Aphasia chapter 4

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goals and language
mathieteal
Flashcards by mathieteal, updated more than 1 year ago
mathieteal
Created by mathieteal almost 10 years ago
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Language has three highly integrated components, what are they? 1. cognitive 2. linguistic 3. pragmatic
what is cognition? manner people acquire knowledge about the world. how sensory input is transformed, reduced, elaborated, stored, recovered, used. planning and organizing mental operations
what are the five mental operations? recognition, understaning, comprehension (attention/perception), memory, convergent thinking, divergent thinking, evaluative thinking.
two components of linguisitics? form and content
what are the three rules of form? phonology morphology syntax
what is content made up of? semantics - meaning, topic, subject manner
what are pragmatics important for? - rules and knowledge that guide language use in social settings - initiate, maintain, terminate conversation - use, function, purpose of a sentence
What is agnosia? inability to imitate, copy, recognize incoming sensory information, but you don't have a sensory deficit
what is apraxia of speech? motoric impairment disrupting the central motor planning and voluntary positioning of speech musculature and sequencing of muscular movements.
what is dysarthria? group of motor deficits caused by impaired strength, speed, coordination of speech musculature.
assessments are driven by what? goals
goals should describe language behaviors in: strengths and weaknesses
goals should identify existing problems
goals should determine intervention goals
goals should facilitate what three things of language? comprehension production use
dementia is: acquired, progression, degeneration of intellectual abilities affecting several cognitive domains
dementia can be reversible and irreversible: t/f true
reversable dementia you treat what? underlying condition
what can cause reversible dementia? depression, drug use, hearing loss, neoplasm.
what is the most common forms of irreversible dementia? Alzheimer, MS, parkinson, picks
dementia primarily affects what in the brain? cortical brain tissue.
what does speech sound like in patients with dementia? empty verbal paraphasia impaired comprehension relatively intact repetition topic digression
there are subcortical dementias too, they affect what two areas? thalamus and BG.
what two diseases affect subcortical regions causing dementias? Parkinson and huntington
parkinson and huntinton have what sort of characteristics of speech? decreased output, agraphia, and motor speech disturbances
what is found in people with mixed dementia, containing regions of cortical and subcortical changes? LEWY bodies
what does vascular dementia arise from? thrombotic and embolic occlusion
How many stages of dementia are there? 3
What are early signs of dementia for memory? - forgetful and disoriented - memory, short and long, impacted
language abilities in early stages of dementia? intact - successful communicators
early stage of dementia, problems with word finding? yes. sometimes.
early stages of dementia, do they have difficulty interpreting higher-level language forms? yes, sarcasm and humor
Middle stage dementia difficulty with what sort of information? time and place
Middle stage dementia how are memory abilities? impaired. Can't manage personal finances, employment, medications
Middle stage dementia how are conversational abilities? difficult for turn taking, topic maintenance, topic switching.
Middle stage dementia how is language output? - vague - empty - irrelevant
Middle stage dementia do they have problems with auditory and reading comprehension? yes... all modalities
late stage dementia how is their orientation? very dependent on others for ADL.
late stage dementia language output? may be completely void mute comprehension also devestated
auditory and visual agnosia are signs not associated with aphasia but what problem? RH functions
when assessing someone with dementia, what do you need to take into account? complications - motor impairments - medical conditions - post stroke psychobehavioral disorders
How can you assess cognitive abilities? all processes by which sensory information is transformed, reduced, elaborated, stored, recovered, used
recognition and understanding mean? knowing and awareness
what is memory? taking new information and storing it.
aphasia has impairments in what kinds of memory? short (working memory) and long.
What are the three kinds of thinking? convergent divergent evaluative
which form of thinking is this: generation of logical conclusions from given information? convergent
what kind of thinking: generation of logical alternatives from a set of given information? Divergent thinking
logical deductions or compelling inferences and generation of locigal necessities is what kind of thinking? convergent
thinking that achieves the best outcomes is what? convergent
when there is not one single right answer, what kind of thinking is this? divergent
when a thinker isn't aware of a thought at the beginning of a particular line or thought is what kind of thinking? divergent
variety, quantity, relevance of output from one source is what kind of thinking? divergent
when you use knowledge to compare or to focumlate evaluations in terms of known criteria, what kind of thinking is this? evaluative
when you use judgment to make a decision, what kind of thinking is this? evaluative
what kind of thinking uses: correctness, completeness, identity, relevance, adequacy, utility, safety, consistency, social custom? evaluative
what is executive function? collection of cognitive abilities that enables success to complete independent, deliberate, novel behaviors
reason, problem solving, strategic thinking, and decision making are all what kind of functions? executive
when you are self aware, what is this a function of? executive function
what two areas may persons with aphasia have difficulties with in executive functioning? problem solving decision making
you need to assess attention with aphasia, why? are they alert and able to maintain attention.
How should you test attention in individuals with aphasia? (contexts) structured and unstructured.
How can you assess memory in individuals with aphasia? do they know: time, place, person
how can you assess thinking in aphasia? (4) - confrontational naming - matching tasks - sentence completeion - Q and Z with specific required responses
what is always impaired in persons with aphasia: form, content, use? content
what is content? meaning, topic, subject matter of individuals, utterances, conversation.
what are impaired cognitive abilites in person's with aphasia? perception, memory, thinking
how can you test receptive abilities of persons with aphasia? ask them to point to real life objects, people, actions, attributes, relationships, categories, numbers, letters
how can you test comprehension in connected language? through discourse or sentence level
is gesture usually tested in the battery of aphasia exams? no.
individuals with severe auditory comprehension deficits but with mild of minimal reading impairments have better/worse gestural recognition? better
what is language form? syntax - system of rules used to order words and relate them to one another to express ideas, etc.
is syntax normal to be lacking in aphasia? yes.
there are two types of form words: 1. substantive - open class 2. relational - closed class
what are substantive (open class) word forms? how are they assessed? verbs, nouns, adjectives, adverbs through picture use.
what are relational word forms? Prepositions, conjunctions, articles
Individuals with aphasia have difficulty with comprehension in what situations? (4) 1. thematic roles 2. number of verbs 3. verb argument 4. number of prepositions or thematic roles
impairments in the ability to produce language content are sometimes/always/never part of aphasia? always.
how can a person use category naming? - classify related words (shape, size, color) - conceptually (fruits) - functionally (can be eaten)
how can you check verbal fluency? - name as many objects/things you can within a category
what is confrontational naming? you name/write what an item is based off a picture
give an example of automatic serial naming? count to 20, name the days of the week, sing happy birthday
what is recognition naming? label an item
what is repetition naming? you say exactly what I say.
how do you get an acquired lanuage disorder? result from brain injury; commonly stroke
what area of language can be impaired with an acquired language disorder? all: production, comprehension, cognitive processes,
what is the hallmark of aphasia? word finding difficulties
what is aphasia not? (4) - problem of sensation (hearing/vision) - motor problem (dysarthria/apraxia) - through processing problem (dementia) - loss of intelligence
what is the acronym to spot a stroke? FAST
what does FAST mean for strokes? F: face A: arms S: speech T: time
what cant you control to prevent stroke? age, gender, race, family history, personal stroke history, TIA
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