Background: Stroke is one of the leading causes for longlasting sequelae, among them loss in cognitive function, like aphasia. Aphasia effects the patients ability to understand and express themselves in speaking and writing. To be able to reach a good level of care, the careproviders and patients ought to have the same goals and values. This requires a good communication between the careproviders and patients. Which can be problematic for the caregivers when they don't feel secure in their way of getting close to these patients. Aim: The purpose of this study was to illuminate caregivers experience of caring for patients with the diagnosis aphasia following stroke. Method: This is a literature study where nine studies, with qualitative design, has been analyzed and compiled. Inclusion- and exclusioncritera were used to limit the result. All the studies have been qualitychecked. Result: There are varied experiences for the caregivers when it comes to care for patients with the diagnosis aphasia after stroke. The result is presented with three categories; “Caregivers experience of time and resources for god care”, “Caregivers methods and aids in the care” and “Relationships and feelings connected to the care of patients who suffered aphasia after stroke”. Conclusion: Based on the caregivers experiences in the result, more research is needed in this area, partly to be able to develop strategies that will help the caregivers and save time, and also to be able to map how caregivers feel in the care of these patients. / Bakgrund: Stroke är en av de ledande orsakerna till långvariga följdsjukdomar, däribland kognitiva nedsättningar som afasi. Afasi kan påverka patientens förmåga att förstå och uttrycka sig i tal och skrift. För att uppnå god omvårdnad bör vårdpersonal och patient ha samma mål och värderingar, vilket ställer krav på kommunikationen mellan patient och vårdare. Det kan vara problematiskt för vårdpersonal då de inte alltid känner sig säkra på hur de ska närma sig dessa patienter. Syfte: Syftet med litteraturstudien var att belysa vårdpersonals upplevelser av att vårda patienter med diagnosen afasi efter stroke. Metod: Det här är en litteraturstudie där nio studier, med kvalitativ ansats, har analyserats och sammanställts. Inklusions- och exklusionskriterier har använts för att avgränsa resultatet. Alla studier har kvalitetsgranskats. Resultat: Det finns varierande upplevelser hos vårdpersonal när det kommer till att vårda patienter som diagnostiserats med afasi efter stroke. Resultatet presenteras i tre huvudkategorier; “Vårdpersonals upplevelse av tid och resurser för att ge god omvårdnad”, “Vårdpersonals metoder och hjälpmedel i omvårdnaden” och “Relationer och känslor kopplade till omvårdnaden av patienter med diagnosen afasi efter stroke”. Konklusion: Baserat på vårdpersonals upplevelser behövs mer forskning inom detta område dels för att utveckla strategier som kan hjälpa i kommunikationen och spara tid, men också för att kunna kartlägga hur vårdpersonal känner inför omvårdnaden av dessa patienter.

Purpose: Response Elaboration Training (RET) is a treatment program for increasing the amount of information contained in the speech of individuals with aphasia. This study employed a sentence production task (SPT) to examine whether RET will (1) generalize to a task not worked on in treatment and (2) affect syntactic performance. Methods and Procedures: Three adults with chronic non-fluent Broca’s aphasia received RET in this prospective, repeated case study. The dependent variable was a SPT requiring the participant to put a verb in a sentence. Changes in the syntactic performance of the participant’s sentence productions were classified across three parameters: (1) syntactic structure, (2) grammatical completeness, and (3) semantic appropriateness. Results: Findings of this study indicate that RET improves the syntactic performance of individuals with chronic Broca’s aphasia and generalizes to a task not worked on in treatment. Participant responses to the SPT showed increased complexity in syntactic structures, improved grammaticality, and improved topic relevancy. In addition, qualitative improvements were seen in 5 randomly selected verbs for each participant. These improvements included increased length of sentences and fewer false starts, interjections, and disfluencies. Finally, improvements on the Western Aphasia Battery and two picture description tasks were evinced for two participants.

The goal of the present study was to examine changes in the speech and language performance of patients with chronic, non-fluent aphasia over the course of a three-hour group speech and language treatment session, a time allotment comparable to intensive therapy practices. Nine participants, (three groups of three), with chronic, non-fluent aphasia were seen for a single group therapy session three hours in length. Therapeutic activities were designed to be as similar as possible for each group of participants. Each participant was individually assessed before (time 1), during (time 2), and after (time 3) the group treatment session. Assessments included four verbal tests: function, naming, sentence completion, and repetition, similar to those used with the Porch Index of Communicative Ability (PICA; Porch, 1981). Results indicated that participants performed significantly poorer on two of the four verbal tests (naming and repetition), and on an overall measure of verbal communication on the Time 2 assessment as compared to the Time 1 assessment. Findings have clinical implications for selecting candidates for intensive language therapy regimes.

At the core of this study was an investigation of the current system of identification of learning disabled children as a result of concerns raised regarding the equivocal nature of federal guidelines for identification and their differential application by professionals. Toward this goal, the purposes of this study were 1) to evaluate the Reitan-Indiana Aphasia Screening Test as a means to differentiate LD children from low-achieving and normal children; 2) to assess the quantitative and qualitative neuropsychological performance differences between these three groups; and 3) to evaluate the quantitative and qualitative neuropsychological performance differences between male and female LD and low-achieving children. Subjects were 244 male (n=118) and female (n=126) LD (n=82), low-achieving (n=72), and normal (n=90) children randomly selected from five Midwestern school corporations. Classification of subjects into groups was based on previous identification as an LD child or scores on the Comprehensive Test of Basic Skills (below the 50th percentile and not school identified as LD were classified as low-achieving). Two-way analyses of variance indicated that neuropsychological performanceNeuropsychological Differences as measured by the Reran-Indiana Aphasia Screening Test significantly differed between groups but not gender on total error score. Further, two-way multivariate analyses of variance indicated significant performance differences across groups with LD children making more errors than either group on tasks indicative of spelling dyspraxia, constructional dyspraxia, dyslexia, central dysarthria, dyscalculia, and body dysgnosia. Additionally, LD children demonstrated more dysfunction in deficits reflective of only mild to moderate neuropsychological impairment as compared to deficits more strongly indicative of brain damage. No differences in performance based on type of error or severity of dysfunction was found between genders. Implications of these findings are discussed relative to the identification process. / Department of Educational Psychology

This study explored the relationship between anxiety and children's performance on the Reitan-Indiana Aphasia Screening Test. Anxiety was measured using the Personality Inventory for Children. Participants' anxiety scores were correlated with the individual component error scores and the total error scores from the Reitan Aphasia Screening Test. Second, the individual component scores were examined to assess their independent and shared contributions in the prediction of the Anxiety Scale of the Personality Inventory for Children.Participants for this study were 176, 9 to 16 year old boys and girls referred to an outpatient neuropsychological assessment clinic. Anxiety was found to be significantly related to the total score of the Reitan-Indiana Aphasia Screening test, as well as, each of the individual components. The regression analysis showed that five of the individual components of the Reitan-Indiana Aphasia Screening Test were able to significantly predict scores on the Anxiety Scale of the Personality Inventory for Children with a multiple R of .76. These data were discussed in terms of the importance of the interrelationship between anxiety and the Reitan-Indiana Aphasia Screening Test when making clinical judgements concerning the individual patient. / Department of Educational Psychology

No description available.

No description available.

Thesis (M.S.)--Duquesne University, 2007. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p. 99-106) and index.

Diss. (sammanfattning) Stockholm : Karol. inst., 2002. / Härtill 5 uppsatser.

<p>Stroke is a widespread disease in Sweden. Nurses play a central part for those who suffer from a stroke irrespective of where in the care chain they meet. To be able to meet the patients’ need of care the nurse must understand his/her lifeworld. Each and every patient is unique and the experience of being struck by a stroke depends on personality and life situation. Those who suffer from aphasia are usually excluded in research and therefore there is lack of improtant knowledge. The aim of this study is to describe the experiences of suffering from and living with a stroke. By studying autobiographies the opportunity has opened to share the experiences of patients suffering from aphasia. To suffer from stroke is a big changeover in life and gives visible and invisible disabilities. These disabilities limit them in their every day life. Nursing staff becomes authorities and it’s important that the staff provides time for discussions. A fruitful discussion reduces suffering and creates feelings of being noticed and involvement. The result shows that those who suffer longs and endeavours for living life as normal as possible.</p> / <p>I Sverige är stroke en av våra stora folksjukdomar. De som drabbas är en stor patientgrupp och sjuksköterskor har en central roll i deras omvårdnad oavsett vart i vårdkedjan de befinner sig. För att kunna bemöta patientens behov av omvårdnad måste sjuksköterskan sätta sig in i patientens livsvärld. Varje patient är unik och upplevelsen av att drabbas är olika beroende på personlighet och livssituation. Personer med afasi har tidigare uteslutits i studier vilket gör att det saknas forskning inom ett stort och viktigt område. Syftet med studien är att beskriva människors upplevelser av att drabbas av och leva med stroke. Genom att studera självbiografier tillkom även möjligheten att ta del av patienter med afasis upplevelser. Att drabbas av stroke är en stor omställning i livet och ger synliga och osynliga handikapp som begränsar i vardagslivet. Vårdpersonal blir auktoriteter i deras liv, och det är viktigt att de har tid för samtal med de drabbade. Ett gott samtal upplevs minska lidande och skapar känslan av att vara sedd och delaktig i vården. Resultatet visar att de drabbade längtar och strävar efter att leva livet så normalt som möjligt.</p>