13 Oct 2015
So as promised in a previous blog about Aphasia Awareness Month, here are some simple tips when communicating with someone with Aphasia:
To Help Get the Message IN:
- Keep it simple. Don’t use long drawn-out sentences without any pauses.
- Write key words as you’re speaking to emphasize the message. Using a black marker on a white blank paper works well.
- Use pictures or their communication device.
- Review what you are saying and ask them if they understood you.
To Help Get the Message OUT:
- Allow extra time.
- Ask one question at a time and provide choices.
- Encourage the person to use gestures, draw pictures, or write words to help if they’re stuck on a word.
- Acknowledge their competence. You can say “I know you know what you want to say, it’s just hard getting it out.”
- Use pictures or their communication device.
- Review what you think the message is.
- If you don’t understand what the person is saying, it’s ok to say so.
You’d be surprised how effective these strategies can be. I once had a client who could only say “yes” or “no” on his own after his stroke. He came to therapy visibly upset one day and instead of starting the session, I spent some time trying to figure out why he was upset. He pointed to his belly. By writing down key words, giving him choices, and using pictures, I was able to determine that “needle,” “stomach,” and “this morning” were important words. I then took this information to the nurse after the therapy session and the nurse immediately realized that he had not gotten his insulin shot that morning.
This example goes to show how much people with aphasia can communicate with us if we use the right tools and strategies. There are some nice graphics from the American Heart Association reviewing some of these communication tips. One for males and another for females.
If you know someone with aphasia and would like to find out more about how to communicate with them most effectively, send us an email or give us a call at firstname.lastname@example.org or 289.856.9933.
*Image courtesy of jesadaphorn at FreeDigitalPhotos.net
17 Jun 2015
“Imagine if the last word you say tonight is the last word for the rest of your life”. This is the slogan that Stephen Goff is seen holding up during his moving presentation along with his wife, Carol Goff. Stephen was a very successful businessman in both Canada and the United States and was in no way, short of words. Then he suffered a stroke in 1994 on the left side of the brain that left him with aphasia and unable to speak, read, write, and work with numbers. For his full story, see here.
I had the pleasure of meeting Stephen and Carol at a recent talk they did at the hospital I currently work. They were the main speakers for our May Speech & Hearing month event and over 200 people were in attendance. Stephen wrote key words to get his message across with the occasional verbal word to emphasize his message, and Carol then interpreted the message for the listeners. The audience was captivated at what he had to say with the help of his wife, and thanks to them, more people have been educated on the effects of aphasia.
June is National Aphasia Awareness Month. Aphasia is the loss of ability to speak, understand, write, or read due to damage in the brain. This damage could be from a traumatic brain injury, stroke, tumor, or even degenerative diseases such as Alzheimer’s. The damage is in the language centres of the brain, which in most people is in the left hemisphere. Aphasia itself does not affect intelligence, but due to the limited awareness of the symptoms of aphasia, people are often mistaken for having intellectual impairments. Over 100,000 Canadians live with aphasia and about 1/3 of stroke victims experience it.
*Image courtesy of samuiblue at FreeDigitalPhotos.net
Since communication is so important to us and our relationships, those with aphasia will often feel isolated and depressed. It is important for those individuals to receive speech therapy to help them improve their ability to communicate.
I have worked on stroke and rehab units in hospitals as well as on a specialized stroke team that treated people in their homes. There are great programs that are offered through the hospital either through the rehab unit or in outpatient therapy programs. Unfortunately, once a patient is discharged from the public system, the individual or family members do not know the person with aphasia can further benefit from ongoing therapy. Conversation groups or Aphasia groups provide one avenue for continued practice with their speech and language goals, but this does not replace direct speech therapy with a speech-language pathologist. It’s amazing how the brain continues to change even years after its injury! I have seen people with aphasia 6+ years after their initial stroke who continue to improve in their speech and language skills once provided with direct speech therapy.
This topic is especially near and dear to my heart since my own father suffered a stroke at the age of 66. He lost the ability to use the right side of his body and had difficulties communicating due to a significant expressive aphasia as well as a motor speech disorder called apraxia of speech. This meant that he went from being fully trilingual in English, Japanese, and Korean, to only being able to speak one word at a time in his first language, Korean. Fortunately, he retained most of his ability to understand simple conversations and could still listen and laugh appropriately when our family was in conversation. With enough therapy and practice, he was able to speak short phrases and even order his own coffee all on his own whenever he did his laps at the local mall. What was interesting to me was watching others interact with him. Some people who knew him before his stroke continued to treat him the same and spoke to him as if he didn’t have a language impairment. Others sat awkwardly and did not know how to address my father. I saw my father light up when people took the time to engage with him but sit disinterested when people largely ignored him.
My hope is that with ongoing efforts like National Aphasia Awareness Month, people will realize that individuals with aphasia have a story to tell and that these individuals are just waiting for you to ask.
If you or a loved one is living with aphasia, please share this message.
Also, if you have questions about aphasia and speech therapy, call us at 289.856.9933 or email us at email@example.com.
Stay tuned for our next article that will review communication tips for those with aphasia.