Correction needed. I meant to post Language of Generalized Intellectual Impairment (not disorder). Language of generalized intellectual impairment is the 'correct' diagnosis for patients with chronic cognitive impairments that also demonstrate language related communication difficulties. The diagnosis of aphasia would be incorrect in my opinion since that would assume that this patient would be able to take responsibility for his care and be a candidate for "aphasia" therapy techniques. With the diagnosis of Language of Generalized Intellectual Impairment, the patient should then receive the appropriate professional functional maintenance evaluation and treatment planning options that would better meet this patient's needs. Hope this helps. Dianne
----- Original Message ----- From: "Dianne Lazer" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, November 07, 2003 12:38 PM Subject: Re: APHASIA - Please help! > Aphasia is a language diagnosis secondary to a neurologic disorder. > Language of generalized intellectual disorder is a diagnosis often given to > patients with Alzheimer's Disease. CP and Parkinson's Disease are motor > related neurologic disorders and often the patient's speech or articulation > of speech is affected. In order to properly diagnose aphasia, I would try > to get a referral for a speech evaluation to determine the patient's > communication skills and provide the proper speech and language diagnosis. > > ----- Original Message ----- > From: "Wiedemann, Betty R" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Friday, November 07, 2003 11:14 AM > Subject: RE: APHASIA - Please help! > > > > Appropriate is not a question for us ( unless NP) Aphasia is also a > symptom > > for Dementia.I have had doc write the dx and others who won't.I believe > the > > dx must be from the MD not us. > > > > -----Original Message----- > > From: carol maher [mailto:[EMAIL PROTECTED] > > Sent: Friday, November 07, 2003 10:47 AM > > To: [EMAIL PROTECTED] > > Subject: Re: APHASIA - Please help! > > > > > > If you think that these residents meet the definition of aphasia " A > speech > > or language disorder caused by disease or injury to the brain resulting in > > difficulty expressing thoughts (i.e., speaking , writing), or > understanding > > spoken or written language" then, I think that it is appropriate to ask > the > > physician for a diagnosis. Sometimes they will give one of "Expressive > > Aphasia" or "Receptive Aphasia". I code the MDS for aphasia if I have > > either of those diagnoses. > > > > > > -----Original Message----- > > From: BONNIE RANDOLPH > > Sent: Nov 7, 2003 7:20 AM > > To: [EMAIL PROTECTED] > > Subject: APHASIA - Please help! > > > > > > If a resident has a cerebral palsy or Parkinson's diagnosis and has > > dysarthria, is it acceptable to ask the doctor to write a diagnosis of > > aphasia? Both these residents are hard to understand and I do not think > > either is capable of writing messages. > > > > Bonnie > > > > _____ > > > > MSN Shopping upgraded for the <http://g.msn.com/8HMAENUS/2737??PS=> > > holidays! Snappier product search... > > /---------------------------------------------------------- The Case Mix > > Discussion Group is a free service of the American Association of Nurse > > Assessment Coordinators "Committed to the Assessment Professional" Be sure > > to visit the AANAC website. Accurate answers to your questions posted to > NAC > > News and FAQs. For more info visit us at http://www.aanac.org > > -----------------------------------------------------------/ > > /---------------------------------------------------------- The Case Mix > > Discussion Group is a free service of the American Association of Nurse > > Assessment Coordinators "Committed to the Assessment Professional" Be sure > > to visit the AANAC website. Accurate answers to your questions posted to > NAC > > News and FAQs. For more info visit us at http://www.aanac.org > > -----------------------------------------------------------/ > > > > /---------------------------------------------------------- > > The Case Mix Discussion Group is a free service of the > > American Association of Nurse Assessment Coordinators > > "Committed to the Assessment Professional" > > Be sure to visit the AANAC website. Accurate answers to your > > questions posted to NAC News and FAQs. > > For more info visit us at http://www.aanac.org > > -----------------------------------------------------------/ > > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
