RE: aphasic

[Garry Woessner]

Becky – CCC is the speech path Certificate of Clinical Competence (ASHA) and CAS is Certified Subacute Administrator (ACHA).   Dysarthria (slurred speech) is not aphasia, although it is often concurrent with mild receptive and/or expressive aphasia.   Call me if you have any other questions – I’d be happy to discuss it with you.    Garry L. Woessner, MA, MBA, CAS Woessner Healthcare Consulting Group 6602 Scandia Road Edina, MN 55439 952-944-5415 (office) 612-670-1956 (mobile) [EMAIL PROTECTED]   Confidentiality Notice:  This e-mail message is for sole use of intended recipient(s) and may contain confidential and privileged information.  Any unauthorized review, use, disclosure, distribution or copying is prohibited.  If you are not the intended recipient, please contact the sender by replying to this e-mail and destroy/delete all copies of this e-mail message.     -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of riversong Sent: Thursday, January 15, 2004 9:58 AM To: [EMAIL PROTECTED] Subject: Re: aphasic   That is a great question.  Any language impairment resulting from an injury to the brain would certainly be aphasia.  In terms of dysarthria, which is a muscular weakness and speech disorder rather than a language disorder, I don’t think you can, by itself,  technically code it as aphasia.   Fortunately for us (and unfortunately for the patient), dysarthria rarely occurs without a concomitant level of receptive or expressive aphasia, since dysarthria is typically due to an injury in the same area of the brain.   It is probably important for the SLP to test and document the degree of actual aphasia in these cases.    Garry You are very knowledgeable of this subject and I appreciate your answering my questions. I am curious to know what the CCC and CAS stand for after your name.  My consulter feels I should have marked the MDS as aphasic for the speech impediment although it was not clarified (even though I need to recheck the chart to see if I missed something on the therapy notes and evals.) Thank you again. Becky