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AAC for Aphasia

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AAC for Aphasia Contour of a conversation Greetings Small talk Information sharing Wrap-up and farewell statements Communication patterns of elderly persons Negative ... – PowerPoint PPT presentation

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Title: AAC for Aphasia


1
AAC for Aphasia
2
Contour of a conversation
  • Greetings
  • Small talk
  • Information sharing
  • Wrap-up and farewell statements

3
Communication patterns of elderly persons
  • Negative image
  • Slower word recall.
  • More ambiguous noun usage.
  • Reduced variability in production of verb tenses
    and syntactic structures.
  • Smaller active vocabularies.

4
  • Positive perspective To attribute the age
    difference to variations in
  • Social roles
  • The contexts in which people live and interact.

5
Communication patterns of elderly persons
  • Small talk proportion
  • Young adults 40
  • Elderly 65-74 31
  • Elderly over 75 26

6
Communication patterns of elderly persons
  • Storytelling proportion increases with age.
  • Elderly adults tell stories
  • To transfer cultural traditions.
  • To instruct younger individuals.
  • To establish social members with peers.

7
Communication patterns of elderly persons
  • Time-frame
  • 65-74 over 75
  • Future 13 10
  • Present 48 45
  • Past 39 45

8
Communication patterns of elderly persons
  • People and activities
  • Women talk about 65-74 over 75
  • Family 28 less
  • Friends 13 more

9
Communication patterns of elderly persons
  • People and activities
  • Elderly talk about
  • Games 6
  • Food 8
  • Household relationships 6
  • Work 5
  • Family life 4

10
Roles of AAC
  • Replacing
  • Supplementing
  • Scaffolding
  • Natural speech

11
AAC techniques across severity range
  • Lindblom (1990) model of communication mutuality
  • A triangle
  • The vertical axis information provided through
    speech only.
  • The horizontal axis information provided from
    AAC techniques.

12
AAC techniques across severity range
  • Mild aphasia
  • Typically rely on speech, yet experiencing anomia
    or word retrieval difficulty.
  • May need a word list to read or to be read for
    cuing.

13
AAC techniques across severity range
  • Moderate aphasia
  • AAC can support (supplement or replace) residual
    speech and enable delivery of more comprehensive
    messages.
  • Using gestures
  • Pointing to an item in a remnant book
  • Writing words
  • Drawing pictures

14
AAC techniques across severity range
  • Severe aphasia
  • Little speech and more relying on AAC and a
    supportive partner
  • Using picture or photograph books,
  • Referring to maps,
  • Drawing simple pictures or diagrams,
  • Using physical space.

15
AAC techniques across severity range
  • Receptive impairment
  • To help aphasic individual grasp a topic of
    conversation
  • Point to pictures, maps, objects,
  • Use gestures,
  • Draw simple pictures or diagrams.

16
Attitudes toward AAC use
  • Lasker (1997)
  • Three groups listened to an aphasic telling
    stories using
  • Unaided natural speech,
  • digitized speech output device,
  • A communication notebook.

17
Attitudes toward AAC use
  • Most competent, most effective, most
    understandable comfortable and willing to
    interact digitized speech output.
  • Least competent, least effective, least
    understandable unaided natural speech.

18
Attitudes toward AAC use
  • The most preferred system
  • Digitized speech output 60 peers 33 SLP 37
    family.
  • Natural speech 46 SLP family 43.
  • The least preferred system
  • Natural speech 77 peers 17 SLP family 33.

19
Specific AAC techniques
  • Written choice communication
  • Gestures
  • Remnant books
  • Electronic devices
  • Drawing for expression
  • Partner drawing
  • Communication book

20
Specific AAC techniques
  • Alphabet board
  • Word dictionary
  • Picture/photo dictionary
  • Instruction card for listeners
  • Rating scales
  • Eye gaze
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