impairments put in context

Map Branches

• management
  • impairment-based treatment planning
    • Palpa compatible:
      • means to plan/target PALPA ax.
  • plan/predict change over time
  • combine functional/impairment-based model
    • relevant goals
    • client participation in goal setting
  • identify related neuropsychological deficits
    • plan SMART goals
    • onward referral
      • OT
• author
  • Swinburn
  • Porter
  • Howard
• format
  • 3 sections
    • cog. ax
      • line bisection
      • semantic memory
        • (P&PT style)
      • word fluency
      • recognition memory
      • gesture object use
      • arithmetic
    • lang. ax
      • language comprehension
        • comprehension of:
          • spoken:
            • words
            • Sentences
            • Paragraphs
          • written
            • words
            • Paragraphs
      • Expressive language
        • repetition
          • words
          • Complex words
          • Nonwords
          • Digit strings
          • Sentences
        • spoken language production
          • naming
            • objects
            • Actions
          • spoken picture description
        • reading
          • words
          • complex words
          • Function words
          • nonwards
        • writing
          • copying
          • Written picture naming
          • write to dictation
          • written picture description
    • disability QS
      • disability
        • talking
        • understanding
        • reading
        • writing
      • impact
        • intrusion
        • self image
        • emotional consequences
• aim
  • initiate investigation into activity/participation impact
    • Patient's perception
    • impairments put in context
  • screen for cog. deficits
  • comp. lang. assessment
• disadvantages
  • test manual
    • navigation difficult
  • design
    • reversible sentences
      • deliberately unusual actors chosen for thematic roles
    • unclear drawings
      • e.g. "cat on green carpet" item
  • no investigation: compensatory strategies
  • constrained test environment
    • functional/everyday communication
  • misses mild impairments
  • summary only
• advantages
  • screening: related neuropsychological deficits
  • simple scoring
    • provides severity measure
    • delay/self correction integrated
    • mostly 0-2 scale
  • assess change
  • 
    • 2 sessions

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