Assessment continued Flashcards
Activity limitation assessment.
What do they aim to examine?
The PwA’s “real life” communication ability.
How impairment affects everyday life e.g. conversation, making phone calls etc.
Measure functional use of communication.
Name formal assessments that measure activity limitation.
Communicative Activities in Daily Living 2 (CADL 2)
7 areas e.g. social interaction, reading etc.
Functional Assessment of Communication Skills for Adults (FACS)
4 areas e.g. social communication, communication of basic needs
Conversational Analysis Profile for People with Aphasia (CAPPA)
Interview with PwA and partner
Conversation analysis of video samples
Participation/ QoL assessment
What do they measure?
Overall impact and effects of aphasia on a person’s life.
What does participation overlap with?
Quality of Life Assessment
Name participation/QoL assessments
The Communication Disability Profile
responses made via pictorial scales
4 sections- activity, participation, external influences and emotions
Quality of Communication Life Scale- response 1 to 5, not to specific to aphasia, any communication disorder.
The Assessment of Living with Aphasia
uses pictures and rating scales
Assessment of mood
low mood and depression are common in aphasia.
Visual Analog Mood Scales (VAMS) uses pictorial scale accessible to PwA
Stroke Aphasic Depression Questionnaire- family member/ caregiver fill this out, questions based on observable behaviours e.g. refusing to eat, disturbed sleep, crying etc.
Self esteem assessment
Visual Anologue Self-Esteem Scale (VASES)
Self percieved Communication Effectiveness Assessment
The Communication Outcomes After Stroke COAST 20 Qs from PwA and carer 5 point rating scale.
AAC suitability assessment
Tools are available to aid assessment of suitability for AAC.
Cognition Assessment
Cognition refers to attention, memory, reasoning.
Cognitive Linguistic Quick Test- 5 areas e.g. attention, memory.
The mini mental state examination- dementia screen.
Practice points for assessment.
Keep atmosphere relaxed.
Don’t assess for long period of time.
Give clear explanations and instructions at their level.
Encourage
Be sensitive to feelings and attitudes.
Performance on test shouldn’t be viewed in isolation- age, social and emotional state, attention and motivation etc.
Discuss findings and management options with PwA and family- involve them with decision making.
