[Dysphagia] off-topic: aphasia

[BEHAMG at stjoe.on.ca (BEHAMG@stjoe.on.ca)]

I agree with JoAnn. I recently attended a great course called Improving
Communication and Swallowing Skills in Individuals with Memory Loss
and/or Dementia including Alzheimer's Dementia, by Northern Speech
Services Inc. (can't remember the woman's name) which was fabulous. And
I learned a lot about what can be done with this type of communication
disorder. I think as S-LPs get pushed more and more towards swallowing,
you should be happy and embracing the facility that wants to include
communication, even if it is just to make money.
Genefer


>>> <joanneaton@charter.net> 6/8/2004 11:26:00 PM >>>
Dear Bob,
I hope you are prepared for a diversity of opinion here. From my
reading
that is the case in defining aphasia.
A resource for you might be "Aphasia: A Clinical Approach" by
Rosenbek,
LaPointe & Wertz.
It includes a good discussion of what is aphasia and what is not
aphasia in
the third chapter. And also looks at various attempts to define
aphasia.
In this chapter, it defines "disorders that resemble aphasia"   "which
include the language of confusion, dementia, communication deficit
subsequent to a right hemisphere lesion, schizophrenia, environmental
influence on the language of the normal aged, apraxia of speech, and
dysarthria." It continues to expand upon each of those topics of what
is not
aphasia.
Hope this helps.
JoAnn
----- Original Message ----- From: <BOBGLENSIDE@aol.com>
To: <dysphagia@b9.com>
Sent: Tuesday, June 08, 2004 6:51 PM
Subject: [Dysphagia] off-topic: aphasia


> We - a team of SLPs working in the nursing home - have been
approached by
the
> RNAC to evaluate all patients with communication deficits to give
them a
> diagnosis of aphasia.  Apparently, the MDS's vague definition of
aphasia
is
> "disorder of language," which would include those folks who have
dementia-related
> deficits while we feel aphasia is more specifically related to a
neuro
event
> such as a CVA or TBI.
>
> Her feeling is that with the diagnosis of aphasia the nursing home
stands
to
> financially benefit by way of a higher case mix.  While we wish to
be
> supportive of the nursing home's attempts to (appropriately) capture
as
much revenue
> per patient as possible, we do not feel that we as SLPs and these
demented
> patients are the most appropriate avenue by way of the diagnosis of
aphasia.
>
> Anyone else have this experience?  Any personal insights or
> authors/text/articles you can direct us to that support either case
would
be helpful.
>
> Bob
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> Dysphagia mailing list
> Dysphagia@b9.com > http://lists.b9.com/mailman/listinfo/dysphagia >


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