2. WHAT IS GLOBAL APHASIA?
Aphasia-“An impairment of language that affects the production or
comprehension of speech and the ability to read or write”.
Global Aphasia- “When a stroke affects an extensive portion of the
front & back regions of the left hemisphere. Typically those with Global
Aphasia have symptoms of both Wernicke (Temporal Lobe) & Brocca
(Frontal Lobe) Aphasia, which can cause severe problems with all aspects
of communication as they have difficulty speaking, comprehension &
writing”.
3. SYMPTOMS
Difficulty understanding and forming words & sentences
Difficulty reading and comprehending words & meanings
Paralysis of right side of body
Some lost of vision
Some lost of voluntary control of limbs
Difficulty pronouncing certain sounds & words
Difficulty controlling mouth, tongue & voice box
5. CASE STUDY
Barbara Letts, aged 58, suffered a stroke and acquired global
aphasia. Her family needing respite brought her to the Mackenzie Health
Adult Day Program in order to socialize and participate in activities with
fellow peers. She has become frustrated due to her new limitations therefore
a TR has suggested the relaxation and stress technique, group exercise
and sensory stimulation activity.
7. EVALUATIONS
Observation (summative & formative)
Formal/Informal interviews with clients
Questionnaires (family members/friends)
Non-standardized/ standardized assessments conducted 1:1
with clients after sessions
Likert scales(clients with non-fluent aphasia)
8. TR GUIDELINES
Select the appropriate model to match with the client’s needs.
Abide by the ethical principles within TRO.
Pay heed to the core values and principles within TR.
Focus on desires, needs and strengths of the client and not their deficits.
SMART Goals
9. REFERENCES
American speech language and hearing association. (n.d.). Retrieved from (n.d.).
Retrieved from http://www.asha.org/public/speech/disorders/Aphasia/
Aphasia prevention. (n.d.). Retrieved from http://www.thirdage.com/hc/c/
aphasia-preventionAhasiaprevention
Brain and nervous system health center. (n.d.). Retrieved from http://
www.webmd.com/brain/aphasia-causes-symptoms-types-treatments
Diagnosis of primary progressive aphasia (ppa). (2013, september 17). Retrieved from
http://www.brain.northwestern.edu/dementia/ppa/diagnosis.html
Farlex. (n.d.). Retrieved from www.medical-dictonary.thefreedictionary.com/
aphasia
10. REFERENCES
The national aphasia association. (n.d.). Retrieved from http://www.aphasia.org/Aphasia Facts/
aphasiafacts.html
Kean, M. (n.d.). Brocca and wernicke's aphasia. Retrieved from www.rohan.sdsu.edu/~gawron/intro/
course_core/lectures/aphasia_cases_slides.html
Kunstler, R., & Daly, F. (2010). Therapeutic recreation leadership and programming. United States: Human
Kinetics. Retrieved from http://www.humankinetics.com
Post-stroke rehabilitation fact sheet. (2013, june 18). Retrieved from http://www.ninds.nih.gov/
disorders/stroke/poststrokerehab.htm
Therapeutic recreation directory. (n.d.). Retrieved from http://www.recreationtherapy.com/tx/
txsensor.htm
The internet stroke center. (n.d.). Retrieved from www.strokecenter.org/patients/caregiver-and-patient-
resources/aphasia-information/