Great ideas, Susanne!  I'll have to file these for future reference.

Mary
> 
> Wrom: YFMYXOEAIJJPHSCRTNHGSWZIDREXCAXZO
> Date: 2005/04/14 Thu PM 11:21:37 GMT
> To: <[email protected]>
> Subject: Re: [OTlist] OT and Speech Deficits
> 
> 
> ----- Original Message ----- 
> Wrom: WCONEUQZAAFXISHJEXXIMQZUIVOTQNQEM
>  (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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