Final Flashcards

(30 cards)

1
Q

Orientation

A

The ability to locate oneself in one’s location with relation to time, place and person.

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2
Q

Sever neglect frequently associated with…:

A

Right than left hemisphere lesions

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3
Q

Prosopagnosia

A

An inability to recognize face, even one’s own.

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4
Q

Alzheimer (type, % of dementias)

A

A cortical dementia and comprises about 50% of all cases of dementia.

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5
Q

With Alzheimer, language problems can include…:

A
  • Restricted vocabulary limited to small talk and stereotyped cliches.
  • Perseveration
  • Word-finding difficulty
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6
Q

Hypophonia

A

A significant problem in all subcortical dementias.

  • Decreased voice volume occurs early.
  • Can progress to total mutism unless treated.
  • Speech disturbances is usually dysarthria.
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7
Q

Parkinson’s

A

A degenerative disorder, the condition that produces the majority of all subcortical dementias.

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8
Q

3 main goals of therapy with Dementia:

A
  1. To inform the patient and caretaker of the nature and consequences of the disorder.
  2. To provide appropriate treatment approaches and techniques.
  3. To encourage the patient and caretaker to continue the rehabilitative process outside of the clinical setting.
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9
Q

Speech and language therapy for Dementia can help the patient and the family by…:

A

Helping them communicate maximally within the scope of limited abilities.

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10
Q

Suggestions for family:

3 examples

A
  • Maintain simple routine
  • Maintain a constant environment
  • Be consistent
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11
Q

Most common cause of death under the age of 38:

A

TBI

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12
Q

Arousal

A

The general state of readiness to respond to the environment.

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13
Q

Decreased arousal can impede…:

A

Communication and rehabilitation

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14
Q

Coma

A

The loss of consciousness lasting from hours to months.

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15
Q

Glascow Coma Scale ratings obtained for…:

3 examples

A
  1. Eye opening
  2. Motor response
  3. Verbal behavior
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16
Q

Rancho Los Amigos Cognitive Functioning scale–general rating of..:

A

Cognitive impairment and behavioral characteristics.

17
Q

Executive functioning

A

The ability to think about goals, develop a plan and successfully execute the plan.

18
Q

Dysarthria

A

An impairment in oral communication due to paralysis or paresis, which is weakness, slowness or incoordination of speech musculature.

19
Q

6 Factors that influence treatment outcomes:

A
  1. Neurological history and status
  2. Age
  3. “Automatic” adjustments
  4. Treatment effects
  5. Personality and intelligence
  6. Support Systems
20
Q

General principles of therapy:

5 examples

A
  • Compensation
  • Purposeful activity
  • Monitoring
  • An early start
  • Motivation
21
Q

Apraxia of Speech

A

A disorder in volitional or voluntary motor placement and sequencing unrelated to muscle weakness, slowness or paralysis.

22
Q

Oral Apraxia

A

An difficulty in performing voluntary movements with the muscles of the lips, tongue, mandible and larynx in non-speech tasks, although automatic movements with the same muscles are preserved.

23
Q

Factors that eliminate or reduce stuttering:

4 examples

A
  • Whispered speech
  • Lipped speech
  • Slowed speech
  • Singing
24
Q

Factors that increase stuttering:

4 examples

A
  • Talking on the phone
  • Saying one’s name
  • Telling a joke
  • Repeating a message that was not understood
25
Adult voice orders can result from...: | 2 examples
- Isolated instances of abuse or chronic vocal misuse or abuse - Neurogenic conditions
26
Degeneration of language comprehension skills: | 3 examples
- General slowing in neurological response - Increased reaction time as compared with middle age and young adults. - Decreased ability to attend to competing stimuli
27
Degeneration of language production: | 3 examples
- Naming abilities deteriorate - Inability to retrieve name of people and objects declines in middle and then more dramatically in in older individuals. - Subjects over 70 produced a significantly reduced range of complex sentences than younger subjects.
28
Age related changes to voice mechanisms:
Pitch, volume and quality
29
Middle ear changes:
Stiffening of the tympanic membrane
30
Outer ear changes:
Cracking or bleeding of the skin lining the outer ear.