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Tuesday, June 7, 2016

COMMUNICATION CHALLENGES AFTER STROKE


               Aphasia is one of the communication disorders that a person can have after a stroke.
It affects comprehension,production of speech sounds,reading and writing.
Damage to left hemisphere can lead to aphasia.(depends on the dominant hemisphere)
                          It can be associated with dysathria,apraxia or dysphagia(difficulty in swallowing)

What cause aphasia?
                          Any damage to the brain can lead to aphasia
  • Stroke (most common)
  • Brain tumors
  • Traumatic bran injuries (cause by road traffic accident,gun shot...)
  • Infection 
What are the clinical features and symptoms ?

Patient will have difficulty to produce the next coming up word ,some of them answer with no connection to the question.
Unintened words or sound substitution ( Paraphaisa)
         it can be similar to the target word in terms of meaning  Ex: Chair for sofa, sister for wife  or can be a word from any of the person's known language (Neologism)
  • Naming/word finding difficulty
  • Fluency can be effected  (depend on the type of aphasia)
  • Repetition ( depend on the type of aphasia)
  • Memory,cognition and perceptual problems
  • Psychological problems


                               

                                  


Classification of Aphasia 
  • Broca's           
  • Trans cortical motor (TCM)
  • Isolation
  • Global
  • Wernicke's
  • Trans cortical sensory (TCS)
  • Conduction
  • Anomia                           
       
                                        Characteristics of a person with aphasia
          ( - ) = Effected    ( + ) = Normal

How to diagnose aphasia ?
 The speech language pathologist (SLP) evaluate the patient,with different tools including test materials to diagnose the type and the severity of the patient

Treatment available for patient with aphasia?
   yes,there are many types of treatments available for them but it all depends on the type and the severity of the patient.

Tips for the caregiver/family 

  • Get the attention of the patient
  • Speak in a slow rate 
  • Simplify your words
  • Give more time for the patient to speak  
  • Encourage the patient to talk,read,write
  • Have patience on you


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