Efficiently plan treatment for clients in long-term care with this resource of goals and functional activities.
- Develop effective long- and short-term goals for clients with aphasia, apraxia, dysarthria, dysphagia, and dementia
- Provide functional, goal-directed tasks in therapy
This hierarchy of goals and activities is a framework for the management of a wide variety of clients in residential-type settings. The book is divided into these units and sub units:
- Aphasia—Auditory Comprehension, Verbal Expression, Global Aphasia, and Right Hemisphere Dysfunction
- Apraxia—Mild, Moderate, and Severe Apraxia of Speech
- Dysarthria—Oral Motor Exercises, Articulatory Precision, Speech Rate, and Prosody
- Dysphagia—Disorders of Mastication, Preparatory Phase, Oral Phase, Pharyngeal Phase, and Dysphagia Arising From Dementing Diseases
- Cognitive-Linguistic—Cognitive Functions/Communication (i.e., orientation and memory), Activities of Daily Living, Time Use, Social Skills, and Emotions/Behavior
Each unit has a long-term goal. The sub units are further divided by short-term goals, giving you a progression of treatment. Each short-term goal is paired with a realistic activity for geriatric clients. Most of the activities use materials found in the patient's room or facility, making them easy to set-up and functional. Activities for family and caregivers are included.
Copyright © 2003
- ASHA (2005) states that speech-language pathologists have the unique educational background to screen, evaluate, and treat swallowing and cognitive-communication disorders associated with dementia-based communication disorders.
- In a group of stroke patients, 40% of the older geriatric group (ages 85 years plus) showed improvement in Functional Independence Measure™ (FIM) in comparison to 53% of the younger geriatric group (ages 75-84 years old). Thus, though the older geriatric group improved less overall than the younger geriatric group, this study shows that age should not be the sole reason to exclude patients from benefiting from rehabilitation programs (Lieberman & Lieberman, 2005).
- A multidisciplinary stroke team approach in rehabilitation benefited patients regardless of age, stroke severity, or gender. However, the greater the severity of a stroke, the longer skilled therapy may be needed. This may include a variety of therapy sources, such as acute comprehensive rehabilitation, outpatient, home health, or a skilled nursing facility (Dewey, Sherry, & Collier, 2007).
- Individuals with strokes can still improve their functional communication and swallowing skills six months after initial onset. Patients under 60 years of age who had a high level of responsiveness/alertness had the highest level of functional gain during the chronic period of rehabilitation in a study by Carod-Artal, Medeiros, Horan, & Braga (2005).
The Long-Term Care Companion incorporates these principles and is also based on expert professional practice.
American Speech-Language-Hearing Association (ASHA). (2005). The roles of speech-language pathologists working with individuals with dementia-based communication disorders: Position statement. Retrieved August 10, 2009, from www.asha.org/policy
Carod-Artal, F.J., Medeiros, M.S.M., Horan, T.A., & Braga, L.W. (2005). Predictive factors of functional gain in long-term stroke survivors admitted to a rehabilitation programme. Brain Injury, 19(9), 667-673.
Dewey, H.M., Sherry, L.J., & Collier, J.M. (2007). Stroke rehabilitation 2007: What should it be? International Journal of Stroke, 2, 191-200.
Lieberman, D., & Lieberman, D. (2005). Rehabilitation following stroke in patients aged 85 and above. Journal of Rehabilitation Research & Development, 42(1), 47-53.