Global Aphasia

Global Aphasia and Therapeutic Recreation

1. Aphasia Global Aphasia By: Chantal Comeau & Radhika Dave

2. What is global aphasia? Aphasia- “An impairment of language that affects the production or comprehension of speech and the ability to read or write”. Global Aphasia- “When a stroke affects an extensive portion of the front & back regions of the left hemisphere. Typically those with Global Aphasia have symptoms of both Wernicke (Temporal Lobe) & Brocca (Frontal Lobe) Aphasia, which can cause severe problems with all aspects of communication as they have difficulty speaking, comprehension & writing”.

3. Symptoms Difficulty understanding and forming words & sentences Difficulty reading and comprehending words & meanings Paralysis of right side of body Some lost of vision Some lost of voluntary control of limbs Difficulty pronouncing certain sounds & words Difficulty controlling mouth, tongue & voice box

4. Diagnosis/Assessment tools Doctors/Neuropsychologists Speech and language evaluation Brain imaging Neurological examinations Treatments with SLP who collaborate with multi-disciplinary health care team (TR, RN, OT, PT, PSW)

5. Case study Barbara Letts, aged 58, suffered a stroke and acquired global aphasia. Her family needing respite brought her to the Mackenzie Health Adult Day Program in order to socialize and participate in activities with fellow peers. She has become frustrated due to her new limitations therefore a TR has suggested the relaxation and stress technique, group exercise and sensory stimulation activity.

6. Interventions/treatment plans Relaxation and S tress Techniques Sensory stimulation : Arts and Music Team collaboration: Current Events Coaching/Facilitating Group Exercise Games & Activates

7. Evaluations Observation (summative & formative) Formal/Informal interviews with clients Questionnaires (family members/friends) Non-standardized/ standardized assessments conducted 1:1 with clients after sessions Likert scales( clients with non-fluent aphasia)

8. TR guidelines Select the appropriate model to match with the client’s needs. Abide by the ethical principles within TRO. Pay heed to the core values and principles within TR. Focus on desires, needs and strengths of the client and not their deficits. SMART Goals

9. References American speech language and hearing association . ( n.d. ). Retrieved from ( n.d. ). Retrieved from http :// www.asha.org /public/speech/disorders/Aphasia/ Aphasia prevention . ( n.d. ). Retrieved from http://www.thirdage.com/hc/c/ aphasia- preventionAhasiaprevention Brain and nervous system health center . ( n.d. ). Retrieved from http:// www.webmd.com /brain/aphasia -causes-symptoms-types-treatments Diagnosis of primary progressive aphasia ( ppa ) . (2013, september 17). Retrieved from http :/ / www.brain.northwestern.edu /dementia/ ppa / diagnosis.html Farlex . ( n.d. ). Retrieved from www.medical-dictonary.thefreedictionary.com / aphasia

10. references The national aphasia association . ( n.d. ). Retrieved from http://www.aphasia.org/Aphasia Facts/ aphasiafacts.html Kean, M. ( n.d. ). Brocca and wernicke's aphasia . Retrieved from www.rohan.sdsu.edu /~gawron/intro / course_core /lectures/ aphasia_cases_slides.html Kunstler, R., & Daly, F. (2010). Therapeutic recreation leadership and programming . United States: Human Kinetics . Retrieved from http:// www.humankinetics.com Post-stroke rehabilitation fact sheet. (2013, june 18). Retrieved from http :/ /www.ninds.nih.gov/ disorders /stroke/ poststrokerehab.htm Therapeutic recreation directory . ( n.d. ). Retrieved from http://www.recreationtherapy.com/tx / txsensor.htm The internet stroke center . ( n.d. ). Retrieved from www.strokecenter.org/patients/caregiver-and-patient - resources /aphasia-information/