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    Aphasia Treatment Goals and Targets-1

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    Emily Ula
    This document outlines treatment goals and targets for aphasia treatment. It recommends making the patient an active participant, adjusting difficulty, avoiding error correction, and providing encouragement. Long term goals should be functional and measurable while short term goals relate to and measure progress on long term goals. Communication targets are outlined for different aphasia types, focusing on improving comprehension, expression, and self-cueing strategies.

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    Aphasia Treatment Goals and Targets-1

    Uploaded by

    Emily Ula
    256 views16 pages
    This document outlines treatment goals and targets for aphasia treatment. It recommends making the patient an active participant, adjusting difficulty, avoiding error correction, and providing encouragement. Long term goals should be functional and measurable while short term goals relate to and measure progress on long term goals. Communication targets are outlined for different aphasia types, focusing on improving comprehension, expression, and self-cueing strategies.

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    Aphasia+Treatment+Goals+and+Targets-1

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    This document outlines treatment goals and targets for aphasia treatment. It recommends making the patient an active participant, adjusting difficulty, avoiding error correction, and providing encouragement. Long term goals should be functional and measurable while short term goals relate to and measure progress on long term goals. Communication targets are outlined for different aphasia types, focusing on improving comprehension, expression, and self-cueing strategies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    256 views16 pages

    Aphasia Treatment Goals and Targets-1

    Uploaded by

    Emily Ula
    This document outlines treatment goals and targets for aphasia treatment. It recommends making the patient an active participant, adjusting difficulty, avoiding error correction, and providing encouragement. Long term goals should be functional and measurable while short term goals relate to and measure progress on long term goals. Communication targets are outlined for different aphasia types, focusing on improving comprehension, expression, and self-cueing strategies.

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    TREATMENT

    GOALS AND
    TARGETS IN
    APHASIA
    TREATMENT GUIDELINES
    • Plan multiple tasks per session
    • Make the patient an active participant in treatment
    • Adjust the rate of presentation
    • Progress through a hierarchy of difficulty
    • Avoid correction of errors
    • Make treatment relevant to patient’s needs
    • Provide encouragement and reward
    • Provide adequate intensity of treatment
    • Demonstrate an attitude of interest in the patient
    2
    TREATMENT GOALS
    • Goal setting process
    • Long-term goals
    • Short-term goals
    • Communication targets for different aphasia types

    3
    GOAL SETTING PROCESS
    • Should be guided by the particular needs and circumstances of each
    individual patient
    • The PWA should indicate to you what is and is not important to him/her
    • Goals should then be determined accordingly

    4
    GOAL SETTING PROCESS
    • What PWA want:
    • Return to pre-stroke life
    • Communication
    • Information
    • Speech therapy and other health services
    • Control and independence
    • Dignity and respect
    • Social, leisure, and work
    • Altruism and contribution to society
    • Physical function and health

    5
    LONG TERM GOALS
    • Must be functional

    • Must have a time limit

    • Must have a means of measurement

    6
    LTG EXAMPLES
    • To improve Mr. P’s functional communication skills by December 31,
    2021, by improving word retrieval and auditory comprehension at the
    sentence level as measured by criterion referenced assessment and by
    informal report.

    • To prepare Mr. P for successful return to work by December 31, 2021,


    by improving his conversational skills in a small group situation as
    measured by clinician generated assessment tools.

    7
    SHORT TERM GOALS
    • Must relate to the Long Term Goal!

    • Must be measurable

    • Must have a time limit

    • Must be specific

    8
    STG EXAMPLES
    • When presented with a field of 4 pictures, by December 31, 2021, Mr. P
    will point to the picture corresponding to the clinician’s verbally
    presented sentence stimulus with 90% accuracy with no cues over 2
    consecutive sessions.

    • By December 31, 2021, Mr. P will have no more than 5 instances of


    word retrieval difficulties in 15 minutes of spontaneous conversation
    with the clinician over 2 consecutive sessions.

    • By December 31, 2021, Mr. P will correctly utilize word retrieval


    compensatory strategies in 90% of his episodes of word retrieval 9
    COMMUNICATION TARGETS
    FOR WERNICKE’S APHASIA
    • Improve auditory comprehension, particularly at the single word level
    (starting out)
    • Increase patient’s awareness of paraphasic errors
    • Decrease production of paraphasic errors
    • Determine whether reading is better than auditory comprehension
    • Emphasize communication content rather than structure
    • Improve listening skills of those interacting with the patient…they need
    to become more active listeners for the patient’s communication

    10
    COMMUNICATION TARGETS
    FOR BROCA’S APHASIA
    • Auditory comprehension at the sentence and paragraph level

    • Verbal expression tasks such as sequencing, categorizing, story retelling,


    and high level word retrieval

    • Tasks to address agrammatism such as increased use of pronouns,


    articles, and prepositions

    11
    COMMUNICATION TARGET
    FOR CONDUCTION APHASIA
    • Improve higher level listening skills

    • Decrease paraphasic errors

    • Emphasis on content over structure

    • Use of context to aid word finding

    12
    COMMUNICATION TARGETS
    FOR ANOMIC APHASIA
    • Improve word retrieval abilities with emphasis on self-cueing strategies

    • Improve auditory comprehension skills

    13
    COMMUNICATION TARGETS
    FOR GLOBAL APHASIA
    • Improve auditory comprehension

    • Use functionally relevant words for verbal expression tasks

    • Improve non-verbal expression

    14
    QUESTIONS?

    15
    RESOURCES
    • https://www.asha.org/slp/icf/

    16

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