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Thank you, Garry,
I was trying to think of the dysarthria, and could
only come up with dysphasia. And you are right about the SLP being a good
resource when dealing with the subtle differences with speech and language
disorders.
----- Original Message -----
Sent: Monday, January 12, 2004 10:02
PM
Subject: RE: aphasic
Check with your
speech pathologist. It�s been awhile since I�ve treated patients, but it
sounds more like a diagnosis of �dysarthria� which is a neurologically-based
motor speech impairment, rather than aphasia (synonymous with dysphasia) which
is a neurologically-based language impairment. Dysarthria is a
weakness of the muscles that produce speech often resulting from a unilateral
or bilateral stroke or other neuro insult. It is possible to have
both dysarthria and aphasia. When discussing aphasia, it is
important to describe both the expressive component (speech and
writing) as well as the receptive component (auditory and written
comprehension). Your SLP can elaborate further � good luck.
Garry
L. Woessner,
MA,
CCC, MBA, CAS
Woessner
Healthcare Consulting Group
6602 Scandia Road
Edina, MN 55439
952-944-5415 (office)
612-670-1956 (mobile)
[EMAIL PROTECTED]
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN,
RAC-C
Sent:
Monday, January 12,
2004 8:05
PM
To: [EMAIL PROTECTED]
Subject: Re: aphasic
What you are describing sounds
more like Dysphasia than Aphasia. She has some speech, but it is
impaired, rather than not having speech at all.
I believe the code is
784.5
----- Original Message -----
Sent: Monday,
January 12, 2004 8:46 PM
If a person speaks and is
understood most of the time but has a mention of speech impediment in
the discharge summary, would you ask the dr for a dx of aphasia and code it
on MDS? People who have been around her for a long time understand her
well. Others who have just met her have more difficulty understanding her.
Would appreciate your opinions. Thank you
Becky
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