Communication Disorders & Aphasia

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Questions and Answers

Which of the following best describes the role of an OTA/PTA in addressing communication challenges for individuals with oral-motor dysfunctions?

  • Prescribing medications to improve speech clarity.
  • Diagnosing the underlying causes of oral-motor dysfunctions.
  • Developing independent treatment plans for speech and language rehabilitation.
  • Implementing treatment plans designed by OTs and Speech Language Pathologists. (correct)

What is the primary focus for OTA/PTAs when working with individuals affected by aphasia?

  • Providing education on alternative communication strategies and techniques. (correct)
  • Performing surgical interventions to restore language function.
  • Administering clot-busting medications to reverse the effects of aphasia.
  • Guaranteeing a full recovery from aphasia through intensive therapy.

Why is early evaluation crucial for individuals with acquired brain injury, post-stroke, or degenerative neurological conditions?

  • To determine eligibility for long-term care facilities.
  • To immediately prescribe medications to halt the progression of the condition.
  • To accurately predict the individual's lifespan.
  • To quickly identify and understand visual, sensory, and auditory problems impacting recovery. (correct)

In the context of communication, what does adapting your communication style primarily aim to achieve?

<p>To minimize difficulties in uncertain environments and maximize the impact of your message. (C)</p> Signup and view all the answers

When interacting with individuals who use AAC devices, what is the most important characteristic of the messages used to initiate conversations?

<p>Messages should be meaningful and make a difference for the client. (A)</p> Signup and view all the answers

What is a key consideration when determining the most effective evaluation or treatment for dysphagia?

<p>The potential life-threatening consequences of swallowing problems. (D)</p> Signup and view all the answers

What complicating factors might a therapist or assistant encounter when managing dysphagia in a long-term care setting?

<p>Extensive and multiple major diagnoses related to the swallowing problem. (A)</p> Signup and view all the answers

Which professional is least likely to be part of the "dream team" assembled for dysphagia care?

<p>Accountant (B)</p> Signup and view all the answers

Hypo-responsiveness, as it relates to sensory processing in individuals with neurological conditions, may manifest as:

<p>Sensory-seeking behavior. (B)</p> Signup and view all the answers

What does a "sensory diet" primarily involve?

<p>Providing a schedule of activities designed to meet the child's sensory needs. (D)</p> Signup and view all the answers

What is the main focus of oral-motor stimulation therapy?

<p>Stimulating muscles related to oral functions like speech and feeding. (D)</p> Signup and view all the answers

What is a common characteristic of individuals with general dyspraxia?

<p>Problems planning and sequencing motor movements. (A)</p> Signup and view all the answers

What should therapists and assistants focus on to effectively manage dysphagia?

<p>Learning to manage dysphagia on various levels due to its chronic or progressive symptoms. (C)</p> Signup and view all the answers

What should therapists and assistants do after learning new information regarding dysphagia?

<p>Slowly and safely apply their new knowledge after seeing examples of what they have learned. (A)</p> Signup and view all the answers

Which sensory feature might individuals with neurological conditions develop?

<p>Hypo-responsiveness or hyper-responsiveness to stimuli. (C)</p> Signup and view all the answers

What is a common motor-related issue observed in individuals with neurological conditions?

<p>Delayed motor development and low muscle tone. (B)</p> Signup and view all the answers

What is a potential benefit of technology-based AAC devices?

<p>They assist people with significant challenges to lead more productive lives and give them &quot;voices&quot;. (B)</p> Signup and view all the answers

What is a recommended strategy for effectively communicating with clients?

<p>Adapting your communication style to overcome barriers to understanding. (A)</p> Signup and view all the answers

What is the primary goal of rehabilitation for each patient with sensory, visual and auditory problems?

<p>To make the appropriate rehabilitation plan and tailor activities to meet the needs of each individual. (B)</p> Signup and view all the answers

Can aphasia be prevented?

<p>No definitive steps can be taken to prevent the onset of aphasia once a stroke or head trauma has occurred. (D)</p> Signup and view all the answers

Flashcards

Communication Disorders

Problems related to speech, language, and auditory processing, ranging from stuttering to the inability to communicate.

Aphasia

An acquired communication disorder that impairs the ability to process language, but is rarely a primary diagnosis.

Clot-busting medications (TPA)

Medications that can minimize the effects of stroke and consequently the severity of aphasia.

Sensory, visual and auditory problems

May affect nearly all aspects of life and can hinder normal recovery after acquired brain injury, post-stroke or degenerative neurological conditions.

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Professional Evaluation

Essential for developing the best communication system to meet the client’s needs.

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Effective Communication

Adapting one's communication style to overcome barriers to understanding and maximize the impact of the message.

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AAC Devices

Devices or aids which help people with speech difficulties express themselves.

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Technology-Based AACs

Complex, technology-based aids that assist people with significant communication challenges, giving them a voice.

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Dysphagia

Difficulty with swallowing that can have life-threatening consequences.

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"Dream Team" in Dysphagia Care

A team comprising a physician, nursing staff, speech-language pathologist, dietitian, occupational therapist, physical therapist, social worker, aides/assistants, and administrators.

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Sensory Features in Neurological Conditions

Involves unusual sensory features like hypo-responsiveness (lack of response) or hyper-responsiveness (overly sensitive reaction) to stimuli.

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"Sensory Diet"

A schedule of activities designed to meet a child's sensory needs, often integrated into daily routines.

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Study Notes

  • Communication disorders involve difficulties with speech, language, and auditory processing.
  • These disorders can range from stuttering to complete inability to use speech/language.
  • Some disorders are related to physical structures (muscles, nerves), and others to brain "coding" or comprehension.
  • Occupational therapy assistants (OTAs) and physical therapy assistants (PTAs) implement treatments suggested by OTs and Speech Language Pathologists for oral-motor dysfunctions.

Aphasia

  • Aphasia is often a secondary diagnosis, not a primary one.
  • Aphasia is often not curable, it requires the individual to work on communication strategies.
  • OTAs and PTAs educate individuals, families, and caregivers on alternate communication methods.
  • OTAs and PTAs can teach communication strategies to compensate for aphasia.
  • While there are no cures for aphasia, clot-busting medications (TPA) can minimize the effects of stroke and, as a consequence, the severity of aphasia.

Sensory, Visual, and Auditory Problems

  • Sensory, visual, and auditory problems from acquired brain injury, stroke, or neurological conditions can affect many life aspects and recovery.
  • Early evaluation of these problems is crucial.
  • Skilled observation and assessment are needed to understand the interaction of visual, sensory, and auditory problems.
  • Rehabilitation plans and activities should be tailored to individual needs.
  • Recovery is a long process that requires teamwork between doctors, therapists, and time.

Communication Strategies

  • It is essential to obtain an evaluation by a group of professionals to develop the best communication system to meet the client’s needs.
  • Selecting a way to communicate is not as simple as getting eyeglasses.
  • The care team helps individuals and communication partners learn skills and strategies (e.g., hand signs, electronic equipment operation).
  • Adapting communication styles to overcome barriers maximizes the message's impact.
  • Initiate conversations with messages that are meaningful for the client when interacting with individuals who use AAC (Augmentative and Alternative Communication) devices.
  • Meaningful messages can include greetings, responding to attendance, listing activities, giving recipe steps, assigning jobs, sharing jokes, talking about personal items, compliments, requests, or commenting on books.

Augmentative and Alternative Communication (AAC)

  • AAC devices are complex and diverse.
  • Technology-based AAC devices can assist people with significant challenges.
  • These devices can give people "voices".
  • Finding the right system for each client requires significant time and care.

Swallowing Problems (Dysphagia)

  • Swallowing problems can have potentially life-threatening consequences.
  • Effective evaluation and treatment of dysphagia are crucial.
  • Therapists and assistants must learn to manage dysphagia on multiple levels due to its chronic or progressive symptoms.
  • Long-term care settings present challenges due to multiple diagnoses, medications, behavioral issues, nutritional deficits, and fatigue.
  • A "dream team" in dysphagia care consists of physicians, nursing staff, speech-language pathologists, dietitians, occupational therapists, physical therapists, social workers, aides/assistants, and administrators.

Sensory Features in Neurological Conditions

  • People with neurological conditions may develop unusual sensory features like hypo-responsiveness or hyper-responsiveness.
  • Hypo-responsiveness includes lack of response, delayed response, or sensory-seeking behavior.
  • Hyper-responsiveness includes overly sensitive or adverse reactions to tactile, vestibular, auditory, visual, olfactory, or gustatory stimuli.
  • Some people experience delayed motor development, low muscle tone, oral-motor problems, and dyspraxia.
  • Therapies include oral-motor stimulation and sensory diets.
  • A sensory diet involves a schedule of activities designed to meet the child's sensory needs like skin brushing or joint compressions, and should be integrated into daily activities.

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