G. B.: A Case Study

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Personal Information G.B. is a 74-year-old male that endured a left hemisphere cerebrovascular accident (CVA) after his involvement in a vehicular accident on his way to visit his daughter. The CVA resulted in a diagnosis of severe Broca’s aphasia. It has been seven months since the stroke occurred and G.B.’s symptoms have evolved.

Medical Background G.B. suffered a stroke caused by damage to the left inferior frontal gyrus. The location of the damage resulted in the right hemiplegia which G.B. presents with. Insult to this portion of the brain has also left him with a severe form of Broca’s aphasia. lBroca’s aphasia is a nonfluent aphasia. According to Schuchard and Thompson (2014), grammatical deficits are related to harm to the frontal/basal ganglia procedural memory system. Prior to the stroke, G.B. did not have any alarming medical issues other than high blood pressure.

Family Structure and Support of Communication
Currently, G.B. lives with his son, daughter-in-law and three grandchildren in Smithtown, New York. His daughter lives in the next town over, which is a short drive away from his son’s residence. These are the only family
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The informal assessment results show that his speech is fragmented and reduced to single words (Speer & Wilshire, 2013). Agrammatism is the prominent characteristic of his expressive language. According to Speer and Wilshire (2013), G.B.’s speech consists of nouns and verbs, but is short of proper grammatical function words and inflection. His speech can be described as telegraphic. Using facial expressions to communicate a message is challenging for G.B. due to the paralysis of the right side of his face. G.B.’s writing abilities are impaired as he experienced difficulties when attempting to form letters and spelling words. His ability to name objects and/or people is impaired at this point. Overall, his vocalizations are extremely

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