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

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Questions and Answers

What is MND and what are its common symptoms?

MND stands for Motor Neuron Disease, a progressive, degenerative disease affecting the motor neurons of the brain and spinal cord, but not sensation. Weakness is the common early symptom, with upper-extremity weakness most frequently reported. Different types of weakness, including respiratory weakness, may be present in those affected.

What communication support is commonly required for MND patients?

AAC support is commonly required for communication needs, as most MND patients lose the ability to speak. Dysarthria, a motor speech disorder, is prevalent in MND patients, with mixed flaccid-spastic type dysarthria being common.

What are some prognostic factors associated with MND?

Neck weakness is a primary prognostic factor associated with the loss of speech and swallowing function. Respiratory failure is typically the cause of death in MND patients.

What are the AAC recommendations for MND patients?

AAC recommendations are accepted and technology purchased. Instruction is provided and ongoing needs monitored and adjusted as change occurs. Signup and view all the answers

What are some activities involved in assessing communication needs and participation patterns for individuals with MND?

Identifying participation patterns, assessing current and anticipated capabilities, assessing potential constraints, and selecting low- and high-tech AAC options. Signup and view all the answers

How do living situations impact funding and AAC systems for individuals with MND?

Living situations, such as transitioning from a private home to assisted living, can impact funding and necessitate changes to AAC systems. Signup and view all the answers

Why is employment important for individuals with MND in relation to communication technology?

Employment is important for individuals with MND, and communication technology plays a crucial role in enabling them to continue working. Signup and view all the answers

How do individuals with MND seek AAC-related information?

Some individuals actively seek AAC-related information, while others rely on professionals for decision-making. Signup and view all the answers

What should be considered if an individual with MND adopts a mobile tablet with a communication application?

Consideration should be given to the targeted AAC system if arm and hand function declines. Signup and view all the answers

What interventions should be included for individuals with MND?

Interventions for individuals with MND should include computer literacy and Internet training to provide options for continuing employment and accessing supports. Signup and view all the answers

What opportunities have expanded for individuals with MND due to electronic communication options?

Expanded electronic communication options have resulted in expanded opportunities for employment, volunteering, distance learning, financial transactions, and commercial activity for individuals with MND. Signup and view all the answers

What should communication needs and AAC supports be based on 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. Signup and view all the answers

What technology is widely used for face-to-face communication and text entry for individuals with MND?

Eye gaze technology is widely used for face-to-face communication and text entry for individuals with MND. Signup and view all the answers

What accounts for 55% of the variance in communicative participation for individuals with MND?

Speech severity, swallowing severity, and speech usage account for 55% of the variance in communicative participation for individuals with MND. Signup and view all the answers

What greatly impacts the selection of AAC systems 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. Signup and view all the answers

What kind of changes do individuals with acquired physical disabilities, like MND, experience?

Individuals with acquired physical disabilities, like MND, experience significant changes in their lives, impacting their communication needs and participation roles. Signup and view all the answers

What is the acceptance rate of AAC technology in individuals with Motor Neuron Disease (MND)?

High acceptance rates, increasing with the advancement and commonality of AAC technology in society. Signup and view all the answers

What percentage of participants in Gutmann and Gryfe's study decided not to pursue AAC interventions?

27% Signup and view all the answers

Who prefers voice output systems more frequently, according to Gutmann and Gryfe's study?

Women Signup and view all the answers

What is required for operational competence with AAC systems?

Time, instruction, ongoing support, troubleshooting, and customization. Signup and view all the answers

How many hours of training should families of individuals with MND receive for AAC systems?

At least five hours. Signup and view all the answers

When should exploration of AAC options start for individuals with MND?

When speech slows to about 125 words per minute or when intelligibility is inconsistent in adverse listening situations. Signup and view all the answers

What is crucial for individuals with degenerative conditions like MND in terms of AAC systems?

Timely implementation of AAC systems. Signup and view all the answers

What does the late phase of AAC implementation focus on for individuals with MND?

Adapting and accommodating to changing communication needs and capabilities until the individual's death. Signup and view all the answers

What is preferred over eye-pointing boards or partner-assisted scanning for communication in the late phase for individuals with MND?

Eye linking. Signup and view all the answers

What percentage of participants used multiple communication supports for urgent or immediate needs in the late phase for individuals with MND?

91% Signup and view all the answers

What is Parkinson's disease characterized by?

Motor symptoms including tremors at rest, rigidity, bradykinesia, and postural instability. Signup and view all the answers

What has greatly impacted the natural course of Parkinson's disease in terms of medical treatment?

Introduction of levodopamine (L-dopa), improving mobility and independence. Signup and view all the answers

What are the two main areas of functional impairment in individuals with bulbar involvement in Motor Neuron Disease (MND)?

Rapid deterioration of speech and swallowing functions. Signup and view all the answers

What is the most common behavioral impairment associated with MND?

Apathy, along with other behavioral changes. Signup and view all the answers

What cognitive and behavioral changes can occur in some individuals with MND?

Frontotemporal dementia. Signup and view all the answers

What are the three phases of the AAC intervention model for individuals with MND?

Early Phase, Middle Phase, and Late Phase. Signup and view all the answers

What is crucial to monitor in the Early Phase of MND?

Speaking rate and intelligibility. Signup and view all the answers

What kind of assessments are recommended for Early Phase activities in MND?

Assessments of cognitive, motor, speech, and language capabilities. Signup and view all the answers

What are important options that should be informed early on for individuals with MND?

Voice banking and message banking. Signup and view all the answers

What are some AAC supports and activities for individuals with MND?

Message banking, synthetic voices, and AAC technology. Signup and view all the answers

What does the Middle Phase of the AAC evaluation process for MND involve?

The person's participation in specific evaluation activities. Signup and view all the answers

What should be the focus of the AAC intervention for individuals with predominantly spinal involvement in MND?

Natural speech supplemented with AAC. Signup and view all the answers

What does the Late Phase of MND involve in terms of AAC intervention?

Transition to more comprehensive AAC systems if natural speech is no longer meeting communication needs. Signup and view all the answers

What are the different stages and monitoring of speech performance in MND identified for?

Identifying stages and monitoring speech performance with a focus on natural speech supplemented with AAC. Signup and view all the answers

What are some factors that influence the communication needs of individuals with Parkinson's disease?

Social environment, physical impairments, and the effectiveness of spoken communication. Signup and view all the answers

What assessments are necessary prior to AAC intervention for individuals with Parkinson's disease?

Assessment of cognitive/linguistic, sensory/perceptual, and motor capabilities. Signup and view all the answers

What is the controversy regarding language abilities and dementia in individuals with Parkinson's disease?

Controversy exists regarding whether dementia is a feature of the disease, despite typically developed language abilities that support AAC interventions. Signup and view all the answers

What may interfere with AAC interventions in Parkinson's disease, and what may be required as a result?

Cognitive limitations may interfere with AAC interventions, requiring additional instruction and practice. Signup and view all the answers

Which impairments may affect AAC interventions in Parkinson's disease?

Motor control problems may affect AAC interventions. Signup and view all the answers

What constraints may pose challenges for AAC intervention in Parkinson's disease?

Resistance towards AAC intervention and hearing limitations of communication partners. Signup and view all the answers

What are some symptoms of traumatic brain injury (TBI)?

Symptoms include confusion, blurry vision, and difficulty concentrating. Signup and view all the answers

What are some treatments for traumatic brain injury (TBI)?

Treatment may involve rest, medication, and surgery. Signup and view all the answers

What does person-centered communication in health settings involve?

It involves ensuring access to communication tools, personally held health information, and collaborative communication with carers, spouses, and parents. Signup and view all the answers

What were the positive effects of AAC intervention in the ICU according to the SPEACS trial?

Significant increases in communication exchanges, AAC use, and success of communication about pain and other symptoms. Signup and view all the answers

What are the AAC goals for individuals with TBI in the early stages of recovery?

To increase consistency of responses and shape them into meaningful communication, using techniques tailored to the individual's neurologic involvement. Signup and view all the answers

What does assessment and intervention in the middle stage of recovery for individuals with TBI involve?

It involves choosing specific communication goals, compensating for attention and memory impairments, and supporting conversational interaction using non-electronic or limited AAC technology displays. 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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Description

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.