- L-MCA stroke, left handed, no aphasia/ dysarthria, very mild cognitive impairments on the MOCA assessment.
Assessment
- Informal language screen - no impairments.
- Informal language assessment - conversation on employment and medical history, observation during a Physiotherapy and OT session.
- Findings - client had difficulties with topic shifting, turn taking, reduced awareness of his impairments, and verbose tangential responses during conversations. These difficulties lead to him having difficulties participating in therapy (PT, OT, SLT) since he was unable to perform tasks well when speaking and was unable to monitor his output.
Intervention
- LA - Trobe questionnaire was completed with the client and with his partner in order to look at their views on his communication and ho it had changed. Results - the clients premorbid communication style had been exacerbated by his stroke.
- SLT went through the LA - Trobe with the patient, his partner and therapists, providing clear examples of his communication behaviours. The client highlighted behaviours to work on.
- Group - the client attended communication groups/ breakfast group/ stroke education group and received peer feedback.
Outcomes
- Client was able to participate more in therapies (report form therapists).
- Client self - monitored more becoming less verbose in group conversations.
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