Intervention- word retrieval difficulties Flashcards
Basic principles
Adjust activity to make it harder or easier.
Stimuli must be relevant, functional and meaningful to the individual- consider age, gender, environment, interests.
Use family photos and objects in the room etc.
Don’t just target nouns- include verbs, adjectives etc. common in everyday speech.
Stimuli doesn’t always have to be visual- it can be responsive naming from a description.
May have to consider comprehension levels first.
Name 5 different approaches used in different combinations for different individuals.
Facilitating, cueing and prompting different words.
Facilitating/promoting use of semantic knowledge.
Facilitating use of circumlocution skills.
Facilitating use of divergent word retrieval skills-promoting word fluency.
Total Communication Approach.
Facilitating, cueing, prompting specific words.
Patient producing v.little propositional speech-mostly automatic
Phrase completion tasks- highly constrained e.g. fish and.., moving on to less constrained examples e.g. a bottle of…, and again- i like to watch…
Get them to repeat word ofr phrase for severe aphasia and try to move onto more independent word retrieval
Core vocabulary- work on individual, useful, everyday vocab.
Cuing :)
Cueing.
Info.
Provide minimum number of cues necessary for successful naming.
Keep record of cues used.
Types of cue.
Semantic- give semantic info e.g. what it’s used for etc.
Forced alternative- cat or dog
Imagery- think of
Phonemic cue- begins with f
Phrase completion
Written cueing- write down initial letter
Model to imitate- it’s a … can you say it/?
considerations.
Don’t select too many objects to name.
Elicit them several times in the session.
Revise items at end of session and next sessions.
How to deal with perseveration?
if they keep saying wrong answer- ask them “do you mean wrong answer”?
Facilitating/promoting use of semantic knowledge.
Activities that promote PwA’s use of semantic knowledge for access and retrieval of specific words.
Resources- semantic workbooks, semantic links, newcastle university aphasia therapy:sentence processing, apps etc.
Name examples of activities in therapy to promote use of semantic knowledge.
Categorisation
Provide examples within category
Odd one out
Semantic relationships
Synonym judgement- does pretty mean beautiful or ugly?
Chosing a word from a set to match with a given definition e.g. bakes cakes- baker, joiner, painter, driver.
When doing semantic activities what is good to do?
Use pictures, objects and words.
Increases complexity by adding semantic and phonological distractors
Encourage appropriate spoken output :)
Developing circumlocution skills for word retrieval.
Used as strategy for word retrieval difficulty.
Provide appropriate description of the word. This may provide the communication partner with sufficient information to identify target word.
Acitvity-
PwA has to describe a word and SLT has to guess what it is. Then swap and take turns.
Incorporate asking questions e.g. is it found in a house?
Divergent word retrieval/ Word fluency
Choose a relevant category and ask them to name as many things as possible.
Aim not to retrieve a specific word but to elicit a range of relevant responses.
e.g. food you like.
Total communication approach
Encourages and accepts communication using any means e.g. AAC
This can be :
Gesture
Writing
Drawing
Technology and apps
Individualised communication chart or book
Selecting from a set of pictures or words.
