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

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54 Questions

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

AAC

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

MND

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

MND

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

MND

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

MND

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

MND

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

MND

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

AAC

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

participation

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

systems

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

working

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

decision

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 ______

declines

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

supports

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

MND

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 ______

intervention

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

MND

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

MND

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 ______

day

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

death

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 ______

lives

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

needs

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

change

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 ______

brainstem

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) ______

approaches

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 ______

phase

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 ______

training

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 ______

society

Individuals with MND may require ongoing support from AAC ______

facilitators

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 ______

speech

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 ______

situations

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.

language

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

limitations

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

disturbances

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

partners

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

injury

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

progress

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

settings

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.

trial

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.

recovery

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.

intervention

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

needs

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

capabilities

Individuals with MND may require ongoing support from AAC ______

technology

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

TBI

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

Parkinson's disease

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

working

Parkinson’s is a ______ neurological disease

fatal

Eye gaze is a form of ______ communication

AAC

MND patients commonly experience mixed flaccid-spastic type ______

dysarthria

Respiratory failure is typically the cause of death in ______ patients

MND

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.

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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