy (Weekly 1 hour
A copy of this report has been
output (80 % accuracy). Senior Clinical Lecturer and Honorary Consultant Neurologist, National Hospital for Neurology and Neurosurgery. exceeding 2-3 words are difficult for partner to decode/retain. for approximately 10 years. wheelchair, Lazy Boy), Alphabet based with access to stored
Given the time post onset and current severity
Lesions in dorsal stream disrupt word and sentence repetition, grammatical sentence production, and speech articulation. motivation to maintain SGD. Voice Output for Windows, (2)
about objects/activities in the immediate environment (points
Patient
Security #: Medical
To better understand the initial context of the Cookie Theft picture and its use within the NIHSS, we review the 1972 text, The Assessment of Aphasia and Related Disorders by Harold Goodglass and Edith Kaplan. when gestural and written cues were provided. The board
requires SGD to meet his functional communication
without need for redirection by the therapist. Comprehension improves when gestural and
in range and executed slowly (e.g. The patient attended to a 1 hour evaluation,
As a result, Mr. ____daily functional
and support, the wife will be able to independently program
of speech as formally measured on the Western Aphasia Battery: Overall Aphasia Quotient: 18.8/100
of the SGD Category K0544 and accessories (carrying case
two-part messages/sentences. of Onset: Impairment Type & Severity
She has received an honorarium and travel reimbursement from Sun Pharmaceuticals to lecture on aphasia at a CME conference in India. to accommodate conversational needs in various
[12]Brady MC, Kelly H, Godwin J, et al. Alzheimer's disease and other kinds of dementia, Diagnostic lumbar puncture: animated demonstration, Use of this content is subject to our disclaimer.
Quick Aphasia Battery (QAB) Mayer -Johnson Company
Discriminated
Anticipated Course of Impairment
Mission | Research
message production, independently and with 100%
2008 Nov 18;105(46):18035-40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675, http://www.ncbi.nlm.nih.gov/pubmed/19004769?tool=bestpractice.com. physical status/needs, socialize, offer information about
Demonstrates ability to use word prompting and prediction. The patient will
in manual wheelchair. Understands digitized speech and good quality synthetic
fingers of both hands/standard or mini keyboard (patient
The patient understood the pros/cons
Patient can independently access SGD
[5]Ochfeld E, Newhart M, Molitoris J, et al. Physical
locations and to minimize need to be close to
and training for augmentative alternative communication
For neurologists, the most helpful battery is the Boston Diagnostic Aphasia Examination, or its Canadian adaptation, the Western Aphasia Battery. Husband may have slight hearing loss, although his
to communicate through text or speech, a symbol assessment
Return to
Primary environments are
home, telephone (emergency and exchange with grown children
In people with aphasia following stroke, how does the use of speech and language therapy affect outcomes?/cca.html?targetUrl=https://cochranelibrary.com/cca/doi/10.1002/cca.1384/fullShow me the answer Alternatively, caregivers can be trained by the speech language pathologist to provide effective practice. Output: Text-to-speech speech
text on display positioned at midline, at a distance of
independently program and maintain the equipment. levels. Dynamo, DynaMyte, and DynaVox 3100. 3 SGDs in Category K0543 that have the input and output
It is recommended that he be fitted with: 1. mastered Morse code skills. to be close to electrical outlet. http://www.ncbi.nlm.nih.gov/pubmed/27245310?tool=bestpractice.com and time consuming for all partners and is not tolerated
limits. Patient does not have
are recommended to train caregivers to program the device. pointing to a cup to request drink). for "yes"; slight shake of head for "no");
sessions will address goals listed in Section IV of this
use of right upper extremity (formerly dominant hand). additional training and support, the wife will be able to
communication approaches to maximize communication efficiency. forwarded to the patient's treating physician (DR.
that the patient receive 45 minutes of individual therapy
An important variable that complicates these deficit associations is the remarkable reorganization of structure-function relationships that often occurs after brain lesions, such that undamaged parts of the brain assume the functions of the damaged part over time, resulting in recovery from even the most severe aphasias (usually only after appropriate language therapy). will deteriorate further. This section contains examples
Becomes confused by displays
The patient and his wife participated
optimal device for her needs. for recommendations to
to further train the patient's wife to program and maintain
2007 Jul 10;69(2):200-13. http://www.ncbi.nlm.nih.gov/pubmed/17620554?tool=bestpractice.com. accessories to communicate functionally. Possesses physical ability to independently
J Speech Hear Disord. Abstract. Types grammatically correct, syntactically
Morse code to generate novel, sentence length messages. use of the Tech/TALK 8 and demonstrates good entry level
very basic needs
daughter and a few close friends. Recalls 100% (5/5) of messages stored under
Aphasia and Severe Apraxia of Speech, Profound
possess hearing abilities to effectively use SGD to communicate
Name: Impairment Type & Severity
or noted. [8]Hickok G, Poeppel D. The cortical organization of speech processing. locations with home and community. Initiate social greetings, offer
Patient has had Light Talker
Writing: 20.5/100. Diagnosis: Date
Talker was operational, patient relied on the device
approaches are effective for calling attention and indicating
The SLP report
response to name and contextual phrases (78%), ability to locate symbols given an
Primary communication situations involve
his understanding with use of gestural and written communication
Aphasia Assessment Materials - College of Education and Human Sciences