----- Original Message ----- From: "Ron Carson" <[EMAIL PROTECTED]>
(snip)
Hi Ron!
You wrote (long time ago):
(snip)
On a side note, this is a great example of 'framing the problem'. This
woman:
1. Had a stroke - which changed every facet of her life
2. She is left with residual speech defects
3. Concerns of her speech keep her from socializing
4. She feels isolated and sleeps too much
5. She is losing physical ability because of being sedentary.
My take:
I would add a nr. 6 here: She loosing speech ability because of being sedentary - and missing out on chances of gaining speech abilities.
Think of child speech development - how the words come when they're needed. Not for conversation but for communicating wants and needs, and doing important occupations (like play). Speech belongs in a context, and grows from there - also, you can tell her noone will want to listen to her anyway, if she leads a boring life (-:
So - could you perhaps explain to her how you're going to work on her speech problem while you go through some familiar tasks in the home together? First out in the kitchen and make some coffee! With her balance problem she'll need some help from you - she might ask you to provide that brown stuff from the top shelf. Oh - the coffee? If she has problems with nouns you might discuss if she wants "name tags" on certain things for a while. Would provide her with an opportunity for training when alone - but she would have to get out of bed for most of that. You might also use "errorless learning" - give her starting letters for the words she can't find - but that also only works if you're around the things, so you know what she's trying to say!
I'm basing this on the idea that she seems comfortable enough talking to you about her speech problem - and therefore might be willing to do things with you if you explain the point. I like the idea about the aphasia group also, but I think you'll have to start "closer to home"!
About your billing problem I don't know - after all I'm in Denmark (-:
susanne - long time no seen (-:
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