• Complete a thorough interview with client/patient
• Speak to family members (with permission)
• Conduct standardized assessment if you can; if not, complete non-standardized (& note this in report)
• Complete informal and/or functional assessment to gather more information
• Conduct observations doing functional tasks
Boston Diagnostic Aphasia Examination
(BDAE) - correct answer ✔✔Purpose: To diagnose aphasia and/or determine type of aphasia,
comprehensive assessment of all language areas, measurement of performance (pre/post therapy)
Population: Patients with suspected Aphasia
Scoring: Aphasia rating scale (0-5) based on performance of free conversation, cookie theft picture
description, and Aesop's fables (not recommended by Emerson); percentile rank (severity); rating scale
of speech characteristics (type)
Pros: Can do whole test or select your subtests, shorter version available, determines aphasia types, gold
standard, gives severity and aphasia type scores; appended apraxia assessment
Con: No directions, small norming population, cookie theft picture is used often - so client could be
"over-exposed", "cookie theft" picture could be hard for patients with visual impairments, no basal or
ceiling - so you administer each subtest in full
Boston Naming Test - 2
(BNT-2) - correct answer ✔✔Purpose: Assess word finding skills- specifically confrontational naming; it's
own test and subtest of the BDAE
, Population: Patients with aphasia or other neurological impairments with word finding difficulties
Scoring: only items named spontaneously with stimulus cue are scored, NOT phonemic cue or multiple
choice; gives frequency of word finding and if they benefit from cues
Pro: comprehensive naming test, cues are on the protocol; short and long versions, can be used with
pediatrics or adults; easy to score and user friendly
Con: educational bias, cultural insensitivity (noose), outdated
Western Aphasia Battery-Revised
(WAB-R) - correct answer ✔✔Purpose: Determine the presence, severity, and type of aphasia; measure
patient's performance over time; provide a comprehensive assessment of patient's strengths and areas
of impairment
Population: English-speaking adults with suspected aphasia
Scoring: Aphasia quotient (type & severity of aphasia); language quotient, cortical quotient; use aphasia
classification chart in test protocol (based on fluency, auditory verbal comprehension, repetion, and
naming and word fluency scores)
Pros: has manipulatives, is comprehensive, has directions, "aphasia friendly", [has a bedside version]
Cons: must finish whole test to get AQ, if earlier in their recovery, they might fatigue
Boston Assessment of Severe Aphasia
(BASA) - correct answer ✔✔Purpose: To identify and quantify preserved abilities of severely aphasic
patients
Population: patients with severe and global aphasia
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