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Helen Gowland. Chair Person Tayside Speakeasy Aphasia Self Help (affiliated to Speakability). Laorag Hunter. Speech and Language Therapist NHS Tayside. Aphasia A communication impairment. “ay-fay-zee-ah”. Aphasia Difficulty using and understanding spoken and written language.

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HelenGowland

Chair Person

Tayside Speakeasy Aphasia Self Help

(affiliated to Speakability)

Laorag Hunter

Speech and Language Therapist

NHS Tayside


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Aphasia

A communication impairment

“ay-fay-zee-ah”


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Aphasia

Difficulty using and understanding spoken and written language


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Aphasia = Dysphasia


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Aphasia

Common after stroke, brain injury and some brain illnesses


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Everyone with aphasia

has their own unique pattern


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Aphasia

  • 20,000 people develop aphasia every year

  • 50% of people have aphasia 18 months after it starts

  • 250,000 people in UK

  • Changes with communication can be life-long


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1999

  • 44 years old

  • 3 girls

  • Husband

  • Elderly parents

  • Part time specialist physio

  • Committee work

  • Enjoying life


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Out Of The Blue

  • April 1999

  • Aneurysm ruptured followed by stroke

  • Emergency brain surgery


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Aphasia- Many Changes


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Epilepsy

Aphasia

Changes in vision

Balance

Work

Driving

Family

Hobbies

Impact on Me

Devastation


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2010

  • 55 years old

  • 3 girls, sons-in-law, boyfriends

  • Husband

  • Elderly parents

  • Part time work Oxfam

  • Committee work (local and national)

  • 2 dogs

  • Cooking

  • Enjoying life


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Living Successfully with Aphasia (Brown et al 2010)

  • Communication

  • Doing things

  • Meaningful relationships

  • Striving for a positive way of life


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Living Successfully with Aphasia (Brown et al 2010)

  • Communication

  • Doing things

  • Meaningful relationships

  • Striving for a positive way of life


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Ask yourself…

  • If I had difficulty understanding what would help?

  • If I had difficulty telling by speech what would help?

  • If I had difficulty reading what would help?

  • If I had difficulty telling by writing what would help?


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Aphasia Friendly

  • Don’t use a big word if a small word will do

Don’t use unusual vocabulary

Don’t use unusual words


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Aphasia Friendly

  • Use simple sentences

“I am writing to inform you that garage charges will increase on 1st March from £25 per calendar month to £28”

“Garage charges rise on 1st March to £28”


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Aphasia Friendly

  • Large Print


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Aphasia Friendly

  • More white space


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Aphasia Friendly

  • Key words in colour


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Aphasia Friendly

  • Include carefully selected images or symbols


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Aphasia Friendly

  • If you need a reply, include addressed envelopes


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Aphasia Friendly

  • Option for face to face help


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Aphasia Friendly

  • Time to understand and to answer


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Aphasia Friendly

  • Repeat important points


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Aphasia Friendly

  • Simple words

  • Simple sentences

  • Large print

  • More white space

  • Key words in colour

  • Use of carefully selected pictures/symbols

  • Pre-printed envelopes

  • Option for face to face help

  • Plenty of time

  • Repetition


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For example

The next working group will be visiting the Scottish Parliament. You will need to bring bus pass, money for coffee and a packed lunch. There will be an opportunity to take photographs.




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  • Ask for help with communication


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  • Expect communication improves over a long period of time


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Stroke Research Tells Us…

  • Language function continues to improve over DECADES(Ambridge et al 2010)


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People with aphasia tell us…

  • This requires

PRACTICE

PRACTICE

PRACTICE



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Speech Therapy

  • Helps me to get new words 10 years on

  • Practise on my own at home with a communication aid

  • I am improving all the time

  • Feel positive


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Living Successfully with Aphasia (Brown et al 2010)

  • Communication

  • Doing things

  • Meaningful relationships

  • Striving for a positive way of life




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Harmony communication

People with aphasia are not static, they are dynamic

When they are supported to have a purpose, goals and

to feel strong


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References communication

  • Brown, K et al (2010). Snapshots of success: An insider perspective on living successfully with aphasia. Aphasiology, 24 (10), 1267–1295

  • Ambridge et al (2010). Predicting language outcome and recovery after stroke. RCSLT Bulletin, October 2010

  • Maxwell, G (2009). Falling and Laughing: The restoration of Edwyn Collins. Ebury Press.


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Learn more about aphasia communication

  • www.ukconnect.org

  • www.speakability.org.uk


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Thank You communication


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