Language Assessment
Ruby’s conversational language (spontaneous, expressive language) was assessed using an informal observation technique by having a conversation about therapy and her symptoms. Expressive language was further assessed using an informal story re-telling assessment using picture prompts of the story ‘Cinderella’. Ruby was also assessed using one unpublished picture naming test as well as several formal verbal naming tests. This was done using subtests from the Pyramid and Palm Trees test and the Comprehensive Aphasia Test (CAT). Her repetition and reading aloud of both real words and non-words was also formally assessed using further subtests of the Psycholinguistic Assessments of Language Processing in Aphasia (PALPA). An interview was conducted to ascertain the degree in which Ruby’s impairments impacted upon her activities and participation in everyday life. This interview was conducted by the Occupational Therapist with Ruby and her husband Michael.
The following table describes the nature and type of assessments conducted, Ruby’s performance on each test, and how the results obtained of her impairments may impact upon her activities and participation.
Language Area Description of Performance Implications
Conversation
Informal observational assessment to ascertain the extent of Ruby’s spontaneous conversational skills during a brief conversation. • Uses only key words in a sentence
• Comprehension intact
• Able to communicate her intention/ideas
Aphasia is a communication disorder that affects many adults and families. Aphasia occurs as a result of damage to the language-specific areas of the brain (ASHA, 2014). Individuals with aphasia may experience difficulties with oral language, receptive language, memory, attention writing, and reading. There are a myriad of approaches designed for the treatment of aphasia. Two treatment approaches, Promoting Aphasics Communicative Effectiveness (P.A.C.E.) and Constraint Induced Language Therapy (C.I.L.T.), and their efficacy in regard to available evidence will be discussed below.
Language is an ability that many of us take for granted in everyday life. For those with aphasia, it is a daily struggle to overcome and effective communication is a goal to strive for. Aphasia patients are able to think, perhaps as well as the average person, but they simply cannot convey their ideas or thoughts easily. The Boston Diagnostic Aphasia Examination is an excellent examination for the diagnosis of the presence and type of aphasia, and for the location of brain damage. The Minnesota Test for Differential Diagnosis of Aphasia has been shown to be the most comprehensive assessment of the overall patient’s strengths and weaknesses in regard to language; it also allows for physicians to predict recovery accurately. Though it is no longer as popular or applicable as newer diagnostic tests, such as the BDAE, it is still an accurate assessment for aphasia. I think this is the paradox in neurological assessment: as technological advances improve, older assessments are becoming invalidated- though they are not inaccurate assessments. New advances and knowledge are being acquired in medicine every day, therefore there is always room for improvement (Holland, 2008). One of the biggest cons to the two batteries I mentioned in this paper is the fact that they are both time consuming- for both the patient and the
Tina has many roles at her workplace, for example, she does intakes, which means when they receive a referral, she calls the family and schedules an evaluation. Another job that she has is she evaluates the child who has received a referral or the family has concerns about the development of the child, she conducts the evaluation with another person either a speech therapist or occupational therapist to be able to evaluate the child more accurately. Like described in chapter 10 of “The Exceptional Child” there is standardized test which gives more information and helps create their portfolios. Some common assessment that helps see the development of the child would be like the criterion-referenced assessment or the norm-referenced assessment these are some examples of things she might use to evaluate the children when they come in for their observation. To continue, she as well does enrollment meetings. Finally, she as well serves children with a therapist with specialized training. These are many positions that she acquires but the main one is that she is a supervisor, she overlooks 7 specific people to make sure they are working
The effects of two treatments for word retrieval impairments in aphasic individuals. With the use of errorless naming treatment (ENT) and gestural facilitation of naming (GES). The effects of the two treatments that were used for a daily picture naming/gesture production probe measure and in standardized aphasia tests and communication rating scales were administered across phases of treatment. (p.235)
A contributing factor to this is how difficult it is for people with aphasia to produce sentences that flow smoothly and to connect their sentences. Computer software is helpful in speech therapy because it allows the patients to be able to record themselves speaking, replay it so they can hear exactly what they sound like, and be able to string together partial sentences. This computer program helps the patient produce sentences as they are being formulated. The goal of this program is to “investigate the utility of a two-step treatment that supplements improvements achieved from the use of the software with explicit structural treatment.” (Aphasiology 2009). The results of this study show that this specific approach improves the speech of patients suffering from aphasia, even chronic and non-fluent
Human beings occasionally suffer bad damage to particular parts of their brains. Unfortunately, these injuries may lead to major failure of speech production, understanding language and comprehension which most of the patients suffer it permanently. This impairment is called Aphasia. Gayle (2012) states that people with aphasia fail to understand sentence comprehension although it is a simple sentence. She also mentioned that aphasia patients also have difficulty in reading and understanding speeches. According to Fromkin, Rodman and Hyams (2011), aphasia is a scientific term used to explained language disorder due to brain injuries caused by diseases or trauma. In other words, aphasia involves partial or total loss of the ability to
Aphasia is a language disorder that can be the result of a brain injury. An individual that is suffering from aphasia may experience difficulty speaking, writing, reading, or comprehending. There are three different types of Aphasia that differ in various ways. First, Wernicke’s Aphasia is the inability to grasp the meaning of words and sentences that have been produced by another individual. This type of aphasia is also known as “fluent aphasia” or “receptive aphasia”. Wernicke patients’ speech may come across like a jumble of words or jargon, but it is very well articulated and they have no issue producing their own connected speech. If the patient is consecutively making errors, it is common for them to be unaware of their difficulties, and not realize that their sentences don’t make sense. The severity of the disorder varies depending on the patient, and the disorder results form damage in the left posterior temporal region of the brain, which is also known as Wernicke’s area.
Ms. Anicet appeared to the schedule appointment to complete the Comprehensive Vocational Evaluation on this day. The customer arrived 10 minutes late to the appointment since she drove from Port Charlotte to the workshop location in Fort Myers, FL. Upon arrival she requested additional time to go out to eat breakfast, she returned to the workshop around 10:30 am. The customer was cooperative during the evaluation, and answer the questions to the best of her knowledge. There was no visible sign of her disability. The customer indicated that she has been diagnosed with Specific Learning Disorder with Impairment in Reading and Mathematics which contradicted the Psychological evaluation’s results conducted in 12/22/015 by Dr. Jeannette Corredor,
7. Hearing: The Hearing Handicap Inventory indicated that Ms. R has a mild-moderate hearing impairment.
Acquired difficulties in communication have potential to significantly impact an individual’s sense of belonging, ultimately impeding their reintegration into society if not properly addressed. One population with prominent communication deficits includes the more than one million individuals currently diagnosed with aphasia in the United States (National Institute of Neurological Disorders and Stroke [NINDS], 2016). Attenuation of communication abilities isolates people from their prior life and role in society, decreasing their quality of life (Lam & Wodchis, 2010). Initially, due to a lack of resources, this population utilized group therapy (Kearns & Elman, 2001). More recently, evidence suggests this method is an integral part of improving communication (Fama, Baron, Hatfield, & Turkeltaub, 2016; Layfield, Ballard, & Robin, 2013). One skillset essential to successful communication includes conversation management (cite). A group setting provides a natural context for individuals with aphasia to employ such strategies. However, further analysis into group therapy efficacy will benefit clinicians in their practice.
Researchers utilize various discourse analysis methods to quantify linguistic gains in PWA following treatment, one of the most common being Correct Information Units (CIU). This technique examines lexical-semantic content and identifies words that are “accurate, relevant and informative relative to the eliciting stimulus” (Nicholas & Brookshire, 1993). Furthermore, several researchers have documented the reliability of this measure and established “it is indicative of unfamiliar listeners’ ratings of informativeness and of socially relevant changes in the verbal output of individuals with aphasia” (Papathanasiou & Coppens, 2017, pg. 75).
The current study sought to evaluate the performance of individuals above the age of 50 on the two narrative discourse tasks. In order to participate in the study, participants had to be above the age of 50 and a native speaker of English. Additionally, participants had to have the cognitive capacity to consent to participate in the study. Individuals were excluded from the current study if they had a concurrent diagnosis of a cognitive disorder and any other condition, such as Alzheimer’s disease or dementia. Due to the variability of language deficits experienced after a stroke, only individuals with Broca’s aphasia, Anomic aphasia, and right hemisphere aphasia could participate in the study. Individuals with a
The Guardian couldn’t tell me much about the test that the students had to take for their disabilities. She does remember being contacted by the diagnostician and receiving paperwork before the assessment was administer to each of them.
The issue in this paper is to determine if there is “a principled way to understand the nature of rehabilitation in bilingual aphasia such that patterns of acquisition and generalization are predictable and logical” (p. S299). This study is attempting to provide further knowledge into the manner that people with bilingual aphasia develop their language skills. This is extremely relevant to the broader field. According to the research, 60% of the world’s population is bilingual or multilingual. If they have aphasia but want to maintain their level of engagement in their daily lives, they need to work on developing the languages that they speak. Truly, this is about maintaining their quality of life.
Aphasia is a common disease that is spread in the world and through all ages. In this study, the researcher will focus on children because they are in early age and can avoid this disorder by finding out about exploring the special treatment. This study is also significant because focuses on the importance of cooperation between the family and the specialist. I want to know if the aphasia is caused by genetic disability or acquired by mental illness or organic illness or social neglect. Most parents don’t know about the disorder and don’t discover it early.