what is the difference between aphasia and dementia ax?
dementia ax focuses more on cognitive factors
what are the assessment types for dementia
- screening
- diagnostic
- planning for treatment and measuring outcomes
- follow-ups
what to ask in a case history for personal information
- Client’s Name
- D.O.B., Age
- Vision
- Hearing
- Handedness
- Native language
- Other languages: when learned? were spoken? Contact person
- Power of Attorney
what is a POA?
legal right to represent someone for health purposes
t or f: the SLP is not required to report findings to a POA
false
what to ask in a case history about the illness
- Presenting symptoms, time of onset, rate of progression, changes over time
- Medical/diagnostic procedures
- S/L history and past SLP visits
- Nutrition and swallowing
- If possible, get info from one additional reliable source
what to ask in a case history about functional independence
- Maintains employment?
- Keeps appointments?
- Finances? Timely bill payments, errors?
- Independent at home? Cooking, cleaning?
- Independent outside? Shopping, walking?
- Driving? Tickets, accidents, getting lost?
- Personal hygiene?
what are basic and instrumental ADLs
basic: cooking, cleaning (simpler tasks)
instrumental: driving, using computer (instrument)
what to ask in a case history about medical history
- Family history of memory problems, vascular disease, mental health, Alzheimer’s or Down’s syndrome
- Vascular risk factors
- Past illnesses and surgeries
- Medications (and their S/L & cognitive effects)
- Alcohol consumption
what are vascular risk factors
high blood pressure, diabetes, obesity, high cholesterol level
why is it important to know about alcohol consumption and dementia?
alcohol kills neurons
alcohol-induced dementia
what to ask in a case history about social/occupational history
- L1/L2…etc.
- How long in in past/current country
- Education
- Previous occupation(s)
- Hobbies & interests
- Reason for retiring (if retired)
- Living arrangements
- Family members involved in care
- Support system(s) in place
verbal vs non-verbal pragmatic skills
verbal: varied speech responses, topics, turn-taking, lexical selection
non-verbal: physical proximity, kinesics
What to assess in a spontaneous speech sample
- fluency
- word/sound substitutions
- motor speech problems
- types of error
- syntax
- cohesion
t or f: in patients with dementia fluency refers to stuttering
false, refers to word retrieval and hesitancies
sample assessments for verbal expression
BNT - Boston naming test
WAB - Western aphasia battery
BDAE - Boston diagnostic aphasia examination
TAWF - test of adult and adolescent word finding
PALPA - psycholinguistic assessments of language processing in aphasia
ABCD - arizona battery for communication disorders of dementia
possible tasks for verbal expression ax
- Picture description
- Narrative
- Oral repetition of words/non-words/sentences
- Picture naming
- Responsive naming
- Automatic speech
assessments for functional communication
- ASHA-Functional Assessment of Communication Skills for Adults (FACS) (for caregiver)
- SIB-severe impairment Battery
- FLCI-Functional Linguistic Communication Inventory
components of auditory comprehension ax
- Comprehension of conversational speech
- Auditory word recognition
- Sentences of varying length and/or grammatical complexity
- Yes/no questions
- Paragraph length material
assessments for auditory comprehension
- Token Test
- WAB-Western Aphasia Battery
- TROG-Test of the Reception of Grammar
- BDAE-Boston Diagnostic Aphasia Examination
- ABCD-Arizona Battery for Communication Disorders of Dementia
- PALPA-Psycholinguistic Assessments of Language Processing in Aphasia
components of reading and (reading) comprehension assessment
- Premorbid reading skills/habits
- Mechanics of reading (decoding)
- Single words (regular, irregular, non-words)
- Sentences (morphosyntactic structures, complexity)
- Oral reading (Grandfather/Rainbow passage)
- Reading comprehension (time, accuracy, comprehension)
assessments for auditory comprehension
- BDAE-Boston Diagnostic Aphasia Examination
- WAB-Western Aphasia Battery
- ABCD-Arizona Battery for Communication Disorders of Dementia
- RCBA-Reading Comprehension Battery for Aphasia
-PALPA-Psycholinguistic Assessments of Language Processing in Aphasia - GORT-D-Gray Oral Reading Test-Diagnostic
components of written expression assessment
- Premorbid writing skills/habits
- Mechanics/Functional writing
- Copying words/sentences
- Writing to dictation regular & irregular words, nonwords
- Written picture description
- Free narrative
assessment for written expression
- BDAE-Boston Diagnostic Aphasia Exam
- TOWL-Test of Written Language
- WAB-Western Aphasia Battery
- ABCD-Arizona Battery for
- Communication Disorders of Dementia - PALPA-Psycholinguistic Assessments of Language Processing in Aphasia
