Week Four

Question 1

What are the steps in the process of therapy?

Answer 1

1. Information gathering and sharing
2. Collaborative goal setting
3. Pre-therapy assessment
4. Therapy
5. Reassessment

Question 2

What is the goal in step 1 (Information gathering and sharing)?

Answer 2

Obtain information about all ICF aspects prior to step 2
- Medical chart
- Obtain information s PWA as a person
- Inform PWA + Family about aphaisa, stroke and services
- Assess communicative function (could be part of step 3)

ICF
- Health condition
- Impairments
- Activities
- Participation
- Environment

Question 3

What is involved in step 2 (collaborative goal setting)?

Answer 3

• Done early in the therapeutic process and at strategic points on therapy
• Always changing
• Collaborative = what’s important to PWA + Family and SLT gives expertise (contribute equally)
• In early stages, may have to rely on family more than PWA (fatigue, overwhelmed)

Question 4

What are the component to goals?

Answer 4

• Two components to goals = end state + effort to reach that state
  E.g., To talk better on the phone with my daughter who lives in Auckland through SLT intervention and home practise
• S.M.A.R.T.E.R goals = Shared, Monitored, Accessible (PWA friendly format…), Relevant, Transparent, Evolving, Relationship-centred

Question 5

What are some tools for goal setting?

Answer 5

• Informal semi-structured interview
• Assessment for living with aphasia
• Talking mats
• Life cards
• QOL Scales

Question 6

Example of Long term goal, short-term goal and session goal

Answer 6

Long term goal:
- Work part time as a secretary

Short term goal:
- Answer questions appropriately in a mock interview for secretarial position

Session objective:
- Communicate at least 5 personal strengths without prompting from clinician in response to interview question about strengths