General Tx
puts life concerns of the patient @ the center of decision making, helping people live with neurogenic communication disorder over years and decades through various life transition, grounded in what is relevant/meaningful to client
what is life-participation approach to aphasia (LPAA)
voluntary control of involuntary utterance (VCIV), visual action therapy (VAT), Basic AAC, Gestural Response therapy (GRT), tx for equivocal responses...
what is tx approaches for Global aphasia?
level of severity is a factor, degree of logorrhea, severity of auditory processing, following commands and answering WH?s, facilitate expressive language and functional communication in any modality
what are PACE characteristics?
teaching them to listen to help identify yes/no questions, important for Global aphasia:
what is tx for equivocal responses?
use stronger modality to unblock impaired modality, teach self-cueing strategies, provide multisensory stimulation before expecting response, use functional therapy and scaffold language, and include family members
what are general tx recommendations for aphasia?
SEVERE: Melodic intonation therapy (MIT), visual attention therapy (VAT), stimulation-facilitation approach. MODERATE: sentence production program, promoting aphasic's communicative effectiveness (PACE), oral reading for language aphasic (ORLA), and script training
what are tx approaches for Broca's aphasia?
working on decreasing perseverations, basic comprehension required, educate and point out perseverations, cue to help name pictures and ideally avoid perseveration, scoring system for confrontational naming
what is Treatment for Aphasic Perseveration (TAP)?
means of conceptualizing outcomes of aphasia intervention; must attend to inter-related life-affecting impacts: language and related processing (severity), participation in life situations, personal factors, feelings, and environment
promoting aphasic communicative effectiveness (PACE), schuell's stimulation facilitation approach, tx for Wernicke's (TWA), anagram copy recall tx (ACRT), life participation approach to aphasia (LPPA)
what are tx approaches to Wernicke's ?
encourages client to respond in whatever way they choose; naturally expand on client's responses using FORWARD CHAINING (extend & lengthen client's responses), loose training w patient initiated responses (without restrictions), SLP scaffolds responses
what is Responsive Elaboration Training (RET)?
the "content expert" (person with language disorder) teaches the "novice" (person with intact language) something new and the "novice" models/supports language.
what is reciprocal scaffolding?
Repetition, description, printed word, delay, rhyming, semantic association, phonemic, situational, generalization....
what are cueing heirarchies for Anomia?
uses melodies and intonation patterns, based on concept of RH prosodic function supporting LH language. 4 levels: 1. intoning a melodic line, 2. hand tapping while producing syllables, 3. answering questions, 4. practice with drilled phrases and sentences
What is Melodic Intonation Therapy (MIT)
strategies should be implemented as part of all aspects of intervention vs. encouraging any means of communication to convey and receive information
what is the difference between supported communication and total communication approach
improves lexical retrieval by accessing semantic networks vs. focus on phonemic analysis (rhyming, starting sounds, work towards self-cueing)
what is semantic feature analysis (SFA) vs. phonemic component analysis (PCA)?
practicing personally relevant word-for-word convos, decreased linguistic effort, increased spontaneous language, hierarchy to this approach, and repetition is required!
what is script training ?