Author: Brett McCardel, MS, CCC-SLP
In order for therapy to make the biggest impact, therapy tasks need to be centered around meaningful activities ๐ฃโฃ
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The ๐๐ถ๐ณ๐ฒ ๐ฃ๐ฎ๐ฟ๐๐ถ๐ฐ๐ถ๐ฝ๐ฎ๐๐ถ๐ผ๐ป ๐๐ฝ๐ฝ๐ฟ๐ผ๐ฎ๐ฐ๐ต ๐๐ผ ๐๐ฝ๐ต๐ฎ๐๐ถ๐ฎ utilizes a model known as the ๐-๐๐ฅ๐ข๐ (Living with Aphasia: Framework for Outcome Measurement). The A-FROM has 4 distinct domains that all contribute to living with aphasia: โฃ
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-Participation in Life Activitiesโฃ
-Personal Identity, Attitudes, and Feelingsโฃ
-Severity of Aphasiaโฃ
-Communication and Language Environmentโฃ
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Using the A-FROM model, our therapy plans can become more comprehensive as we strive to make sure that our goals are patient-centered and our treatment helps people return to activities that make their life meaningful.โฃ
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Here is an example of how you might apply the A-FROM model to alexia treatment:โฃ
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๐ฃ๐๐ง๐๐๐ก๐ง ๐ฃ๐ฅ๐ข๐๐๐๐โฃ
Patient is a 63 year old who presents with a phonological alexia following a Left CVA 9 months ago. Reading is relatively intact at the single word level, but breaks down at the sentence level. โฃ
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Patient reports that she misses being able to read books to her grandchildren, and that she becomes unsure of herself when attempting to read (becoming distressed at always needing her husbandโs help to read any material). Patient reports that her grandchildren live nearby in a house that can be busy and noisy due to young children and pets.โฃ
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๐ง๐ฅ๐๐๐ง๐ ๐๐ก๐ง ๐จ๐ฆ๐๐ก๐ ๐-๐๐ฅ๐ข๐ โฃ
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-๐๐๐ง๐ฉ๐๐๐๐ฅ๐๐ฉ๐๐ค๐ฃ ๐๐ฃ ๐๐๐๐ ๐ผ๐๐ฉ๐๐ซ๐๐ฉ๐๐๐จ: Reading a storybook to grandchildrenโฃ
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-๐๐๐ง๐จ๐ค๐ฃ๐๐ก ๐๐๐๐ฃ๐ฉ๐๐ฉ๐ฎ, ๐ผ๐ฉ๐ฉ๐๐ฉ๐ช๐๐๐จ, ๐๐ฃ๐ ๐๐๐๐ก๐๐ฃ๐๐จ: Counseling patient regarding her feelings, engaging patient and husband in communication partner trainingโฃ
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-๐๐๐ซ๐๐ง๐๐ฉ๐ฎ ๐ค๐ ๐ผ๐ฅ๐๐๐จ๐๐: Using EBP treatments (ORLA, Phonological Treatment) and Assistive Technology (C-Pen Reader) as tools to help in reading storybookโฃ
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-๐พ๐ค๐ข๐ข๐ช๐ฃ๐๐๐๐ฉ๐๐ค๐ฃ ๐๐ฃ๐ ๐๐๐ฃ๐๐ช๐๐๐ ๐๐ฃ๐ซ๐๐ง๐ค๐ฃ๐ข๐๐ฃ๐ฉ: Brainstorming environmental modifications (picking one book to focus on, finding a quiet space in house to read to grandchildren)โฃ
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#aphasia #aphasiatherapy #neurorehabilitation #medslp #reading #alexia
Looking for speech therapy and aphasia therapy in the Seattle, WA area? Click here to learn more about the services we provide, or contact us at (206) 395-4259 / Brett@archwaysrehab.com