Communication Needs and AAC Interventions Quiz for Parkinson's Disease and TBI
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Questions and Answers

Predominantly spinal involvement in MND may result in normal or mildly dysarthric ______ for a longer period

speech

Apathy is the most common behavioral impairment associated with ______, along with other behavioral changes

MND

Cognitive and behavioral changes like frontotemporal dementia can occur in some with ______

MND

______ interventionists follow a three-phase model: Early Phase, Middle Phase, and Late Phase

<p>AAC</p> Signup and view all the answers

Different stages and monitoring of speech performance in ______ are identified, with a focus on natural speech supplemented with AAC

<p>MND</p> Signup and view all the answers

The Early Phase of ______ is characterized by natural speech meeting daily communication needs

<p>MND</p> Signup and view all the answers

Monitoring of speaking rate and intelligibility is crucial in the Early Phase of ______

<p>MND</p> Signup and view all the answers

Recommendations for Early Phase activities in ______ include assessments of cognitive, motor, speech, and language capabilities

<p>MND</p> Signup and view all the answers

Voice banking and message banking options are important for individuals with ______ and should be informed early on

<p>MND</p> Signup and view all the answers

AAC supports and activities for individuals with ______ include message banking, synthetic voices, and AAC technology

<p>MND</p> Signup and view all the answers

The Middle Phase of the ______ evaluation process for MND involves the person's participation in specific evaluation activities

<p>AAC</p> Signup and view all the answers

Individuals with MND experience significant changes in their lives, impacting their communication needs and ______ roles

<p>participation</p> Signup and view all the answers

Living situations, such as transitioning from a private home to assisted living, can impact funding and necessitate changes to AAC ______

<p>systems</p> Signup and view all the answers

Employment is important for individuals with MND, and communication technology plays a crucial role in enabling them to continue ______

<p>working</p> Signup and view all the answers

Some individuals actively seek AAC-related information, while others rely on professionals for ______-making

<p>decision</p> Signup and view all the answers

Early adoption of a mobile tablet with a communication application can be helpful, but consideration should be given to the targeted AAC system if arm and hand function ______

<p>declines</p> Signup and view all the answers

Interventions for individuals with MND should include computer literacy and Internet training to provide options for continuing employment and accessing ______

<p>supports</p> Signup and view all the answers

Expanded electronic communication options have resulted in expanded opportunities for employment, volunteering, distance learning, financial transactions, and commercial activity for individuals with ______

<p>MND</p> Signup and view all the answers

Communication needs and AAC supports should be based on an individual's patterns of participation, with consideration of opinions and preferences regarding participation and lifestyle patterns being crucial during assessment and ______

<p>intervention</p> Signup and view all the answers

Eye gaze technology is widely used for face-to-face communication and text entry for individuals with ______

<p>MND</p> Signup and view all the answers

Speech severity, swallowing severity, and speech usage account for 55% of the variance in communicative participation for individuals with ______

<p>MND</p> Signup and view all the answers

Motor capabilities greatly impact the selection of AAC systems for individuals with MND, and it is important to assess these capabilities and consider fatigue throughout the ______

<p>day</p> Signup and view all the answers

Late Phase of AAC implementation focuses on adapting and accommodating to changing communication needs and capabilities until the individual's ______

<p>death</p> Signup and view all the answers

Eye linking is preferred over eye-pointing boards or partner-assisted scanning for communication in the late phase, and individuals with MND may still have the strength and desire to use AAC technology in the last days of their ______

<p>lives</p> Signup and view all the answers

91% of participants used multiple communication supports, including eye gaze and partner-dependent eye gaze, for urgent or immediate ______

<p>needs</p> Signup and view all the answers

Quality of life measures may differ between individuals with MND and their caregivers, requiring individuals to self-advocate if their wishes ______

<p>change</p> Signup and view all the answers

Parkinson's disease is a syndrome characterized by motor symptoms including tremors at rest, rigidity, bradykinesia, and postural instability, resulting from a loss of dopaminergic neurons in the basal ganglia and ______

<p>brainstem</p> Signup and view all the answers

Medical treatment, particularly the introduction of levodopamine (L-dopa), has greatly impacted the natural course of Parkinson's disease, improving mobility and independence, but pharmacological treatment may have side effects that interfere with the use of alternative and augmentative communication (AAC) ______

<p>approaches</p> Signup and view all the answers

AAC intervention options are available in the early, middle, and late phases of speech progression in Parkinson's disease, with assistive technology and AAC supports used to supplement natural speech in the middle phase, and AAC technology implemented for those unable to meet communication needs through natural speech in the late ______

<p>phase</p> Signup and view all the answers

Operational competence with AAC systems requires time, instruction, ongoing support, troubleshooting, and customization, and families of individuals with MND should receive at least five hours of ______

<p>training</p> Signup and view all the answers

Individuals with Motor Neuron Disease (MND) generally show high acceptance of Augmentative and Alternative Communication (AAC) technology, with acceptance rates increasing with the advancement and commonality of AAC technology in ______

<p>society</p> Signup and view all the answers

Individuals with MND may require ongoing support from AAC ______

<p>facilitators</p> Signup and view all the answers

Speech symptoms in Parkinson's disease include reduced pitch variability, overall loudness, and use of vocal parameters for stress and emphasis, with AAC techniques becoming part of a multimodal communication system that includes natural ______

<p>speech</p> Signup and view all the answers

Timely implementation of AAC systems is crucial for individuals with degenerative conditions like MND, and exploration of AAC options should start when speech slows to about 125 words per minute or when intelligibility is inconsistent in adverse listening ______

<p>situations</p> Signup and view all the answers

Individuals with Parkinson's disease typically have developed ______ abilities that support AAC interventions, but controversy exists regarding whether dementia is a feature of the disease.

<p>language</p> Signup and view all the answers

Cognitive ______ may interfere with AAC interventions in Parkinson's disease, requiring additional instruction and practice.

<p>limitations</p> Signup and view all the answers

Sensory ______ typically do not interfere with AAC interventions in Parkinson's disease, but motor control problems may affect AAC interventions.

<p>disturbances</p> Signup and view all the answers

Resistance towards AAC intervention and hearing limitations of communication ______ may pose constraints in Parkinson's disease.

<p>partners</p> Signup and view all the answers

Traumatic brain ______ (TBI) often occurs as a result of severe sports injuries or car accidents, with symptoms including confusion, blurry vision, and difficulty concentrating.

<p>injury</p> Signup and view all the answers

Treatment for TBI may involve rest, medication, and surgery, and assessment is crucial for observing ______ and interacting with individuals.

<p>progress</p> Signup and view all the answers

Person-centered communication in health ______ involves ensuring access to communication tools, personally held health information, and collaborative communication with carers, spouses, and parents.

<p>settings</p> Signup and view all the answers

The SPEACS ______ showed positive effects of AAC intervention in the ICU, with significant increases in communication exchanges, AAC use, and success of communication about pain and other symptoms.

<p>trial</p> Signup and view all the answers

AAC goals for individuals with TBI in the early stages of ______ aim to increase consistency of responses and shape them into meaningful communication, using techniques tailored to the individual's neurologic involvement.

<p>recovery</p> Signup and view all the answers

Assessment and ______ in the middle stage of recovery for individuals with TBI involve choosing specific communication goals, compensating for attention and memory impairments, and supporting conversational interaction using non-electronic or limited AAC technology displays.

<p>intervention</p> Signup and view all the answers

Communication ______ of individuals with Parkinson's disease are influenced by social environment, physical impairments, and the effectiveness of spoken communication.

<p>needs</p> Signup and view all the answers

Assessment of cognitive/linguistic, sensory/perceptual, and motor ______ is necessary prior to AAC intervention for individuals with Parkinson's disease.

<p>capabilities</p> Signup and view all the answers

Individuals with MND may require ongoing support from AAC ______

<p>technology</p> Signup and view all the answers

Apathy is the most common behavioral impairment associated with ______, along with other behavioral changes

<p>TBI</p> Signup and view all the answers

Eye gaze technology is widely used for face-to-face communication and text entry for individuals with ______

<p>Parkinson's disease</p> Signup and view all the answers

Employment is important for individuals with MND, and communication technology plays a crucial role in enabling them to continue ______

<p>working</p> Signup and view all the answers

Parkinson’s is a ______ neurological disease

<p>fatal</p> Signup and view all the answers

Eye gaze is a form of ______ communication

<p>AAC</p> Signup and view all the answers

MND patients commonly experience mixed flaccid-spastic type ______

<p>dysarthria</p> Signup and view all the answers

Respiratory failure is typically the cause of death in ______ patients

<p>MND</p> Signup and view all the answers

Study Notes

Communication Needs and AAC Interventions for Parkinson's Disease and Traumatic Brain Injury

  • Communication needs of individuals with Parkinson's disease are influenced by social environment, physical impairments, and the effectiveness of spoken communication.
  • Assessment of cognitive/linguistic, sensory/perceptual, and motor capabilities is necessary prior to AAC intervention for individuals with Parkinson's disease.
  • Individuals with Parkinson's disease typically have developed language abilities that support AAC interventions, but controversy exists regarding whether dementia is a feature of the disease.
  • Cognitive limitations may interfere with AAC interventions in Parkinson's disease, requiring additional instruction and practice.
  • Sensory disturbances typically do not interfere with AAC interventions in Parkinson's disease, but motor control problems may affect AAC interventions.
  • Resistance towards AAC intervention and hearing limitations of communication partners may pose constraints in Parkinson's disease.
  • Traumatic brain injury (TBI) often occurs as a result of severe sports injuries or car accidents, with symptoms including confusion, blurry vision, and difficulty concentrating.
  • Treatment for TBI may involve rest, medication, and surgery, and assessment is crucial for observing progress and interacting with individuals.
  • Person-centered communication in health settings involves ensuring access to communication tools, personally held health information, and collaborative communication with carers, spouses, and parents.
  • The SPEACS trial showed positive effects of AAC intervention in the ICU, with significant increases in communication exchanges, AAC use, and success of communication about pain and other symptoms.
  • AAC goals for individuals with TBI in the early stages of recovery aim to increase consistency of responses and shape them into meaningful communication, using techniques tailored to the individual's neurologic involvement.
  • Assessment and intervention in the middle stage of recovery for individuals with TBI involve choosing specific communication goals, compensating for attention and memory impairments, and supporting conversational interaction using non-electronic or limited AAC technology displays.

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Test your knowledge on communication needs and AAC interventions for individuals with Parkinson's disease and traumatic brain injury. Explore the challenges and considerations for implementing alternative and augmentative communication strategies in these populations.

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