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27 Cards in this Set

  • Front
  • Back
What should happen during a pre-assessment interview
remove discomfort by promoting a sense of well-being and acceptance
cognitive components of language testing
- assessment of recognition and understanding.
Attention
perception
comprehension
- assessment of memory – working in long-term
self awareness.
Inhibition.
Judgment
planning, monitoring
- assessment of problem solving and abstract reasoning.
Includes recognition and comprehension.
Memory
convergent thinking.
Divergent thinking.
Evaluative thinking
Linguistic component of language testing
content – semantics.
Form – phonology, morphology, syntax
pragmatic component of language testing
cohesion.
Coherence.
Topic navigation
4 primary features for diagnosing aphasia
1. naming ability
2. Word fluency in conversation
3. Auditory comprehension
4. Word or sentence repetition
what is the hallmark symptom of aphasia?
Anomia
what is an anomia?
the lack of ability to recall names of people, common objects and places.
What is Paraphasias?
the unintentional substitution of an incorrect word or sound for an intended word or sound
What is phonemic Paraphasias?
substitutes a sound for another sound In a word (stoon for Spoon)
what and Symantec Paraphasias?
substituting one Categorically related word or another
(fork for spoon)
What are neologisms?
inventing words that the patient creates and uses in place of the target word.
(stumple for spoon)
what are the components of auditory comprehension?
1. single word identification
2. Single word response of objects, pictures, or an action.
3. Follow simple commands
4. Answer a series of questions
a. Personal information
b. Impersonal questions
c. Well-known stories like fairy tales
d. obscure facts
What is most affected in Wernicke's aphasia?
Auditory comprehension
What is conduction aphasia?
A lesion in the white matter pathways that connect Wernicke's and broka's areas
what is the hallmark symptom of conduction aphasia?
a significant deficit in verbal repetition.
What is transcortical sensory aphasia?
damage in the parietal, temporal junction area posterior to Wernicke's area is the main lesion.
strongly resembles Warnicke's aphasia, with the exception that the ability to repeat remains intact.
what characterizes brokas aphasia?
1. telegraphic speech
2. patient oh minutes. Most function words such as pronouns, auxiliary verbs conjunctions, articles and prepositions.
3. Patient understands what is being said but has difficulty with motor speech output.
4 takes effort to talk, pauses interfere with fluency speech.
5. Confrontational naming and repeating words is impaired.
6. Writing is compromised
what is transcortical motor aphasia?
trauma/tumors are the most common etiological factors.
Spontaneous speech resembles stuttering
What is primary Progressive aphasia?
a syndrome in which patients suffer progressive language deterioration.
What Is the diagnostic criteria for PPA?
1. history of language decline for two years.
2. Preservation of most mental functions in the presence of marked language deficit.
3. Performs activities of daily living independently.
4. No identified neurological insults.
5. Speech language test indicates language deficit.
what are the two types of dementia?
reversible or irreversible.
what are the etiological factors of reversible dementia?
depression.
Drug toxicity.
Infection
normal pressure hydrocephalus.
Cardiopulmonary disorders.
Resectable brain lesions
what are etiological factors in the irreversible dementia?
Aides
Alzheimer's disease.
Alcoholic dementia syndromes.
Huntington's chorea
multi-infarction diseases
What key features are needed for a diagnosis of dementia?
1. A sustained deigned deterioration of memory + three of the following:
-a orientation in time and place.
-b judgment and problem solving.
-c community affairs ( shopping, handling finances)
-d home and Hobbies.
-e personal care
what are risk factors for Alzheimer's disease?
family history of dementia.
Family history of down syndrome.
Family history of Parkinson's disease.
Late onset depression.
Head injury.
Hypothyroidism.
Maternal age greater than 40 years of birth
what are the stages of Alzheimer's disease?
stage I: no cognitive impairment.
Stage II: very mild decline.
Stage III: mild cognitive decline.
Stage IV: moderate cognitive decline( early-stage Alzheimer's disease)
stage V: moderately severe cognitive decline.
Stage VI: severe cognitive decline.
Stage VII very severe cognitive decline
what is the role of an SL,P in cases of dementia?
task 1- obtain a reliable history
task 2- differentiate between language disorder associated with dementia and other types of language disorders
- must also distinguish language and cognitive deficits associated with dementia from those seen in cases of depression, confusion, and other reversible dementias.
Obtain a baseline: to measure progress, or deterioration