10 - Goal Setting Considerations

Question 1

What do we need to focus on when writing goals for aphasia?

Answer 1

Language domains and function

Question 2

What five things do we need to specify when writing goals for aphasia?

(5)

Answer 2

Language domain

Duration

Specific environment (environmental compensation or control)

Level of supervision

Level of “verbal” cuing

Question 3

What are five different Durations that can be used when writing goals for aphasia?

Answer 3

Seconds

Minutes

Session length

Hours

Days

Question 4

What are five Specific Environments that can be used when writing goals for aphasia?

Answer 4

1:1

Environmentally Controlled

Clinic

Group

Community

Noisy/busy

Question 5

What are four Levels of Supervision that can be used when writing goals for aphasia?

Answer 5

Constant

Intermittent

Occasional

Independent

Question 6

What are four Levels of “Verbal” Cuing that can be used when writing goals for aphasia?

Answer 6

Constant verbal cuing

Intermittent verbal cuing

Occasional verbal cuing

Without cues

Question 7

What are four Language Domains that can be used when writing goals for aphasia?

Answer 7

Expressive

Receptive

Reading

Writing

Question 8

What is Dr. Ellis suggestion for an outline for writing goals?

Answer 8

Patient will demonstrate functional XX [language domain] for XX [time] in XX [environment] with XX [supervision] and XX [cuing]

Question 9

What are four things we should consider when writing goals?

Answer 9

Make an immediate and social impact on language-communicative skills

Are the most useful goals that may be produced and reinforced in other natural settings

Expand language-communicative skills

Are linguistically and culturally appropriate

Question 10

When setting goals for aphasia, what should we refrain from?

3

Answer 10

Designating minimum, moderate, + maximal assistance

Focusing too much on accuracy when accuracy is not the issue

Goals that focus too much on specific tasks

Question 11

What is it ok to add into treatment goals?

2

Answer 11

Aphasia types (Broca’s, Global, etc.)

Language domain (expressive, auditory comprehension, etc.)

Question 12

What is the flow of complexity for Auditory Comprehension?

1+5

Answer 12

Comprehension of…

• Single units
• Short series
• Meaningful linguistic units
• Paragraphs
• Narratives + discourse

Question 13

What is the flow of complexity for Visual/Reading Comprehension?

(7)

Answer 13

Matching non-verbal material (matching objects, pictures, geometric forms).

Matching of verbal material (e.g. letters, numbers, words)

Visual correspondence/ recognition (e.g. matching printed word to object)

Comprehension of gestured messages

Recognition of spelling

Reading comprehension of
words, phrases, sentences or
paragraphs

Reading comprehension of
textual material

Question 14

What is the flow of complexity for Gestural/Verbal Communication?

Answer 14

Gestural-verbal communication (e.g. eye contact, touch, gesture)

Acknowledge receipt of gestures

Use of gestures or combinations of gestures

Simple speech acts (simple pointing gestures)

Speech acts (verbal and non-verbal communication)

Question 15

What is the flow of complexity for Oral Expression?

9

Answer 15

Automatic speech (e.g. greetings, days of week, alphabet)

Production of words and phrases

Repetition (words, phrases)

Oral Reading

Oral Spelling

Improving word
retrieval

Sentence formulation

Conversational skills

Advanced conversation and discourse

Question 16

What is the flow of complexity for Graphic Expression?

6

Answer 16

Tracing/copying non-verbal
material

Tracing/copying letters, words,
numbers

Writing highly familiar material (name, address, etc)

Written spelling and naming
(writing to dictation)

Written spelling

Writing, phrase,
sentence, paragraph level