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...
> > >
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> "Committed to the Assessment
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> > The
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> > American
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>
> "Committed to the Assessment
Professional"
> > Be sure to visit the AANAC website. Accurate
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>
> questions posted to
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> > For more info visit us
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>
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> 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
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