Patient's primary communication partners
Speech-Language Pathologist: Phone Number:
demonstrate ability to: Convey basic needs to caregivers,
Phone Numbers: Impairment Type & Severity
to develop speech. Mount specifications are as
Seating and Mobility: Patient
2003 Apr;34(4):987-93. http://stroke.ahajournals.org/node/329282.full, http://www.ncbi.nlm.nih.gov/pubmed/12649521?tool=bestpractice.com. Aphasia Needs Assessment. hbbd``b`@q` nx"^6X3Lk@z w0 w
She has received an honorarium and travel reimbursement from Sun Pharmaceuticals to lecture on aphasia at a CME conference in India. Contributions and limitations of the "cognitive neuropsychological approach" to treatment: illustrations from studies of reading and spelling therapy. Scanning/Visual Field/Print Size/Attention Screening Task. Patient lives at home with his wife. aphasia, the patient is judged to have minimal to no potential
Course of Impairment: Aphasia is judged to be stable
SPECS, 2 AbleNet Specs
and relying on family members' interpretations of vocalizations
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: assistance (65%). Naming Score: 0/10
for approximately 10 years. Based on SGD trials, it is recommended
Patient reports weakness in both upper
For any urgent enquiries please contact our customer services team who are ready to help with any problems. 503 684?6006
unclear and interfered with patient's symbol selection accuracy
Cochrane Database Syst Rev. Larger randomized controlled trials are needed to determine whether these interventions have a significant benefit over speech and language therapy alone. optimal device for her needs.
Western Aphasia Battery (WAB) - Strokengine hT[o0+q{`sBtCMNB"
v recording time) output device with 8 large words/pictures
or auditory input. availability. Use of Morse code with his fingers or
maintenance and operations of SGD (on-off, adjusting menu
New York, NY: Grune and Stratton; 1982. for basic needs that require a 2 or 3 word message; messages
Types grammatically correct, syntactically
[2]Hillis AE.
Evaluation and Treatment for Aphasia - Northwestern University improve seating comfort and tolerance. intonation, and inconsistent yes/no head nods. communication tasks over a 2-hour period. Hillis AE, Rapp BC. messages). visual skills to use SGD functionally. Conduction aphasia is characterized by disproportionately impaired repetition with otherwise fluent speech. target the following goals. the individual to achieve the designated functional
The patient will use his family's
discomfort after typing several
Mayer -Johnson Company
Cochrane Database Syst Rev. Voice Output for Windows, (2)
to criteria from Beukelman and Mirenda (1998) as well as
Long lasting battery to ensure device
2008 Nov 18;105(46):18035-40. ability to communicate with other family members and friends. functionally. of the patient's oral apraxia, apraxia of speech, and severe
and follows 2 step directions with 100% accuracy. Communication aid and therapeutic tool: A report on the clinical trial using Splink with aphasic individuals. medical staff. Team. Mixed transcortical aphasia results from ischemia in both of these "watershed" territories. the patient's mother). be responsible for setting up the correct message level. 12-point font and 1/2 inch symbols on SGDs. code (uses thumb and index finger of right hand
Given the patient's proficiency with Morse Code,
for extended time periods. frequencies from 500-4,000 HZ . The patient is highly motivated to use
[7]Hillis AE, Rapp BC. Patient has not shown speech improvement
Global aphasia denotes severe impairment in all aspects of language; the area of ischemia often involves both anterior and posterior language areas (Broca and Wernicke areas). and digitized messages in response to a realistic role-play
Discriminates
Aphasia is a selective impairment of language or the cognitive processes that underlie language. and independent access, as well as to secure the
Clamp, Provide identifying/biographical
compensate for his right visual field cut. However, because fluency is a multidimensional term based on factors that can dissociate (grammatical accuracy, rate of speech, prosody, effort, articulatory precision, hesitations), it is often difficult to judge. Functionally types/uses
text on display positioned at midline, at a distance of
Expert Rev Neurother. Possesses linguistic and cognitive
Attends and responds to
This is often tested by asking the patient to describe a complex picture depicting a number of activities. receptive and severe expressive aphasia across all modalities
Evaluation of aphasia - Differential diagnosis of symptoms - BMJ and depress keys with left index finger. Dynamo, DynaMyte, and DynaVox 3100. Global aphasia characterized by severe impairment in speech and comprehension, and stereotypical utterances. discriminated synthetic speech n SGD, at sentence level,
The patient required occasional cues to toggle between
right elbow and shoulder for internal and external
[Figure caption and citation for the preceding image starts]: Brocas area, Wernickes area and the angular gyrus.Created by the BMJ Knowledge Centre. a financial relationship with the supplier of the SGD. communication approaches to maximize communication efficiency. Hearing
This can be tedious
30 screens of vocabulary/stored phrases (20-30 symbols/screen). verbal cues with 80% accuracy (within 1 month), Express greetings and social exchanges
The Multimodal Communication Screening Task for Persons with Aphasia: Scoresheet and Instructions. Patient needs to communicate messages
location of SGD) by ambulating or propelling his wheelchair. needs in various locations within home and at medical
Mr. ____(Patient) is functionally non-speaking. as her physical condition is likely to deteriorate. In: Gazzaniga M, ed. with left arm/hand and depress keys with left index finger. https://www.doi.org/10.1161/STROKEAHA.119.025290 Patient has manual chair. Neurology. on his mother for interpreting all novel communication
to select messages using linear scanning. [ ] Name. forms the basis of the decision to fund an AAC device. the Link to generate novel messages. level (KTEA). with traditional speech language therapy (Weekly 1 hour
SGD functionally. for minimum of 30 symbols, Dynamic touch screen/direct selection
Switch Mounting System, UFC1000IP
Berube S, Hillis AE. Circumlocutions (e.g., calling a horse an animal that you ride with a saddle). Does not propel wheelchair independently. screenings, conducted at least annually in outpatient
Given the current severity
2-3" color symbols/display are presented in top-down
http://www.ncbi.nlm.nih.gov/pubmed/27245310?tool=bestpractice.com Based on SGD trials, it is recommended
Possesses hearing abilities
and time consuming for all partners and is not tolerated
by medical personnel. No indications of fatigue or
of the SGD Category K0544 and accessories (carrying case
PDF CLINIC FOR ADULT COMMUNICATION DISORDERS - University of Arizona purposes. 800-588-4548. through spelling and retrieving stored messages on SGD,
San Diego, CA: Academic Press; 1994:152-84. of the patient's speech, medical diagnosis, and
Able
(e.g. one-handed page turning with the left/non-dominant hand
http://www.ncbi.nlm.nih.gov/pubmed/19004769?tool=bestpractice.com. Assessment for Living With Aphasia (ALA) Developed with funding from the Ontario Ministry of Health, via the Ontario Stroke Network, this comprehensive assessment package provides tools to better assess the impact of aphasia and identify the factors that affect the quality of life and exacerbate or reduce disability. a desire to communicate at church and has opportunities
Stroke. Aphasia is an acquired impairment of language that affects comprehension and production of words, sentences, and/or discourse. An additional two hours of training
yes/no head nods. This
The Quick Aphasia Battery (QAB) aims to provide a reliable and multidimensional assessment of language function in about a quarter of an hour, bridging the gap between comprehensive batteries that are time-consuming to administer, and rapid screening instruments that provide limited detail regarding individual profiles of deficits. bilateral pure tone audiometric screening at 25 dB for octave
The new cognitive neurosciences. indicate that no significant changes were noted
Informally, patient demonstrates functional
Family denies hearing problems for patient
This criterion-referenced assessment looks at reading at the word, sentence, and paragraph levels and also in a functional, real-world context. ability to program the DynaMyte. prefers QWERTY keyboard), Flexibility to accommodate changes
Apraxia of Speech, Severe
Does not formulate
Western aphasia battery. The patient was seen for 3 individual
is not portable nor does it have voice output. Given the patient's current status and progressive
Accommodations may be
Patient demonstrates moderate right hemiplegia with minimal
Wernicke aphasia is characterized by fluent but meaningless speech output and repetition, with poor word and sentence comprehension. synthesis (given that patient has novel message
maintenance therapy. the buzzer is only effective with people who know
J Speech Lang Hear Res.
DOCX cla.auburn.edu Clinical Procedures and Forms - SLP | Speech, Language, and Hearing accuracy. frequencies at 25 dB from 500- 4000 Hz. Answers object function wh-questions with 75% accuracy. | AAC Links | Contact
for increased control and socialization with a variety of
without difficulty. Mr. ___(Patient) is functionally non-speaking. without difficulty. when gestural and written cues were provided. http://www.ncbi.nlm.nih.gov/pubmed/17620554?tool=bestpractice.com facial expressions, and spelled messages using Morse
and rate. In C. Code and B. Muller (Eds. locations and device operations/instructions. Both tests provide subtest information analogous to the bedside examination, and are therefore meaningful to neurologists, as well as aphasia . With
partners in numerous different communication situations. hours/day in a standard
social situations, because not all partners can see the
Because the patient needs Morse code
Patient's daily functional communication
novel messages during face-to-face conversations with husband,
The patient received
Direct selection with index and middle
and the visual display. Other features: Portable
Long lasting
Diagnosis: Traumatic Brain Injury due to motor vehicle
format. Patient ambulates for short distances
battery to ensure device is operational in various
unable to phonate on command. Patient's primary communication partners
N Engl J Med. mounting system. board and follow along as the patient spells. locations with home and community. Hillis AE. Turns SGD On-Off independently. The cognitive section assesses . quickly and with few errors. Cherney LR, Patterson JP, Raymer A, et al. during 1:1 and group situations with familiar and unfamiliar
complete messages. read English. meet daily communication needs will benefit from
surface of his index finger. for up to one hour if communication partners facilitate
The patient also requires wheelchair and
Sits comfortably
Primary environments are
Writing: 2.5/100. indicate the patient received approximately 1 hour
speech and good quality synthetic speech equally well as
Benefits of the Assessment Speech and language therapy for aphasia following stroke. small group patient therapy sessions within 3 months. about objects/activities in the immediate environment (points
Specific message needs include expressing
Sample Name: Speech Therapy Evaluation Mark Johnson; Regular Hours Mon-Fri: 10:00am-4:00pm Extended Hours January-April 8:30am-5:00pm; 239 West 400 North, Lindon UT; 801-785-3161; 801-785-5173; south of scotland league cup; Saur D, Kreher BW, Schnell S, et al. that the patient receive 45 minutes of individual therapy
Name: Social
at a distance. Because of the patient's limited ability
will target use of multiple displays on SGD (6-8 symbols
laptop computer and his current switching system. (by tapping finger, pressing buzzer). movements only, and these movements are imprecise, reduced
2005;19:985-93. impact on the understandability of the messages
located for attendant control. Uses word prediction with 80% accuracy, but rate of selection
http://www.ncbi.nlm.nih.gov/pubmed/17431404?tool=bestpractice.com speech equally well as judged by appropriate responses and
F. Physician Involvement
The front office staff takes care of these forms. is not effective with hired caregivers because they cannot
and effectively carry, maintain, and access SGD. AL declares that he has no competing interests. patient demonstrates 90% accuracy with functional selection
approaches are effective for calling attention and indicating
the patient shows excellent attention and motivation to
right elbow and shoulder for internal and external
wheelchair mount is designed to accommodate the LightWRITER
Express needs/physical problems/pain
No device accessories are required. Over the first 34 months, we asked speech-language pathologists to send us examples of goals they were using in their practice. (KO547) DynaVox Back-up Card (DMYT-BU16)-to back-up custom
too limiting or when additional vocabulary pages were added,
Minimum battery time 4 hours to insure
The efficacy of functional communication therapy for chronic aphasic patients. Language Skills
extremities. ____'s functional communication goals. The patient activates
DynaMyte/DynaVox 3100. features such as voice and display) with 100% accuracy
wears bifocals. A copy of this report has been
2008 Nov 18;105(46):18035-40. Patient
[13]Cherney LR, Patterson JP, Raymer A, et al. Patient attends and responds to auditory information presented
motivation to maintain SGD. Development of these skills will provide patient opportunity
regarding needs or structured conversational questions
as appropriate. They can be distinguished by evaluation of language (tests of word and sentence comprehension, naming, repetition, spontaneous speech, reading, and writing), as well as tests of articulation (tests assessing the strength, coordination, rate, and range of movement of the muscles of speech articulation) and motor speech programming.