Re: Fw: APHASIA - Please help!

[bornagain]

This was a great clarification. What type of therapy or programs could the therapist set up for a resident with a diagnosis of language of generalized intellectual impairment. I would love to have suggestions to bring back to my facilities so that maybe I could see more appropriate programs for our residents with dementia. This type of program could potentially have a positive impact on the depression and behavior symptoms we see in our residents with dementia. Jeanne   On Sat, 8 Nov 2003 10:41:29 -0500 "Dianne Lazer" <[EMAIL PROTECTED]> writes: > 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 > -----------------------------------------------------------/ > >