KEY CONCEPTS
sources of referral - ANS ✔✔neurologists (post-stroke), cardiac surgeons, physiatrists, social
workers, doctors, nurses, OT/PT
typical diagnosis - ANS ✔✔left MCA, dehydration, subdural hematoma, possible CVA (without
imaging determination), psychiatric, vague physician orders
settings persons with aphasia may be in - ANS ✔✔home health, acute care, step-down units, in-
patient rehab, outpatient clinics, SNFs, long-term acute care
A-FROM (living with aphasia framework for outcome measurement) - ANS ✔✔looking at the
bigger picture because aphasia shouldn't be treated for the impairment but thinking beyond
impairment as well (i.e., participation, activity limitation, etc.)
purpose/expectations of assessments - ANS ✔✔-diagnose, type of aphasia, measurement and
functional communication, treatment guidelines , document progress, gather information to
counsel family/patient, success and failure behavior, prognosis
diagnose
(purpose/expectations of assessments) - ANS ✔✔provides a label for the behaviors to give SLPs
treatment options as well as a "title" to communicate with other professionals, family members,
and persons with aphasia, it also provides a tool to find information and direction to learn more
about what SLPs treat, insurance reimbursement
type of aphasia
(purpose/expectations of assessments) - ANS ✔✔provides directions for research and a "label"
to learn more, provide more information, etc.
,measure functional outcome
(purpose/expectations of assessments) - ANS ✔✔knowing what is working for the person with
aphasia in their environment to help with communication success; insurances also like to know
that client is improving
treatment guidelines
(purpose/expectations of assessments) - ANS ✔✔when assessing, the label provides SLP with
direction to find treatment options; classification of persons with aphasia
document progress
(purpose/expectations of assessments) - ANS ✔✔important to document all assessment to view
progress; important for insurance purposes; allows family to see progress
gather information to counsel family/patient
(purpose/expectations of assessments) - ANS ✔✔after giving assessment, SLP can tell the
family/person with aphasia what is going on; what factors will contribute to recovery
success and failure behavior
(purpose/expectations of assessments) - ANS ✔✔provides information about what the patient's
strengths are and how can we use those strengths to help their weaknesses; how does patient
react when succeed/fail?
prognosis
(purpose/expectations of assessments) - ANS ✔✔knowing the principles of neuroplasticity and
recovery that could possible happen; SLPs need to highlight that aphasia is a long race and road
to recovery
basic biographical information - ANS ✔✔age, perferred name, address/location in relation to
clinic, spouse/family (support system)
, educational history - ANS ✔✔how much education does patient have? important to give SLP
info for baseline, neuroplasticity (if young), teachability, language usage, level of grief
(depending on occupation)
occupational history - ANS ✔✔makes functional outcomes easier when determining goals,
knowing their past job and where they want level of function they want to return to (similar to
educational history)
personality characteristics - ANS ✔✔Knowing if the patient was an extrovert/verbose or
introvert/quiet, if the patient was easily frustrated or angry pre-stroke - influences the patient's
response to therapy
medical history - ANS ✔✔may not have medical chart, comorbidities may exist when patients
are older
home language practices - ANS ✔✔native english speaker or bilingual, assessments done in
their native language through translator, different recovery courses in language(s)
opinions/social interaction - ANS ✔✔communication partner may be talking for them, family
and patient understanding of what aphasia is, cultural/religious beliefs surrounding SLP medical
care/rehabilitation
2 ways to collect data (method of assessment) - ANS ✔✔traditional testing, authentic
assessment
traditional testing (method of assessment) - ANS ✔✔standard language tests, special tests that
look at certain modalities