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Diagnosis: Cognitive-Communication Impairment across the life span
Multiple Sclerosis
Right Hemisphere Impairment
Dementia
Traumatic Brain Injury
Primary Progressive Aphasia
Other
(Sohlberg & Mateer, 2001)
Long Term Goal: By 1/24/2023, when using compensatory strategies, the client will label items by name during structured activities in 4 out of 5 opportunities, across 2 out of 3 sessions, as measured by SLP data and observations.
Word-Finding-Riddles.pdfRiddles for Adults.pdfSteps
When working on riddles, the client will answer wh-questions by attempting to recall names of different items (e.g., I am a farm animal who is pink. Many people think I stink. Who am I?).
Provide three trials
Offer a 5-10 minute break.
Repeat steps 1-3 throughout the session.
(Arnold, 2009)
Targets: Word-finding, abstract reasoning, recalling and memory recognition, and organizational skills.
Session: Depending on the client's diagnosis, the duration, frequency, and intensity will be approved by the health professionals in order to provide an effective service-delivery (MacLennan, & MCD, 2012). For example, the speech-language pathologist may approve services for 30 minutes a day for five days a week in a nursing facility.
Prompts
If the client is not able to recall the targeted word, then the clinician will provide verbal prompts (e.g., I say, "oink, oink"
Provide a choice of three: "Is it a cat, pig, or turkey?"
Visual stimulus (e.g., pictures) to provide additional support for the client.
Implementation and Evidence-Based Research: Through a semantic-based approach to an intervention plan, the individual works on recalling the targeted vocabulary during critical thinking activities (Joubert, 2010). The clients with an impairment involving any cognitive domains may benefit from activities that require retrieval and recognition of the memory regarding the targeted vocabulary words (Jokel, Graham, Rochon, & Leonard, 2014). This intervention approach is known to be effective in clients' who have memory difficulties (e.g. alzheimer's disease, primary progressive aphasia) (Joubert, 2010; Volkmer, 2020). Since word-finding skills may be affected due to a neurodegenerative diseases, naming tasks allow the client to enhance vocabulary related to their semantic knowledge (Joubert, 2010).
Data tracking system: The Subjective, Objective, Assessment, and Plan (SOAP) notes allow health care providers to document important information regarding the client's health condition and allows other professionals to be aware of any information needed to guide future treatment plans (Podder, Lew, & Ghassemzadeh, 2021).
SOAP Notes Template:
SOAP NotesJokel, R., Graham, N. L., Rochon, E., & Leonard, C. (2014). Word retrieval therapies in primary progressive aphasia. Aphasiology, 28 (8-9),1038-1068.
Joubert, S., Brambati, S. M., Ansado, J., Barbeau, E. J., Felician, O., Didic, M., ... & Kergoat, M. J. (2010). The cognitive and neural expression of semantic memory impairment in mild cognitive impairment and early Alzheimer's disease. Neuropsychologia, 48(4), 978-988.
MacLennan, D. L., & MCD, L. M. P. (2012). Cognitive-communication rehabilitation for combat-related mild traumatic brain injury. Journal of rehabilitation research and development, 49(7), XI.
Podder, V., Lew, V., & Ghassemzadeh, S. (2021). SOAP notes. In StatPearls [Internet]. StatPearls Publishing.
Results for soap notes. TPT. (n.d.). Retrieved December 18, 2022, from https://www.teacherspayteachers.com/Browse/Search:soap%20notes
Sohlberg, M. K. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. Guilford Press.
Volkmer, A., Rogalski, E., Henry, M., Taylor-Rubin, C., Ruggero, L., Khayum, R., ... & Rohrer, J. D. (2020). Speech and language therapy approaches to managing primary progressive aphasia. Practical neurology, 20(2), 154-161.
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