indirect therapy currently better

Map Branches

• Authors
  • Butt and Bucks
• rationale
  • problem solving impairments
    • impact on therapy gains
      • MDT
      • SLT
    • may mean therapy goals inappropriate
      • perceived non-compliance
      • patient pushed into failure pattern
  • How BNVR aids MDT goal setting
    • identify potential cognitive problems
      • influence on aphasic person
        • ability/willingness to interact c. environment
    • aid future goal setting
      • indicate further ax/ref need
  • Lang/cog problems
    • reason for AAC failure in ppl c. aphasia
      • Kraat 1990
      • Light 1988
• Assessment-therapy
  • Poor BNVR performance...
    • indirect therapy currently better
      • work with carers
    • unrealistic expectations
      • carers
      • MDT
    • direct therapy?
      • focus:
        • "wrongness" in immediate environment
• advantages
  • simple format
    • Fills a gap in tests available
      • Other non-verbal response conceptual tests
        • SWPM PALPA
        • Pyramids and Palm Trees
      • other problem solving tests
        • Ravens Matrices
        • WAIS
    • reliable
      • test-retest
      • inter-rater
    • sensitive to change
    • Real life situations
    • Multi-cultural
    • short duration
      • acute patients
    • easy to administer/score
      • Norms
    • visual
      • language input
• Format
  • 10 pictures of "problems"
    • 1 main . 4x small 
      • solution
      • distractors
        • semantic
          • distant
          • close
        • visual
    • everday problems
      • Center on
        • familiar environment
          • e.g. broken cup
        • individual
          • e.g. cut finger
  • Screening test
• aim
  • identify poss. cognitive impairment in people with aphasia

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