Right Hemisphere Disorders
Difficulty receiving sensory stimuli in the field opposite to the involved hemisphere.
What is neglect?
Our vocal folds _______ to create voice.
What is adduct?
No cough or reaction when food or liquid enters the airway is known as
What is silent aspiration
Individuals with acquired communication disorders may feel they need to rely on others for care, and may resort to the "sick" role, which is known as
Learned helplessness
This stage of Alzheimer's disease lasts about 2 years, and the individual is disoriented to time with impaired short-term memory, and language similar to someone with Wernicke's aphasia
What is mild/early stage
Individuals with RHD may have difficulty using or understanding _________, which is the rate, stress, and melodic intonation of speech.
What is prosody?
Any impairment that results from a structural or functional abnormality of the voice mechanism is known as
What is dysphonia
What type of aspiration is most common?
What is before the pharyngeal swallow?
In this stage of grief, the client or caregiver may confabulate reasons for changes in communication and may dismiss evidence of the communication disorder.
What is denial
Progressive condition characterized by motor abnormalities such as rigidity, tremor, slowness of volitional movement, and cognitive deficits, due to loss of dopamine producing cells in the substantia nigra.
What is Parkinson's Disease
Individuals with this condition may be unable to recognize that they have deficits, and may blame performance on the SLP or try to explain away difficulties
What is anosognosia?
The perception of audible air escaping through the glottis during phonation is called
What is breathiness?
During this phase of swallowing, the base of tongue and the pharyngeal wall create pressure to project bolus into the pharynx.
What is the pharyngeal phase
The main purpose of counseling as the SLP is to reduce the impact that negative reactions have on the therapy process, and to:
What is promote positive progress in therapy?
This type of dementia includes Alzheimer's Disease and Pick's Disease, and it characterized by language disorders
What is Cortical Dementia
Deficits in sensitivity to shared knowledge, turn taking, and topic maintenance are classified as _______ deficits.
What are discourse deficits?
Bilateral, painful, reddened ulcerations on back of vocal folds, usually resulting from frequent GERD.
What are contact ulcers
This dysphagia exercise is used if client has poor esophageal opening, and the client lays flat on the ground and raises their chin to their chest.
What is the Shaker exercise
Clients in this quadrant of the Counseling Integration Matrix may deny the impact of their disorder on their quality of life or the effectiveness of treatment, and trial therapy may be a good option
What is low-low (Q3)
Low impact, low willingness to change
What is the overall goal of therapy for dementia?
What is improve quality of life and ensure highest level possible despite deficits.
The two types of attention most likely to be impaired for persons with RHD are
What are sustained and selective attention?
In addition to collecting a case history and perceptual evaluation for a pt with a voice disorder, the SLP will also typically conduct what type of evaluation?
What is endoscopic evaluation?
(Instrumental evaluation also accepted)
List the four possible thickness levels of liquids (must list all 4! This is for 500 points!)
1. Thin
2. Nectar thick
3. Honey thick
4. Pudding thick
Clients with damage to the left hemisphere have an overall higher incidence of which two conditions?
What are anxiety and depression
Neuropathology for Alzheimer's Disease includes neurofibrillary tangles, granulovacuolar degeneration, and __________.
What are amyloid plaques