Psychosocial Adjustment To Aphasia and Quality of Life Issues Flashcards
Limited info available
~Could be even more debilitating than neurobehavioral aspects ~Clinicians need to consider patients as whole human beings not focus narrowly ion the language disorder.
Limited info available
“Fundamental link with ____ is altered profoundly.”
other human beings and with his or her own sense of personhood
Limited info available
Clinicians need to consider patients as ___ not focus narrowly on the ____.
~whole human beings
~language disorder.
Generalized Problems
~Either do not understand the term “aphasia” or never heard the word. ~People usually have never heard the word “aphasia” ~SLP/aphasiologist must educate patient and family
What is an aphasic person?
~Aphasic people do not talk as well as before becoming ill and all their other communicative acts are impaired in varying degrees as well. ~In addition they are likely to be more irritable, scared, depressed, and distractible than before they got sick. ~Despite these changes….they are often unchanged at the core.
Aphasic people do not ___ as well as before becoming ill and all their other ____ are impaired in ____ as well.
~talk
~communicative acts
~varying degrees
In addition they are likely to be
more ________
than before they got sick.
irritable, scared, depressed, and distractible
Despite these changes….they
are often _____
unchanged at the core.
Sarno (1993) Article Review
~Loss of language negatively effects all aspects of a person’s life
~Aphasia rehabilitation is more than just treating words
~Social isolation and loneliness occur
~Anger and frustration may further isolate
Process of Grief-
Elizabeth Kubler-Ross Steps of Grief (1969):
Denial Anger Bargaining Depression Acceptance
Changes to Family Life
~Role in the family ~Sudden /unexpected decrease in income ~Increase in expenses ~Spouse has burden alone ~Changes in sexual relations ~“No one to talk to”-feel that they are living alone
Goals of Treatment-Review of Rosenbek:
1) To assist people to regain as
much communication as their brain damage allows and their need drive them to
2) To help them learn how to compensate for residual deficits
3) To help them learn to live in harmony with the differences between the way they were and the way they are.
Rosenbek, LaPointe, & Wertz…
“The most important goal is usually to…”
~“The most important goal is usually to prepare patients for a lifetime of aphasia.”
-Some have little or no
trouble adjusting.
-Others never adjust despite
the clinician’s best
guidance.
-Some (majority) adjust and
are helped in that
adjustment by things their
clinicians do.Rehabilitation-
Few studies: most by Chris Code, Muller, Sarno-
~Emphasize..
~___ rather than ____ construct” Muller(1999).
~Recommends..
~Code-Muller Protocols:
~impact of depression, chorine anxiety social dysfunction on aphasia rehab. ~Social rather than medical construct ~including psychological adjustment into treatment plans: make treatment social rather than medical ~10-item overview
Code-Müller Protocol
~Developed over time
~How psychosocial adjustment
impacts aphasia recovery
~Five components
