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Hemiplegia Case Study T-Pa

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1. Background: Carol is a 69-year-old female who was evaluated for speech language pathology services after she experienced a CVA with a physical symptom of acute facial palsy on the right side. She had additional diagnoses of hypertension and atrial fibrillation. Carol also had right hemiplegia. At first signs of paralysis, her husband sought medical care for her, and she was assessed by a stroke unit when she arrived at the hospital. When a CT scan was done on her brain, it revealed MCA thrombus on the left side. An MRI revealed blockage in the medial cerebral artery. T-PA was given to Carol to help improve the blood flow to the left side of her brain where the blockage had occurred. Post CVA, Carol continued receiving speech and language …show more content…

Karen put the question to a melody. She then rhythmically said the response in unison with Carol. If Carol had a difficult time answering, Karen asked Carol if she could help her. Karen then repeated the phrase in a rhythmic pattern.
c. The rationale behind this activity is that singing or putting words to a melody can sometimes make these words easier for a person with aphasia to say.
d. This activity seemed to work well for Carol. She was able to say her thoughts and the target phrases more fluently when she used the melodic tone modeled by Karen.
c. Conversational Scripting
a. Karen wrote two choices on a dry erase board for Carol.
b. Karen asked Carol a question with two choices. Karen asked Carol the question and then read out the two choices to her. When Carol was stuck on a word, Karen would give her the first sound in the word.
c. The rationale behind this activity seems to be that giving a person with aphasia choices when asking them a question may help them to fluently say the correct answer.
d. This seemed to help Carol to identify a response that would be appropriate. She struggled to say the word fully without assistance from Karen.
d. ORLA (Oral Reading for Language in Aphasia)
a. Karen used a dry erase board to write out each question and response for

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