The Brain
These are the four lobes of the brain
What are frontal, temporal, parietal, and occipital?
It is within this amount of time that most neurological recovery will occur after a stroke/injury.
What is 6-12 months?
Name three formal assessments used to evaluate adult neurogenic clients.
What are Boston Diagnostic Aphasia Test, Western Aphasia Battery, Cognitive Linguistic Quick Test, etc.
These symptoms are a result of damage to the left hemisphere
Expressive aphasia, apraxia of speech, receptive aphasia, inattention/neglect for right side of body, right sided weakness, deficits in organization, processing, executive functions and higher level reasoning skills.
The frontal lobe is responsible for these functions (7).
What are word retrieval (Broca's area), emotions, behavior, personality, insight, awareness, primary motor cortex?
True or False: Recovery from a brain injury can continue indefinitely.
True: Though progress may become slower and gains become smaller in the chronic phase. Plateaus may occur.
Theses are sources you may use when gathering a case history (3).
What are chart review, patient interview, family interview.
An injury to the right hemisphere of the brain may cause impairment in these areas.
What are left sided weakness, left neglect, dysarthria, memory, organization, orientation, problem solving, reasoning, social communication (pragmatics), numeric reasoning, insight/judgement, impulsivity and appropriate behaviors, emotional lability, attention?
The parietal lobe is responsible for these functions (4).
What are awareness, attention, numeric reasoning, primary sensory cortex?
Four settings/stages of the rehabilitation process where a med-based SLP can work.
What are acute, inpatient rehab, subacute rehab, home therapy, outpatient therapy.
These are three types of assessment techniques that may be used in the evaluation of a client with a neurogenic disorder.
What are formal assessment, informal assessment, and skilled clinical observation.
A disorder known as apraxia of speech.
What is a motor planning disorder involving a disruption in the sequencing of voluntary muscle movements?
The temporal lobe is responsible for these functions (4).
What are language processing (Wernicke's area), auditory processing, memory, organization?
These are factors that may affect how well a person will recover after a stroke/brain injury (prognosis).
What are age, severity and location of stroke, type of medical intervention, rehabilitation received, cardiovascular health, medical comorbidities, and family/social support?
These are pieces of information that must be gathered when collecting a case history (14).
What are biographical information, type and location of stroke, medical history, medications, swallow status, hearing/vision status, permorbid literacy level, physical status and mobility, mental health status, other/previous therapies, education level, vocational status, handedness, social support, communication needs in daily living?
A disorder known as dysarthria.
What is unclear speech, primarily due to decreased strength, range of motion and coordination of the muscles for speech?
These disorders are NOT stroke, but still cause brain damage, and may be treated by an SLP.
TBI, Parkinson's disease, multiple sclerosis, ALS, dementia, anoxia, etc.
True or False: A client's intellect and intelligence may be affected by a stroke.
False! They may have lost language and cognitive abilities, but they are still the person they were before the stroke!
These are the main cognitive/communicative areas the SLP is responsible for assessing and reporting on to the care team (12).
These are the two most common types of strokes.
What are hemorrhagic and ischemic?