Case Study Part 1
Introduction to the client
• Client’s name: Carol
• Age: 67
• Carol has been happily married to her husband Mike for over 40 years. She has two daughters and a son who all live within twenty minutes from her who she sees regularly. She is a proud grandmother to two little boys and a newborn girl. Carol is a retired special education elementary school teacher. Carol likes to keep busy and active by exercising daily, babysitting her grandchildren as well as working volunteer jobs. Carol enjoys eating healthy, attending yoga classes and nightly walks with her husband.
• Carol’s prior medical history presented with a positive healthy lifestyle. She did not suffer from any medical conditions commonly associated with …show more content…
“Stroke is the most common cause of AOS.” (Duffy, 2013). As mentioned by Duffy, apraxia of speech is almost always identified because of the cause being a stroke in the left cerebral hemisphere. There are some uncontrollable factors of stroke that should be considered in Carol’s case as stated by National Stroke Association such as age and gender. The risk for a stroke increases with age. “After the age of 55, stroke risk doubles for every decade a person is alive.’’ (National Stroke Association, 2017). Each year, women experience more strokes than men, this is especially seen at older ages. The cause is due to the fact that women typically live longer than men. (National Stroke Association, 2017). Unfortunately, when women experience a stroke at an older age, they tend to suffer greater disability after it. (National Stroke Association, …show more content…
The left hemisphere is categorized by the dominant structures that control the planning and programming movements of speech. (Duffy, 2013). Diagnosing AOS has been proven difficult, due to the high rate of co-occurrence with aphasia, which is a language-based impairment. (Kirrie J. Ballard, 2015). A diagnosis of just AOS is considered rare. (Duffy, 2013). Currently, diagnosis of AOS is based upon the use of perceptual methods and the ability of interpretation through the senses such as hearing and seeing. The perceptual method for AOS focuses on identifying and rating the severity of speech features, typically on sound, syllable and prosodic distortions, using checklists. (Kirrie J. Ballard, 2015). After her stroke, an SLP met with Carol. Carol and her family expressed their concerns with her slowed speech rate and how her speech sounded labored and effortful. This highlights rate and prosodic abnormalities typically seen in individuals with AOS. (Duffy, 2013). Carol’s family also noted she tended to speak in shorter phrases and had trouble with more complex phrases. These are also common characteristics seen in individuals with AOS in which they struggle with syllable segmentation, multisyllabic words and complex utterances. (Duffy,