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CSD 7550 Acquired Aphasia Exam #1 Questions With Accurate Answers
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CSD 7550 Acquired Aphasia Exam #1 Questions WithAccurate Answers
What is aphasia?
- multiple definitions dependin on theory
- theory does impact your practice
- In order to be a good clinician, you need to know the history & evolution of theories
General definitions of aphasia
- Acquired
- Neurological Etiology
- Impairs reception and expression of language across modalities
- Is NOT sensory, psychiatric, or intellectual in origin
How to talk about aphasic
- Despite that still use person first language in this field broadly but you can always ask
how a patient prefers to be referred to which is best practice
- Try to steer clear of the word patient, victim, suffer, brain damage unless you are
speaking medically
- Avoid aged, elderly
- Using inclusive, welcoming language
Population & Public Health
- Approximately 30-35% of stroke survivors have aphasia following stroke
• Prevalence of dysarthria & aphasia 6 mos. post stroke is 30-50/100,000 • PWA have
higher healthcare costs (8.5% or $1,700) & longer LOS in the hospital (6.5%) compared
with stroke survivors without aphasia • Greater public awareness about this topic is
warranted. • PWA and their families have identified barriers to social inclusion due to a
lack of community understanding & impact on a person's daily functioning
- Underserved, meaning populations where services are not available or accessible.
,WHO 2013
What are the errors in Darley's definition?
Impairment, owing to brain damage, of the capacity for interpretation and formulation of
language symbols; multimodality loss or reduction in efficiency of the ability to decode
and encode conventional meaningful linguistic elements; disproportionate to
impairment of other intellective functions; not attributable to dementia, confusion,
sensory loss, or motor dysfunction; and manifested in reduced availability of
vocabulary, reduced efficiency in application of syntactic rules, reduced auditory
retention span, and impaired efficiency in input and output channel selection.
Too narrow in saying "brain damage" might be that axons are impaired, or an anoxic
brain injury
Communication doesn't have to be with words
Aphasia can be secondary to Picks, dementia
Verbal working memory is not a problem that is associated with aphisas
What are the inaccuracies in the following description of Papathanasiou?
"Acquired selective impairment of the language modalities and functions
Due to a focal brain lesion in the language dominant hemisphere
Regarding the patients communicative and social functioning
Quality of life of his or her relatives and caregivers"
- "focal brain lesion" is much too specific-can be MVA, anoxic injury, tumor
- Lacking where aphasia is not sensory-definition does say that aphasia is acquired and
neurological though
Congenital vs. aquired
- Congenital-the client will have to learn all new skills
Acquired means that the clients has all of the information in their brain but need to
connect areas instead of building from scratch
Language vs. cognition
Language therapy is not working on memory issues client just can't access language
Neurological vs. physiological
Client can hear and produce physically which means it is neurological
, Not sensory or psychiatric
Aphasia is due to a neurological cause- it is not sensory or psychological
Incidence
Incidence
Number of cases newly diagnosed in a specific time (1 million diagnosed.)
Prevalence
Proportion of specified population that had or have the disorder (5.6% with the disorder)
Types of Aphasia Therapy
- Group Therapy
- Technology and Therapy
- Telepractice
- Pharmacotherapy
- Noninvasive Brain Stimulation
- Individual therapy
Evidence-Based Practice
Clinician uses the best evidence possible to select best treatment option
The three areas of EBP
◦Best available evidence
◦Client/family input
◦Clinical expertise
Unidimensional
- Language is one inseparable whole.
- Test: MTDDA (Schuell)
- Generally considered outdated
Multidimensional
- Boston
- Grouped aphasia into syndromes based on patterns of performance
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