Aphasia management during the early phases

By: Prof. Dr. A. Holland

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Index

Aphasia management during the early phases

Why reevaluate what we do?

“Early Phases of recovery” What is meant?

What is spontaneous recovery re: Aphasia?

More on spontaneous recovery

Spontaneous recovery --aphasia research

Traditional early treatment

What is neuroplasticity?

What is plasticity?

Some evidence relevant to this argument

Justification for this approach

Newly-aphasic people--medical considerations

Newly aphasic people--psychological considerations

Newly aphasic people--psychological considerations

Families of newly-aphasic people: psychological considerations

Families of newly-aphasic people: psychological considerations

Crisis model Webster and Newhoff (1981)

Ramifications of all of this

Assessment

An alternative

Some appropriate activities at impairment level

Some appropriate activities at impairment level(cont’d)

Some appropriate pragmatic/interactive activities

Timing

Documentation

Setting

Principles of management in acute care

Illustrate spontaneous recovery

Ground treatment in conversation

Some caveats

Counseling for patients and families in the early stages

Counseling for patients in the early stages

Counseling for patients in the early phases

Counseling for families in the early phases

Some family examples

Provide interactional models for family and patient

Final note