Direktur
KESEHATAN OPERASIONAL
REPUBLIK PROSEDUR
INDONESIA
TERAPI WICARA PADA
AFASIA DEWASA
4. PROSEDUR 1. Persiapan :
a. Terapis Wicara melakukan pemeriksaan dengan cara
observasi, wawancara, membaca / menganalisa data dokter
ahli dan melakukukan beberapa assesment menggunakan
formulir assesment
b. Menegakkan Diagnosa dan Prognosa Terapi Wicara
c. Menyusun rencana program dan persiapan alat-alat : spatel
lidah, sarung tangan, dan sikat lidah.
d. Terapis menjelaskan hal-hal yang akan dilakukan
2. Pelaksanaan Terapi
a. Stimulasi Multimodal :
1) Terapis memberikan kalimat yang disajikan secara lisan
maupun tulisan
2) Pasien diminta untuk meniru, mengulang, menuliskan
dan kemudian mengucapkan kata/kalimat yang
diberikan terapis
3) Pasien diminta untuk menyebutkan nama suatu gambar
Evaluation of Aphasia
Name : Age : Date :
Primary Care Physician :
Medical Diagnosis :
Date of Incident :
Condition Prior to Incident :
Date of CT Scan/MRI : Findings :
Relevant Medical History :
Medications :
Examiner’s Name :
Instructions: Administer selected sections or all sections as appropriate for the client. Specific instructions
are provided under each subheading.
Conversational Speech
Use pictures or converse with the client to stimulate speech, noting specific difficulties the client exhibits.
Agrammatism
Anomia
Circumlocution
Disfluency
Effortful speech
Jargon
Paraphasia
Perseveration
Telegraphic speech
Other
(continues)
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
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CHAPTER 13 Assessment of Neurocognitive Disorders
Recognition of Common Nouns
Name each picture on the left-hand page one at a time and have the client
point to the picture requested. If the client is unable to point, observe eye
gaze. Record responses in the first colum of the checklist on the right-hand
side.
Following Commands
Ask the client to carry out each of the following commands. Make sure your client waits until you have
finished the entire command before responding.
One-Part Command
______ Touch your nose.
______ Raise your hand.
______ Look at the door.
Two-Part Command
______ Touch your head, then your mouth.
______ Clap your hands, then touch your knees.
______ Nod your head twice, then close your eyes.
______ Touch your chair, then clap twice.
(continues)
CHAPTER 13 Assessment of Neurocognitive Disorders
Form 13-1. continued
Three-Part Command
______ Nod your head, clap your hands, then make a fist.
______ Look at the door, look at me, then close your eyes.
______ Touch your chin, then your nose, then raise your hand.
Repeating Phrases
Read each phrase and ask the client to repeat it. Syllabic complexity of each phrase increases as you read
down the list (the number of syllables for each phrase is indicated in parentheses). Note the syllable length
at which the client exhibits difficulty.
______ (1) Cap
______ (1) Boat
______ (2) Laughing
______ (2) Not now
______ (3) Piano
______ (3) Forty-two
______ (4) Geography
______ (4) It’s time to go.
______ (5) Magnifying glass
______ (5) The car was dirty.
______ (6) Personal computer
______ (6) Put everything away.
______ (7) Revolutionary War
______ (7) She is not very happy.
______ (8) Mechanical engineering
______ (8) The letter arrived yesterday.
______ (9) Recreational motorcycle
______ (9) Put it in the microwave oven.
Sequencing
Ask the client to describe the steps necessary to complete the following tasks. Make a note of difficulties
with thought organization or sequencing.
______ Make a sandwich
______ Wash a car
Definition of Terms
Ask the client to define each of the terms below. Note behaviors such as paraphasias and circumlocutions.
______ Car
______ Tree
______ Window
______ Bathe
______ Shopping
______ Cloudy
______ Solo
______ Tricky
______ Northern
______ Controversial
______ Fleeting
______ Content
______ Opinion
(continues)
482 PART III Resources for Assessing
Communicative Disorders
Form 13-1. continued
638
11 29 49
173 207 151
297 2,046 7,921
one six four
nine seven three
thirteen twenty-two
seventeen
thirty-three forty-one ninety-one
one hundred and twenty-seven
two hundred and twelve
two thousand and forty-four
(continues)NEUROCOGNITIVE
DISORDERS
CHAPTER 13 Assessment of Neurocognitive Disorders
Form 13-1. continued
Number Recognition
Ask the client to identify each number on the left-hand page. Circle correct responses and mark a slash (/)
through incorrect responses.
836
49 29 11
151 207 173
7,921 2,046 297
Numeric Word Recognition
Ask the client to read each number on the left-hand page. Circle correct responses and mark a slash (/)
through incorrect responses.
four six one
three seven nine
seventeen twenty-two thirteen
ninety-one forty-one thirty-three
one hundred and twenty-seven
two hundred and twelve
two thousand and forty-four
(continues)
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
baby
radio
ordinary
sometimes
Put it away.
Open the door.
They don’t want any.
peanut butter and honey
What happened to the flowers?
Send it to your friend before Thursday.
(continues)
Copyright © 2016 Cengage Learning. All rights reserved. Permission to reproduce for clinical use granted.
Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
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485
NEUROCOGNITIVE
DISORDERS
CHAPTER 13 Assessment of Neurocognitive Disorders
Reading Words and Sentences Orally
Ask the client to read each word or sentence on the left-hand side of the page. Make a note of specific
difficulties.
baby_________________________________________________________________________
radio_________________________________________________________________________
ordinary______________________________________________________________________
sometimes____________________________________________________________________
Put it away. ___________________________________________________________________
Open the door. ________________________________________________________________
They don’t want any. ____________________________________________________________
peanut butter and honey_________________________________________________________
What happened to the flowers? ___________________________________________________
Send it to your friend before Thursday.______________________________________________
Cognitive–Linguistic Evaluation
Name : Age : Date :
Primary Care Physician :
Medical Diagnosis :
Date of Incident :
Condition Prior to Incident :
Date of CT Scan/MRI: Findings :
Relevant Medical History : _______________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________
Medications :
Examiner’s Name :
Instructions: Administer selected sections or all sections as appropriate for the client. Specific instructions
are provided under each subheading. Make additional observations in the right-hand column. The client
will need a pen or pencil to complete the writing portion of the evaluation.
(continues)
Resources for Assessing Communicative Disorders
Form 13-2. Continued
Memory
Immediate Memory. Ask the client to repeat the following sequences or sentences. Score a plus ( +) or
minus (-) for correct or incorrect responses.
_____ 0, 7, 4, 2
_____ 8, 6, 0, 1, 3
_____ 2, 9, 1, 4, 6, 5
_____ Car, duck, ring, shoe
_____ Rain, desk, ladder, horse, cake
_____ The keys were found under the table.
_____ He always reads the newspaper before he has breakfast.
_____ After their victory, the baseball team had pizza and watched a movie.
_____ Ask the client to retell this story:
_____ Helen had a birthday party at the petting zoo. Ten of her friends came.
_____ All the children laughed when a goat was found eating the cake and ice cream.
Recent Memory. Ask the client the following questions. Score a plus (!) or minus (#) for correct or
incorrect responses.
_____ What did you have for breakfast?
_____ What did you do after dinner last night?
_____ What did you do after breakfast this morning?
_____ What else have you done today?
(continues)
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
NEUROCOGNITIVE
DISORDERS
CHAPTER 13 Assessment of Neurocognitive Disorders
Form 13-2. Continued
Long-Term Memory. Ask the client the following questions. Score a plus (!) or minus (#) for correct or
incorrect responses.
_____ Where were you born?
_____ When is your birthday?
_____ What is your husband’s/wife’s name?
_____ How many children do you have?
_____ How many grandchildren do you have?
_____ Where did you used to work?
_____ How much school did you complete?
_____ Where did you grow up?
_____ How many brothers and sisters do you have?
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Calculation
Ask the client to answer the following questions. Score a plus (!) or minus (–) for correct or incorrect
responses.
_____ If you went to the mall and spent $8.00 in one store and $7.50
in another store, how much did you spend?
_____ If tomatoes cost $1.50 per pound and you bought 2 pounds,
how much did you spend on tomatoes?
_____ If you went to the store with $3.00 and returned home with
$1.75, how much did you spend?
_____ If toothbrushes cost $3.00 each and you have $10.00,
how many toothbrushes can you buy?
_____ If you have a doctor’s appointment at 10:30 and it takes you
30 minutes to get there, what time should you leave?
Ask the client to read the following sentences and do what they say. Score a plus (!) or minus (–) for
correct or incorrect responses.
(continues)
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
(continues)
Copyright © 2016 Cengage Learning. All rights reserved. Permission to reproduce for clinical use granted.
Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
Copyright © 2016 Cengage Learning. All rights reserved. Permission to reproduce for clinical use granted.
Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
(continues)
Copyright © 2016 Cengage Learning. All rights reserved. Permission to reproduce for clinical use granted.
2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
Writing
Ask the client to complete the writing tasks presented on the previous page. Observe accuracy of response,
completeness and organization of response, legibility, and observance of left visual field. Make comments
in the right margin.
Write your name. _______________________________________________________
Write today’s date. _______________________________________________________
Write a short description of what you have done today in speech therapy.
______________________________________________________________________
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
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Form 13-33-3.
Assessment of Clients with Traumatic Brain Injury
Name: Age: Date:
Primary Care Physician:
Medical Diagnosis:
Date of Incident:
Condition Prior to Incident:
Date of CT Scan/MRI: Findings:
Relevant Medical History:
Medications:
Examiner’s Name:
Informant’s Name:
Instructions: Observe the client over an extended period of time and then answer each question.
Is the client aware of personal orientation (e.g., time, place)?
How long can the client attend to a task (in seconds or minutes)?
(continues)
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
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Is the client able to attend to more than one activity at a time (e.g., converse while preparing a meal)?
(continues)
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eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
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Is the client able to remember things that happened earlier that day?
Is the client able to remember things that happened earlier that month or year?
Is the client able to recall events that happened many years ago?
Is the client able to remember future activities (e.g., take the garbage out this afternoon, or take the roast
out of the oven in 1 hour)?
Is the client able to shift from one activity to another without difficulty?
Is the client able to follow a conversation that shifts from one topic to another?
(continues)
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How does the client respond to the question, “How did you do that?”
What kinds of everyday tasks does the client have difficulties with?
What are some things that the client needs to do on a daily basis?
Is the client having difficulty with any of these things? If yes, identify.
(continues)
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions
require it.
What is the client’s behavior like at home (passive, aggressive, compulsive, etc.)?
Please add additional comments about the client’s behaviors and abilities.
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Copyright 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or
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