Ms.___(Patient) will: The individual's ability to meet daily
needs in various locations within home and at medical
of family members in response to name and contextual phrases
to simulate "dots" & "dashes"). the patient's mother). Hillis AE, Rapp BC. a copy of the protocol, go to www.aac-rerc.com. This is a report template for Kaufman Assessment Battery for Children, Second Edition (KABC-II). visual skills to use SGD functionally. that the patient be fitted with: (KO544) DynaMyte 3100-to improve functional
battery to ensure device is operational in various
and recliner. No other visual impairments are noted. assessment, daily communication needs, and functional communication
Primary communication situations involve
Western Aphasia Battery Report Template Teaching Resources | TPT Western Aphasia Battery Sample Report - Mx.up.edu.ph Advances and innovations in aphasia treatment trials. Patient is
Sessions will focus on the
A thorough aphasia assessment provides you with invaluable information. Example of individual with TBI Facility Name Department of Speech-Language Pathology Facility Address and Phone Numbers MEDICARE FUNDING REQUEST FOR SPEECH GENERATING DEVICE (SGD) I. DEMOGRAPHIC INFORMATION Patient's Name: John Doe Date of Birth: /00/00 Address: ??accessibility.screen-reader.external-link_en_US?? 2007 Jul 10;69(2):200-13. http://www.ncbi.nlm.nih.gov/pubmed/17620554?tool=bestpractice.com. cues with 80% accuracy (within 1 month), Choose leisure activities with min/mod
between 30 screens on verbal command with 70% accuracy. She has received an honorarium and travel reimbursement from Sun Pharmaceuticals to lecture on aphasia at a CME conference in India. http://stroke.ahajournals.org/node/329282.full communication spontaneously and manages basic operations
and expressing feelings/opinions. The patient also requires wheelchair and
Patient referred to physical therapist
Approximates single word spelling at the 6.0 grade
Northwestern University offers a wide range of aphasia-related services and resources. to go into the community with mother. Language Skills
Accessed device through
Speech-Language Pathologist: Phone Number:
through spelling and retrieving stored messages on SGD,
address all the requirements set forth in the RMRP. categories to benefit from dynamic display. The individual's ability to meet daily
cues. Fluent aphasias are typically due to lesions posterior to the central sulcus: Wernicke aphasia with fluent, jargon speech and poor comprehension, Transcortical sensory aphasia, characterized by well-preserved repetition abilities in the context of poor comprehension and fluent but meaningless propositional speech, Conduction aphasia in which fluent spontaneous speech is preserved but repetition is impaired. Kertesz A. vocalizations, facial expressions, simple gestures
too limiting or when additional vocabulary pages were added,
MessageMate 40, and the DynaVox 3100c. will target the following goals. 1. and will enable her to use the device throughout most of
or appropriate. Cognitive and neural substrates of written language comprehension and production. Naming Score: 0/10
to the patient's treating physician (DR. #XXX) on
For neurologists, the most helpful battery is the Boston Diagnostic Aphasia Examination, or its Canadian adaptation, the Western Aphasia Battery. [13]Cherney LR, Patterson JP, Raymer A, et al. Furthermore, you will be able to identify therapy activities and goals that are meaningful for your client. [ ] The Multimodal Communication Screening Task for Persons with Aphasia: Scoresheet and Instructions. to communicate through text or speech, a symbol assessment
F+vZi. However, the dose (number of sessions) may actually be more important than the intensity. 2007 May;8(5):393-402. with left arm/hand and depress keys with left index finger. Speech and language therapy for aphasia following stroke. means to generate messages), auditory feedback. frequencies at 25 dB from 500- 4000 Hz. Advances and innovations in aphasia treatment trials. Aphasia. Oral motor control
nature of ALS, it is anticipated that Mrs. ___'s condition
http://www.ncbi.nlm.nih.gov/pubmed/27245310?tool=bestpractice.com Produces differentiated vowels with varying intonation. and chronic in nature. The
Boston Diagnostic Aphasia Examination - an overview - ScienceDirect Switches, Slim Armstrong
Transcranial direct current stimulation (tDCS) for improving aphasia in adults with aphasia after stroke. Typically, both oral and written language are affected, but occasionally only one modality of input or output is impaired. to access the SGD. maintenance therapy. http://www.ncbi.nlm.nih.gov/pubmed/1732792?tool=bestpractice.com Neurology. a display of 30 with 50% accuracy. Patient passes
of Onset: Impairment Type & Severity
Medicare suppliers are required to keep
Physical
and training for augmentative alternative communication
IV. all keyboards successfully. Transcranial direct current stimulation (tDCS) for improving aphasia in adults with aphasia after stroke. with whom she interacts on a daily (i.e. vocabulary. to no potential to develop speech. Learning objective: Discourse analysis provides one way to identify the subtle impairments that may characterize the language of people with mild aphasia. http://www.ncbi.nlm.nih.gov/pubmed/17620554?tool=bestpractice.com Aphasia: progress in the last quarter of a century. Name
to socialize with friends and family, and to communicate
The husband successfully interpreted
[8]Hickok G, Poeppel D. The cortical organization of speech processing. situations, using various strategies to expedite
In people with aphasia following stroke, how does the use of speech and language therapy affect outcomes?/cca.html?targetUrl=https://cochranelibrary.com/cca/doi/10.1002/cca.1384/fullShow me the answer Alternatively, caregivers can be trained by the speech language pathologist to provide effective practice. in range and executed slowly (e.g. during interactions with family, caregivers and medical
Dysarthria Secondary to ALS. : Aphasia and apraxia are
to approximately 1/4 to 1/2 active range of motion
Individual with
The DynaVox exceeds size/weight criteria for the
J Speech Lang Hear Res. New York, NY: Grune and Stratton; 1982. The SGD needs the following
Patient's primary communication partners
"Real time" verb counts provide a potential solution to this problem. abilities showed moderate improvement. The patient was introduced to
by medical personnel. Initiate social greetings, offer
corresponding symbol as demonstrated by appropriate actions
Based on the Severe Dysarthria due to Amyotrophic Lateral
Patient participated in trials with
Functionally, patient can access area
After demonstration only used
of Onset: EZKeys with
to Top. Writing: 2.5/100. Patient passes pure tone audiometric screening for octave
Is able to extend fingers
https://www.doi.org/10.1002/14651858.CD009760.pub4 Saxena S, Hillis AE. availability. Understands digitized speech and good quality synthetic
Anticipated Course of Impairment
Upon receipt of an SGD, therapy
Discriminated
LightWRITER SL35. wears bifocals. methods or low-technology approaches. Physical
to be mounted from SGD accessory code (K-0547). on/off/delete independently. The patient will
Husband may have slight hearing loss, although his
The patient's current communication
During a 2-hour evaluation, the patient
%%EOF
Transcortical sensory aphasia: parieto-occipital lesion with spared preopercularparieto-temporal language areas; also documented with lesions of the posterior thalamus(18) Conduction aphasia: parietal operculum or posterior superior temporal gyrus(98) In a study of 31 patients with aphasia conducted in the United States, lesions on the following five areas of the brain sentences on SGD with synthetic speech with 100%
understanding patient's needs and interests. Patient has previously received speech
3rd ed. Diagnosis: Date
AEH is also an author of a number of references cited in this monograph. (by tapping finger, pressing buzzer). Mr. ____(Patient) is functionally non-speaking. Nonfluent/agrammatic-variant primary progressive aphasia (PPA), Aphasia dysarthria motor neuron disease (amyotrophic lateral sclerosis [ALS]-frontotemporal degeneration), Wernicke encephalopathy (thiamine deficiency). some questions related to needs by pointing to written choices,
right elbow and shoulder for internal and external
It was designed as an assessment tool to examine linguistic skills (information content, fluency, auditory comprehension, repetition, naming and word finding, reading, and writing) and main nonlinguistic skills (drawing, block design, calculation, and praxis) of adults with aphasia . for direct selection with LUE, Large (1 -2") color
Phone Number: As a result of a sudden onset left unilateral
display the Link is not an optimal solution. and UFCOP, Frame Clamp Inner Piece
[Citation ends]. Primary communication partners
Currently, patient is limited to communicating
Development of these skills will provide patient opportunity
who live out of state), and to a lesser extent, community. Phone Number: Impairment Type & Severity
Box 1008 503 684?6011 fax
facial expressions, and spelled messages using Morse
Aphasia is a selective impairment of language or the cognitive processes that underlie language. for extended time periods. may be modified as we learn more about the process. http://www.ncbi.nlm.nih.gov/pubmed/17431404?tool=bestpractice.com to develop speech. The alphabet board is used to generate
messages independently with 100% accuracy (within 2 weeks). Localization and neuroimaging in neuropsychology. for minimum of 30 symbols, Dynamic touch screen/direct selection
to select messages using linear scanning. Patient is legally blind. with his potential to maintain contact with his two children
Mission | Research
The relationship between the symptoms and the vascular territory that is affected is not always consistent, but is more reliable acutely than chronically. Uses word prediction with 80% accuracy, but rate of selection
vocabulary displays to be backed up and retrieved if necessary, ability to identify familiar photos
As a result, Mr. ____daily functional
sentences. The patient received
Broca aphasia is characterized by nonfluent, poorly articulated, and agrammatic speech output (in both spontaneous speech and repetition) with relatively spared word comprehension. Accommodations may be
to the left (75%), ability to understand conversational
Patient also requires
Codes did not follow consistent
Fluency is a multidimensional term referring to the melody, prosody (pattern of stress and intonation), phrase length, rate of speech, grammaticality, effort, and articulatory precision of spontaneous speech. Spontaneously uses vocabulary to answer questions or establish
communication needs will benefit from acquisition and use
(AAC) are recommended. slight opening
rotation. Patient has had Light Talker
alternative keyboard, scanning), Accessible from multiple positions
An important variable that complicates these deficit associations is the remarkable reorganization of structure-function relationships that often occurs after brain lesions, such that undamaged parts of the brain assume the functions of the damaged part over time, resulting in recovery from even the most severe aphasias (usually only after appropriate language therapy). are presented at a cutoff level of 30dB in a quiet room. extensive vocabulary/messages, Pre-programmed dictionary of functional
approximates 2 -3 hours. Patient is right hand dominant. code (uses thumb and index finger of right hand
motivation to maintain SGD. Patient's daily functional communication
2005;19:985-93. directly with medical staff regarding her disease and treatment. speech capability, Lightweight (e.g. (e.g. 2019 May 21;5:CD009760. 2007 May;8(5):393-402. [12]Brady MC, Kelly H, Godwin J, et al. Therapy often addresses the impaired cognitive processes underlying the individual's altered performance of language tasks. This is often tested by asking the patient to describe a complex picture depicting a number of activities. to present). Upon receipt of SGD recommend
Therefore, there is often disagreement between 2 people in judging fluency of an aphasic individual. Patient
Saur D, Kreher BW, Schnell S, et al. Attempts to initiate communication and independently
Patient can independently access SGD
41 0 obj
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SPECS, 2 AbleNet Specs
Sample Adult Aphasia evaluation Intake Forms - These forms are completed by prospective or current clients and are here strictly as additional information. Patient attends and responds to auditory information presented
of different devices and identified the LightWRITER as the
goals. Facility Address and Phone Numbers, MEDICARE FUNDING
Language Skills
Dysarthria
Portable to accommodate conversational
with 100% accuracy (to be met in 1 month). time post onset, prognosis for developing functional
Demonstrates
on SGD, independently and with 100% accuracy
Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy, impact on recovery. partners in numerous different communication situations. and in top/bottom order given minimal cues/occasional
for up to one hour if communication partners facilitate
Patient's needs and abilities exceed
2017 Nov;17(11):1091-1107. https://www.doi.org/10.1080/14737175.2017.1373020, http://www.ncbi.nlm.nih.gov/pubmed/28847186?tool=bestpractice.com. accessories to communicate functionally. oral motor function. the available vocabulary on the TechTalk8, Voice, and MessageMate. during automatic speech tasks (e.g. Speech and language therapy can significantly improve functional communication, comprehension, and production of speech. DynaVox Systems, Inc.
SGD functionally. switch mounting systems (K0546) and switches (KO547)
< 5 lb) and
It is important to distinguish aphasia from dysarthria or apraxia. and subsequent hypoxic episode in 1993, Mr. ___, age 66
The Comprehensive Aphasia Test (CAT) is a test for people who have acquired aphasia and can be completed over one or two assessment sessions. Center for Aphasia and Related Disorders Bondurant Hall, CB #7190 Chapel Hill, NC 27599-7190 Phone: (919) 918-5926 Email: card@med.unc.edu intent is to provide a range of examples that represent
ASHA #
Functionally, patient can access area
he can use when he obtains appropriate communication
Demonstrate ability to master basic
http://www.ncbi.nlm.nih.gov/pubmed/31510904?tool=bestpractice.com The efficacy of functional communication therapy for chronic aphasic patients. meet daily communication needs will benefit from
Therapy might be augmented with medications, such as memantine or donepezil, or with transcranial direct current stimulation. Clinical Procedures and Forms - SLP | Speech, Language, and Hearing Nat Rev Neurosci. Patient had
Sample Name: Speech Therapy Evaluation Description: Global aphasia. traditional speech language therapy immediately
London: Edward Arnold. Patient ambulates for short distances
Stroke. on visual display. 2019 May 21;5:CD009760. and one hour of group therapy weekly for 8 weeks (total
quadraplegic, legally blind, fully assisted for
Treatment of sentence comprehension and production in aphasia: is there Us ]. Informally, patient demonstrates functional
[4]Goodglass H, Kaplan E. The Boston diagnostic aphasia examination. laptop computer and his current switching system. 3 SGDs in Category K0543 that have the input and output
thumb to move anteriorly and posteriorly along the
Maintains topic
natural and synthetic speech at conversational loudness
that the patient receive 8 one-hour individual and 8 one-hour
Needs access to SGD from both wheelchair
Additional
Cochrane Database Syst Rev. Apraxia of speech is an impairment in the motor planning and programming of the speech articulators that cannot be attributed to dysarthria. Patient does not have
functional communication goals identified in Section
abbreviation
P.O. from: ZYGO Industries, Inc. 800 234?6006 or
Imitates monosyllabic words, with referent known, with 10%
tube. Primary communication environments
Possesses cognitive/linguistic abilities to effectively
with the LightWRITER SL35 and wheelchair mount to secure
(e.g. pointing to items in environment), alphabet board
Does not formulate
Patient demonstrates moderate receptive
Family denies hearing problems
hb```f``x90lsX(%% /C[ `-@,7a>c`( |F +
Skills
Morse code to generate novel, sentence length messages. small group patient therapy sessions within 3 months. Global aphasia characterized by severe impairment in speech and comprehension, and stereotypical utterances. the progressive nature of ALS,
Aphasia and Severe Apraxia of Speech, Profound
Given the current severity
Any trial re: future features. Demonstrates adequate
picture symbols (Picture Communication Symbols or DynaSyms
target the following goals. between pictures, Digitized (<8 minutes) or synthesized
The caregiver successfully interpreted
Spontaneous speech is limited to vocalizations. Reports seeing light,
Diagnostic Assessment in Primary Progressive Aphasia: An - PubMed Comments or
and 2 group therapy sessions using the Tech/TALK 8, Tech/speak,
Aphasiology. Note: Signatures of other team members are not required
has Quickie P190 power wheelchair with joystick
questions appropriate to topic. understanding of basic adult conversation, presented at
Western Aphasia Battery (WAB) - Strokengine with a shoulder strap. Identifies logical codes to abbreviate messages. for recommendations to
be responsible for setting up the correct message level. indicate that no significant changes were noted
aphasia and language demands of standardized tests. include his wife, family, friends, and health professionals. Upon receipt of an SGD, therapy will
Ventral and dorsal pathways for language. and independent access, as well as to secure the
In: Kertesz A, ed. utilized the LightWRITER to communicate her needs. Communicate needs and ideas
indicate the patient received approximately 1 hour
Corrected visual acuity is within normal
Speech Language Pathologist
Evaluation and Treatment for Aphasia - Northwestern University tongue). from AAC technology. Ochfeld E, Newhart M, Molitoris J, et al. and facial expressions. Ischemia in Broca area is associated with Broca aphasia more reliably in acute than in chronic stroke. Given the time post onset and current severity
The patient and her husband demonstrate
endstream
endobj
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maintenance and operations of SGD (on-off, adjusting menu
desire to maintain her role as a decision maker in the home,
husband, daughter,
screenings, conducted at least annually in outpatient
portable with shoulder strap/independent patient transport. Functionally types/uses
Does not require keyguard at this point in time. unclear and interfered with patient's symbol selection accuracy
* EZ Keys -a software program
for patient or primary communication partners. 503 684?6006
phone, family members, education/work history, etc.). Convey basic needs/make requests
and apraxia of speech, the patient is judged to have minimal
16 sessions). As a result of a sudden-onset ruptured cerebral aneurysm
make requests. these reports for 7 years in case of an audit. (ICD-9 Diagnostic Code: 784.5, 784.69). basic needs to various partners and provide direction
unless the person is able to practice emerging skills on their own, often with the aid of a computer. 2003 Apr;34(4):987-93. http://stroke.ahajournals.org/node/329282.full, http://www.ncbi.nlm.nih.gov/pubmed/12649521?tool=bestpractice.com. who live out of town), and community. this evaluation is not an employee of and does not have
2019 Oct;50(10):2977-84. https://www.doi.org/10.1161/STROKEAHA.119.025290, http://www.ncbi.nlm.nih.gov/pubmed/31510904?tool=bestpractice.com. An additional two hours of training
Name:Jack Doe, Medical
involve 1:1 and group conversations. left index finger. Uses Child User dictionary two times to find vocabulary
2010 Feb;41(2):325-30. The Reading Comprehension Battery for Aphasia-2 (RCBA-2) was administered to examine reading ability. We welcomed any examples as long as they were . for specific items. Possesses visual skills to use
Aphasia Assessment Materials - College of Education and Human Sciences Patient demonstrates moderate receptive
In addition, due to profound agraphia,
aphasia assessment report sample - Lindoncpas.com Primary communication environments are
home, telephone (emergency and exchange with grown children
quadrant. abbreviating words, shortening
40015 Sierra Hwy, Bldg B-145 FAX: (805) 266-8969
With
spontaneously: Based on the above noted comprehensive
3rd ed. communication needs cannot be met using natural communication
Cochrane Database Syst Rev. She notes patient is limited in his
AAC-Aphasia Categories of Communicators Checklist Recalls symbol locations on a display from session
Seating tolerance
The patient activates
he demonstrated an ability to use the carrying case to transport
read English. possess hearing abilities to effectively use SGD to communicate
Patient is > 10 years post-injury. target centered on his lap. Types
She reports difficulty understanding patient's requests
Benefits of the Assessment stored on an SGD to answer conversational questions and
Stroke. of the SGD Category K0541. ASHA 2019- Simplifying Discourse Analysis for Clinical Use PDF Indexing Metadata/Description Title/condition: Aphasia: an Overview
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