Patient may know what they want to to say but can't get
the word out. Patient may have difficulty naming everyday objects (I.... thirsty... cold cubes.) instead of
I'm thirsty, I want water with ice.
Example: The patient has difficulty speaking in complete, grammatical sentences. Might speak in telegraphic speech ("I hungry. Go store. Eat.")
Test: Point to a picture of some action (maybe a man throwing a ball) and see if they can describe it in a complete sentence.) Ask them a question ("What did you eat today?") and have them answer in a complete sentence (" I ate waffles this morning")?
Example: May have difficulty clearly speaking the word for common objects (spoon, fork, glass). They might even have difficulty reading words aloud, or repeating the word back after you say it.
Example: Speech might be slurred. May "run out of" breath while speaking, or speak too softly.
Test: If you can make them speak more slowly (maybe one word at a time), is it easier to understand them?
Test: Have them read aloud some numbers such as:
3468 or $2,345.52 or a phone number (540) 951-0623. Try this 5 times. If they get
any digit wrong, they need help with this.
Example: Difficulty with controlling pitch or loudness of their voice.
Example: Difficulty matching written words to pictures
Difficulty understanding written sentences.
Test: You could write a sentence describing 10
objects around the room ( or just the questions below).If they miss
more than one they should probably work on this.
Example: Give them a paragraph to read with a written question and several written answers. Try that 4 or 5 times. If they get the right answer every time they are probably reading at that level fairly well. Try at higher levels (multiple paragraphs and then maybe a full story from a newspaper).
Test: Have them read the paragraph and questions
below and select the correct answers.
Paul and Mary are traveling to visit
their niece, Barbara. She just graduated from college and is looking for
a job. Hopefully one in marketing. She hopes to buy a home one day.
During the visit she will take them to some of the local sites,
including the Zoo and the worlds largest ball of twine. Paul and
Mary are looking forward to eating out because Barbara lives near a lot
of restaurants. They especially like Indian restaurants because
they like spicy food. But they don't like Mexican food or fast
food. They can't stay very long because Mary only has 1 week of time off
Example: They may have trouble understanding
what you say. Might have difficulty comprehending and following spoken instructions.
Test: As them these questions
Example: Need to work on understanding someone saying "Put the large square to the left of the small green circle" (or something harder: 2 or 3 step instructions, or easier "Select the square").
Test: Ask them to point to several objects around the room in order: "Point to the floor, then the ceiling, then me, then my head".
Example: If you ask them to put the glass on the table and get a napkin out of the drawer, they have difficulty completing that task.
Example: They might not realize which word doesn't belong in the following:
Egg, Cheese, Rock, Ice-cream. Or, if you give them a group: Horse, chicken, mule,
they might have difficulty naming the category (farm animals))
Example: Solving simple problems such as following cooking recipes or TV schedules, or understanding traffic signs. Morehidden
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