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CD: Adult Language Impairments Part 1
Week 10: CH 7
45
Other
Undergraduate 3
12/04/2009

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Term
Aphasia is the result of this.
Definition
localized brain damage.
Term
Severity of aphasia is based on these things.
Definition
cause of disorder, location and extent of brain injury, age of the injury, and general health of client.
Term
Aphasia can affect these modalities.
Definition
 Listening, speaking, reading, writing, and/or related language functions (e.g., arithmetic, gesturing, telling time, counting money, interpreting environmental noises
Term
Aphasia affect how many people in the U.S.?
Definition
aprox.1 million
Term
What are the deficits and characteristics of aphasia?
Definition
reduced vocabulary, omission or addition of words, stereotypic speech, delayed or reduced output of speech, hyperfluent speech, language comprehension deficit.
Term
Physical deficits that accompany aphasia.
Definition
hemiparesis, hemiplegia, hemisensory impairment, hemianopsia, dysphagia, epilepsy, tonic-clonic (unconsciousness); petit mal/psychomotor (loss of motor control but conscious)
Term
Define: hemiparesis
Definition
weakness on one side of the body
Term
Define: Hemianopsia
Definition
Blindness in right visual field of each eye
Term
Expressive language deficits that accompany aphasia
Definition
Agnosis, Agrammatism, Agraphia, Alexia, Anomia, Jargon, Neologism, Paraphasia, Verbal Stereotype
Term
Define: Agnosia
Definition
sensory deficit accompanying some aphasias that make it difficult for the client to understand sensory information; may be specific to auditory or visual information
Term
Define: Agrammatism
Definition
Omission of grammatical elements such as articles and prepositions, morphological endings (-ing, -es)
Term
Define: Jargon
Definition
meaningless or irrelevant speech with typical intonational patterns. Often long and syntactically correct although containing nonsense.
Term
Define: Neologism
Definition
A new or novel word that does not exist in the client's language.
Term
Define: Paraphasia
Definition
Word substitutions found in speech which is fluent and grammatic.
Term
Define: Agraphia
Definition
Writing is full of mistakes and poorly formed; unable to write what the are going to say; agrammatism, argon and neologisms may be present.
Term
Define: Anomia
Definition
Difficulty naming entities; know what they want but can't find the word to name it.
Term
Define: Verbal Stereotype
Definition
An expression repeated over and over; may be an obscene word or neologism.
Term
Characteristics of fluent aphasia?
Definition
Typical rate, intonation, pauses, and stress patterns; suffers from word substitutions, neologisms, verbose
Term
Types of fluent aphasia.
Definition
Wernickes' Aphasia, Anomic Aphasia, Conduction Aphasia, Transcortical Sensory Aphasia, Subcortical Aphasia
Term
What Type of fluent aphasia has the following characteristics: 1) fluent or hyperfluent speech, 2) poor auditory and visual comprehension, 3) verbal paraphasia or unintended words and neologisms, 4) sentences formed by strings of unrelated words, 5) mild to severe impairment naming and imitative speech
Definition
Wernicke's Aphasia
Term
Characteristics of this fluent Aphasia: 1) Severe anomia in both speech and writing, 2) fluent spontaneous speech marred by word retrieval difficulties, 3) mild-moderate auditory comprehension problems
Definition
Anomic Aphasia
Term
Characteristics of this fluent aphasia: 1) Anomia, 2) mild (if any) auditory comprehension impairment, 3) extremely poor repetitive or imitative speech, 4) paraphasia
Definition
Conductive Aphasia
Term
Characteristics of this type of aphasia: 1) unimpaired ability to repeat or imitate words, 2) verbal paraphasia or word substitutions, 3) lack of nouns and severe anomia, 4) poor auditory comprehension
Definition
Transcortical Sensory Aphasia
Term
Characteristics of this fluent aphasia: 1) fluent expressive, 2) paraphasia and neologisms, 3) repetition unaffected, 4) auditory and reading comprehension relatively unaffected
Definition
Subcortical Aphasia
Term
These are the characteristics of a nonfluent aphasia.
Definition
Slow labored speech; struggle to retrieve words and form sentences; site of lesion in/near the frontal lobe
Term
What are the three nonfluent aphasias?
Definition
1) Broca's Aphasia, 2) Transcortical Motor Aphasia, 3) Global or Mixed Aphasia
Term
Characteristics of this nonfluent aphasia:1) short sentences with agrammatism, anomia, problems with imitation of speech, slow labored speech and writing, 5) articulation and phonological errors
Definition
Broca's Aphasia
Term
Characteristics of this nonfluent aphasia: 1) impaired speech, 2) good verbal imitative skills, 3) mildly impaired visual and auditory comprehension
Definition
Transcortical Motor Aphasia
Term
Characteristics of this type of nonfluent aphasia: profound language impairment in all modalities, 2) imitative speech and naming affected, 3) auditory and visual comprehension limited to single words or short phrases
Definition
Global or Mixed Aphasia
Term
Of the 1/2 million Americans that suffer a stroke each year, how many become aphasic?
Definition
80,000
Term
Define: Stroke
Definition
the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain.
Term
Describe: Ischemic Stroke
Definition
Complete or partial occlusion of the arteries
Term
Describe stroke by Cerebral arteriosclerosis
Definition
thickening of the cerebral arteries; elasticity lost; walls week; blood flow restricted
Term
Describe stoke by Embolism
Definition
obstruction to flow due to a traveling blood clot
Term
Describe stroke by thrombosis
Definition
plaque build up or blood clot formed at site; does not travel
Term
Describe stroke by hemorrhage.
Definition
burst blood vessel
Term
Describe stroke by aneurysm
Definition
saclike bulge in weakened artery wall
Term
Describe stroke by Arteriovenous Malformation
Definition
poorly formed tangle of arteries and veins in brain; weak walls ma burst under pressure
Term
Risk factors associated with stroke?
Definition
smoking, alcohol use. poor diet, lack of exercise, high blood pressure, high cholesterol, diabetes, obesity and history of strokes
Term
What is the most common type of stroke?
Definition
ischemic
Term
What are indicators that you have had a stroke?
Definition
loss of consciousness, headache, weak or immobile limbs, slurred speech
Term
What does TIA stand for?
Definition
Transient Ischemis Attack, Ministrokes that may precede a major stroke
Term
Some Lifespan issues associated with a stroke?
Definition
hospitalization, 1/3 mortality rate, acute care , aphasia and neuromuscular deficits, perseveration, disinhibition, exaggerated mood swings, isolation & dependency
Term
Assessment for Aphasia
Definition
1) Medical history, 2) Interview client and fam, 3) oral peripheral exam, 3) hearing test, 4) speech and language observation and testing
Term
Testing for Aphasia
Definition
1) All areas of language; 2) reading, writing, auditory comprehension, expressive language, gestures and nonlinguistic communication; across all 5 aspects of language; higher functioning, interpretation of client behavior
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