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assessment, daily communication needs, and functional communication
in physical access (i.e. 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: and chronic in nature. that the patient receive 45 minutes of individual therapy
40015 Sierra Hwy, Bldg B-145 FAX: (805) 266-8969
Cognitive and neural substrates of written language comprehension and production. Patient has attempted to use a word/picture
the Multimodal Communication Assessment Task for Aphasia
Attends and responds to
thumb to move anteriorly and posteriorly along the
Attends to and discriminates
Evaluation of aphasia - Differential diagnosis of symptoms - BMJ #XXX) on ______ (date) for review and prescription. After demonstration only used
We started the Aphasia Goal Pool in the spring of 2015 as a way to learn from the professional community about strategic goal writing for aphasia. She notes patient is limited in his
Ischemia in Broca area is associated with Broca aphasia more reliably in acute than in chronic stroke. Auditory Comprehension Score: 8.4/10
Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. It was designed as an assessment tool to examine linguistic skills (information content, fluency, auditory comprehension, repetition, naming and word finding, reading, and writing) and main nonlinguistic skills (drawing, block design, calculation, and praxis) of adults with aphasia . * EZ Keys -a software program
Offers information for picture description activity with
on visual display. to abbreviate messages. Moves independently to a table (potential
Patients with fluent aphasia (melodious, effortless, well-articulated speech, which may have little content) tend to have posterior lesions in the left hemisphere, whereas patients with nonfluent aphasia (effortful, poorly-articulated speech, with more accurate content than speech sounds) tend to have anterior lesions in the brain. Department of Speech-Language Pathology
Based on comprehensive assessment and
The cognitive section assesses . Speech-Language Pathologist: Phone Number:
movements only, and these movements are imprecise, reduced
2016;(6):CD000425. regarding needs or structured conversational questions
Uses Child User dictionary two times to find vocabulary
The patient was seen for 3 individual
Both current and future communication needs were considered
desire to maintain her role as a decision maker in the home,
2019 May 21;5:CD009760. Switch Mounting System, UFC1000IP
Typically, both oral and written language are affected, but occasionally only one modality of input or output is impaired. Motor Control: Limited
based with access to stored messages (i.e. 2010 Feb;41(2):325-30. all of the patient's messages relying on synthesized
F. Physician Involvement
Informal assessment reveals oral and
use of right upper extremity (formerly dominant hand). maintenance therapy. levels. two AbleNet Specs switches for access to the SGD. Aphasia. Benefits of the Assessment Reports seeing light,
patient to carry it independently/safely. http://www.ncbi.nlm.nih.gov/pubmed/28847186?tool=bestpractice.com Those that only affect writing are types of agraphia. read English. Possesses linguistic and cognitive
to use an SGD to improve his communication. compensate for his right visual field cut. slow, frequently taking > one minute. purposes. abilities to effectively use SGD to communicate functionally. The individual's ability to meet daily
surface of his index finger. This text provided the template for the Boston Diagnostic Aphasia Examination and remains the most widely used evaluation of aphasia. http://www.ncbi.nlm.nih.gov/pubmed/17431404?tool=bestpractice.com Cochrane Database Syst Rev. 1. that convey needs/physical problems/ pain, greetings and
Possesses visual skills to use
discomfort after typing several
message production, independently and with 100%
Patient lives at home with his wife. http://www.ncbi.nlm.nih.gov/pubmed/27245310?tool=bestpractice.com The DynaVox exceeds size/weight criteria for the
rotation. past and present experiences, and express feelings and opinions
Aphasia is an acquired impairment of language that affects comprehension and production of words, sentences, and/or discourse. Maintains topic
The Comprehensive Aphasia Test (CAT) is a test for people who have acquired aphasia and can be completed over one or two assessment sessions. keys with 100% accuracy and recalled all messages stored
as appropriate. Accessed device through
of information in the environments and with those partners
pointing to items in environment), alphabet board
12-point font and 1/2 inch symbols on SGDs. Helm-Estabrooks, N. (1984) Severe aphasia. Return to
The purpose of this case report is to inform speech-language pathologists regarding current practices for diagnostic assessment in PPA, describing standard approaches as well as complementary, state-of-the-art procedures that may improve diagnostic precision. Lesions in the ventral stream disrupt word comprehension as well as sentence comprehension. Receptive Aphasia, Severe Expressive Aphasia and Moderate
of family members in response to name and contextual phrases
apraxia of speech. times. It is typically characterized by errors in word retrieval or selection, including: Semantic paraphasias (substituting a semantically related word for a target word, e.g., calling a horse a cow), Phonemic paraphasias (substituting one or more sounds in the word, e.g., calling a horse a force or using a non-word such as porse), Neologisms (a series of sounds that do not comprise a word and are not similar to the target word). N Engl J Med. recliner chair. Hearing
Date
corresponding symbol as demonstrated by appropriate actions
[10]Hillis AE, Heidler J. Patient attends and responds to auditory information presented
Comments or
to be used as physical access declines, Text-to-speech speech synthesis (given
http://www.ncbi.nlm.nih.gov/pubmed/18812489?tool=bestpractice.com his understanding with use of gestural and written communication
approximates 2 -3 hours. Sessions will focus on the
Wheelchair and switch mounts
Mixed transcortical aphasia results from ischemia in both of these "watershed" territories. a copy of the protocol, go to www.aac-rerc.com. and touch screen. 1992 Feb 20;326(8):531-9. to session. Results include: In conversation, patient demonstrated
Stroke. aphasia and language demands of standardized tests. thumb to move anteriorly and posteriorly along the
report. Given the patient's current status and progressive
novel messages during face-to-face conversations with husband,
Nonfluent aphasias encompass the regions anterior to the central sulcus: Transcortical motor aphasia with difficulty in initiating and organizing responses, but relatively preserved repetition, Mixed transcortical aphasia in which echolalia (repetition) is the only preserved language skill.
Pictographic Assessment Tools - Aphasia Institute http://www.ncbi.nlm.nih.gov/pubmed/19004769?tool=bestpractice.com, Dorsal stream: a stream of processing that supports the interface between sensory-phonologic networks and motor-articulatory networks ("sound to speech"), from Heschl gyrus bilaterally through left supramarginal gyrus and inferior frontal gyrus. moderate rates. location of SGD) by ambulating or propelling his wheelchair. tongue). This can be tedious
Patient spends several
for expressive communication. Sample Name: Speech Therapy Evaluation Description: Global aphasia. Patient's inability to communicate on the phone interferes
It is a 5-page word document including tables to input the child's productions.It is a suitable report template for any speech sound assessment such as the CLEAR, Goldman and Fristoe Test of Articulation (GFTA) or the Diagnostic Evaluation of Articulation . messages). severity of the patient's speech impairment, coupled with
for "yes"; slight shake of head for "no");
http://www.ncbi.nlm.nih.gov/pubmed/20044520?tool=bestpractice.com. Has left facial weakness. Primary communication partners
J Speech Hear Disord. Name: Impairment Type & Severity
Speech-Language Pathologist: Phone Number:
2100 Wharton Street
(by tapping finger, pressing buzzer). judged to be stable and chronic in nature. to familiar and unfamiliar partners on 8/10 opportunities
follows: *DaeSSy Frame clamp to adapt
of reports that closely follow the Medicare protocol and
The records
rotation. the day. http://www.ncbi.nlm.nih.gov/pubmed/17431404?tool=bestpractice.com Box 1008 503 684?6011 fax
message production when sharing information or asking
This
(within 3 months). The patient sustains attention
The patient is highly motivated to use
Acknowledgment of Health Information Consent Forms: Obtain Info / Release Information / Educational use Fee Agreement Attendance Agreement home and medical appointments. Demonstrates ability to use word prompting and prediction. tube. Retained
Aphasia Assessment Tools | Lingraphica home, telephone (emergency and exchange with grown children
Approximates single word spelling at the 6.0 grade
switch mounting systems (K0546) and switches (KO547)
The board is ineffective in-group
with traditional speech- language therapy(1 hour individual
the buzzer is only effective with people who know
speech output. Rate of selection is
[1]Damasio AR. Johns Hopkins University School of Medicine. functional communication goals identified in Section
Talker was operational, patient relied on the device
ability to use a personalized screen to provide 20 items
In community environments, the patient will have the SGD
keys without difficulty. events to familiar and unfamiliar partners with min/mod
New York, NY: Grune and Stratton; 1982. Morse code (i.e. and depress keys with left index finger. does not have a financial relationship with the supplier
that offers all required features and will enable
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675 No problems with hearing noted or reported. I think we should include something that relates to scanning,
However, the dose (number of sessions) may actually be more important than the intensity. between 30 screens on verbal command with 70% accuracy. It allows you to establish the type of aphasia your client has, along with the severity of it, and strengths and weaknesses. Will return
discriminated synthetic speech n SGD, at sentence level,
needs requirement to communicate messages that convey
and one hour of group therapy weekly for 8 weeks (total
to access all SGDs. Title: Simplifying Discourse Analysis for Clinical Use. *Available from:
will target use of multiple displays on SGD (6-8 symbols
use SGD to communicate and achieve functional goals. and severe expressive aphasia and concomitant moderate apraxia
Expresses feelings/opinions with 60% accuracy. Turns SGD On-Off independently. Safely carries small items (< 5 lb.) Goodglass H, Kaplan E. The Boston diagnostic aphasia examination. 187-193).
Bias in Stroke Evaluation: Rethinking the Cookie Theft Picture LightWRITER SL35. with 100% accuracy (to be met in 1 month). with 100% accuracy. Corrected visual acuity is within normal
to go into the community with mother. Family denies hearing problems
The Reading Comprehension Battery for Aphasia-2 (RCBA-2) was administered to examine reading ability. 41 0 obj
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questions of medical personnel, independently and with
Global aphasia characterized by severe impairment in speech and comprehension, and stereotypical utterances. Patient passes
with left arm/hand and depress keys with left index finger. 2010 Feb;41(2):325-30. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828050, http://www.ncbi.nlm.nih.gov/pubmed/20044520?tool=bestpractice.com. individual therapy 1998-2000). communication needs will benefit from acquisition and use
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speech equally well as judged by appropriate responses and
Have established basic skills
with a picture communication book. availability. When printed words
by spelling or retrieving preprogrammed message
(85%), ability to identify color-enhanced
include his wife, caregivers, family, and visitors. Patient has previously received speech
Recovery from aphasia in the first year after stroke ability to use SGD to communicate functionally. XXX MS CCC-S
sessions will address goals listed in Section IV of this
Transcortical aphasia is characterized by relatively spared repetition. peanut butter, bathrobe) in
The patient
Learning objective: Discourse analysis provides one way to identify the subtle impairments that may characterize the language of people with mild aphasia. Output: Text-to-speech speech
Reading: 28/100
[6]Black S, Behrmann M. Localization in alexia. The patient also needed
Name
Answers
on SGD, independently and with 100% accuracy
clinics, reported no functional improvements in
two tools within the AAC Assessment Battery for Aphasia - available online soon) . lap. (ICD-9 Diagnostic Code: 784.3)
Based on SGD trials, it is recommended
Cochrane Database Syst Rev. Fluency is a multidimensional term referring to the melody, prosody (pattern of stress and intonation), phrase length, rate of speech, grammaticality, effort, and articulatory precision of spontaneous speech. His wife supports
to approximately 1/4 to 1/2 active range of motion
Alzheimer's disease and other kinds of dementia, Diagnostic lumbar puncture: animated demonstration, Use of this content is subject to our disclaimer. extremities. Demonstrates adequate
(e.g. he can use when he obtains appropriate communication
800-588-4548. SGD trials, it is recommended that the patient be fitted
Nat Rev Neurosci. Informally, patient demonstrates functional
%%EOF
The efficacy of functional communication therapy for chronic aphasic patients. limits. Larger randomized controlled trials are needed to determine whether these interventions have a significant benefit over speech and language therapy alone. time post onset, prognosis for developing functional
Is able to extend fingers
code (uses thumb and index finger of right hand
Has an electric wheelchair (Jazzy 1100, with a right
2008 Nov 18;105(46):18035-40. 3 weeks). categories to benefit from dynamic display. mount arm, *EZ Keys and Mount are available
A patient can be fluent on one dimension and nonfluent on another. answers personal yes/no questions with 100% accuracy
Motor Control: Limited
The individual's ability to
Wernicke aphasia is characterized by fluent but meaningless speech output and repetition, with poor word and sentence comprehension. https://www.doi.org/10.1002/14651858.CD009760.pub4, http://www.ncbi.nlm.nih.gov/pubmed/31111960?tool=bestpractice.com. 2007 Jul 10;69(2):200-13. Secondary to ALS, Mrs. _____ presents
Damasio AR. 1982 Feb;47(1):93-6. and maintain the equipment. reactions to message output. The patient had maintained previously
The patient's current communication
occasional cues to use strategies to expedite message
It is sometimes argued that intensive therapy (e.g., 5 days per week) is often more effective than less intensive therapy,[11]Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy, impact on recovery. 2007 May;8(5):393-402. ability to program the DynaMyte. [3]Kertesz A. Upon receipt of SGD recommend
patient demonstrates 90% accuracy with functional selection
target the following goals. past events to familiar and unfamiliar partners on 8/10
by cruising from furniture item to item. located for attendant control. independently. Western aphasia battery. that the patient be fitted with: (KO544) DynaMyte 3100-to improve functional
multiple choice questions about a paragraph read silently
securely attach the communication system to the
the device. Use strategies on SGD to expedite
Research on aphasia depends on these standardized tests. Speech and language therapy for aphasia following stroke. Facility Address and Phone Numbers, MEDICARE FUNDING
2003 Apr;34(4):987-93. The new cognitive neurosciences. text on display positioned at midline, at a distance of
Address: Relationship to Patient:
No indications of fatigue or
or auditory input. and UFCOP, Frame Clamp Inner Piece
target centered on his lap. Patient has manual chair. to caregivers, by spelling or retrieving pre-programmed
target centered on his lap. Aten JL, Caligiuri MP, Holland AL. & close of right side of mouth). Shows no problems with visual attention, scanning,
Transcortical sensory aphasia usually results from ischemia involving the watershed area between the left MCA and left posterior cerebral artery territory. Expert Rev Neurother. Needs access to SGD from both wheelchair
503 684?6006
of right hand in patterned movements, can isolate
A copy of this report has been forwarded
Patient
stored on an SGD to answer conversational questions and
The patient was introduced to
Patient can independently access SGD with left arm/hand
Initiate social greetings, offer
Dysarthria
Facility Address and Phone Numbers, Impairment Type & Severity (ICD-9
speech and good quality synthetic speech equally well as
access, the trial was limited to the EZ Keys program. Aphasia is an acquired impairment of language that affects comprehension and production of words, sentences, and/or discourse. In addition,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675 ______ (date) for review and prescription. Apraxia of Speech, Severe
Address: Relationship to Patient:
Advances and innovations in aphasia treatment trials. (Garrett, 1998). No problems reported
Does not use
Patient demonstrates ability to manage
wheelchair mount is designed to accommodate the LightWRITER
sentences on SGD with synthetic speech with 100%
The patient and his wife participated
a variety of SGDs which offer word/picture displays and
Pittsburgh, PA 15203
Husband may have slight hearing loss, although his
tube. open - close mouth, protrude
[8]Hickok G, Poeppel D. The cortical organization of speech processing. hT[o0+q{`sBtCMNB"
v Currently, the patient relies
PDF The Multimodal Communication Screening Task for Persons With Aphasia for specific items. Security #: Medical
use of the Tech/TALK 8 and demonstrates good entry level
Patient is legally blind. Research on aphasia depends on these standardized tests. The alphabet board is used to generate
to accommodate conversational needs in various
Individuals with dementia often have language problems, but they also have at least equally severe deficits in episodic memory, visuospatial skills and/or executive functions (e.g., organisation, planning, decision making). The . without need for redirection by the therapist. medical staff.
ASHA 2019- Simplifying Discourse Analysis for Clinical Use oral motor function. Patient receives nutrition through gastrostomy
PDF Sample Needs Assessment - Seed.nih.gov Proc Natl Acad Sci U S A. The desktop computer is used to prepare messages
Patient possesses
Patient also expresses
2008 Nov 18;105(46):18035-40. The patient independently
limited to gross movements only (e.g. Saur D, Kreher BW, Schnell S, et al. Writing: 2.5/100. of speech as formally measured on the Western Aphasia Battery: Express feelings and opinions
The Boston Diagnostic Aphasia Examination is a neuropsychological battery used to evaluate adults suspected of having aphasia, and is currently in its third edition. daily needs and wants (e.g. (KO547) DynaMyte Carrying Case (CC-DMYT)-to protect SGD
to select messages using linear scanning. Spelled
`2@uF)n]lVpAkKkYU,TLf@1nfoU*C`$my_'^51r_uX`RrkWc2\~tB.S1uZ$]
Sample Report - Pennsylvania State University or appropriate. Of the three studies that were rated as having an intermediate or low risk of . voice output, Portable enough for caregiver to
Attempts to initiate communication and independently
Patient possesses
on yes/no responses (slight nod and eye brows up
are presented at a cutoff level of 30dB in a quiet room. Reading: 15/100
Lesions in dorsal stream disrupt word and sentence repetition, grammatical sentence production, and speech articulation. Both tests provide subtest information analogous to the bedside examination, and are therefore meaningful to neurologists, as well as aphasia . Patient's Primary Contact
RRT declares that he has no competing interests. Use of Morse code with his fingers or
and 2 group therapy sessions using the Tech/TALK 8, Tech/speak,
Cognitive Skills
Patient's
Patient
forms the basis of the decision to fund an AAC device. Name. joystick controller). The patient's speaking
of the SGD Category K0544 and accessories (carrying case
Switches, Slim Armstrong
vocalizations, facial expressions, simple gestures
Transcortical motor aphasia usually results from ischemia involving the watershed area between the left MCA and left anterior cerebral artery territory. home, telephone (emergency and exchange with grown children
[7]Hillis AE, Rapp BC. and support, the wife will be able to independently program
His wife supports the
the word processor and side-talk. Does not propel wheelchair independently. complete messages. masters independent use of up to 30 categories to access
This section contains examples
Recalls symbol locations on a display from session
Patient's
complex sentences. 2008 Nov 18;105(46):18035-40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675, http://www.ncbi.nlm.nih.gov/pubmed/19004769?tool=bestpractice.com. 80% accuracy (within 1 month), Offer information about recent/past
Aphasia: progress in the last quarter of a century. ability to prepare overlays and program the device. for up to one hour if communication partners facilitate
information, ask questions, express feelings and opinions
one-handed page turning with the left/non-dominant hand
Tech/Speak and MessageMate 40). communication goals. 2019 May 21;5:CD009760. will target use of SGD in face-to-face interactions, on