University:
Boston University
Course:
GMS BC 630 | Ethical & Policy Issues in Health and Medical Services Emergency Management
Academic year:

2019
Views:

323

Pages:

10
Author:

Clint W.

What may be the relationship between impairment and function? Participation in life situations Reading Single Words Executive Functions Communication and language environment Living with Aphasia Personal identity, attitudes and feelings Visual Scanning Reading a Menu Basic Calculations Language and related impairments What may be the relationship between impairment and function? Reading Single Words Executive Functions Visual Scanning Basic Calculations Participation in life situations Language and related impairments Reading a Menu What may be the relationship between impairment and function? PARTICIPATION VerbSingle Retrieval Reading Words Passive Sentence Executive Functions Comprehension Selective Attention Visual Scanning Basic Calculations Ordering at a Restaurant Participation in life situations Introducing a Topic Language and related impairments Reading a Menu Future Directions • Investigate the relationship in change pre- to post-therapy by targeting… • Functional communication specifically • Combined impairment- and functionbased skills • Expand the battery of assessments • Measure additional domains within A-FROM/ICF Acknowledgments Thank you to our patients and members of the lab who worked on this project. Special thanks to Carrie Des Roches, Natalie Gilmore, Brett McCardel, Mara Nussbaum, and everyone else for their contributions. References available upon request: Erin Meier: emeier@bu.edu Jeff Johnson: johnsojp@bu.edu Thank you for your attention. Comments or questions? Extra Slides Did the outliers improve in outcomes? BUMA55--24 Years Post Onset BUMA55--24 Years Post Onset 1.4 1.2 1 0.8 0.6 0.4 0.2 0 60 40 20 0 -20 -40 -60 BUMA73--30 Years Post Onset BUMA73--30 Years Post Onset 5 0.6 0 0.4 -5 0.2 -10 0 -15 -0.2 -20 -0.4 -25 -0.6 Questions we might get from others • Proxy measure vs PRO • Why did we keep in the people who didn’t improve in tx? • Did Frattali say anything about who the ASHA FACS is most appropriate for in terms of severity • How did we select the instruments? • Did the outliers on slide 12 improve if they were in the tx sample? Review of what FACS dimensions mean • -Adequacy: frequency with which the PWA understands the gist of a message and gets a point across • -Appropriateness: frequency with which the PWA’s communication is both relevant and done under the right circumstances • -Promptness: frequency with which the PWA responds without delay and in an efficient manner • -Communication Sharing: extent to which the PWA’s communication poses a burden to the communication partner because the PWA talks excessively or not enough • -Overall QDC: Composite measure of overall Quality/Effectiveness in expressive and receptive communication in functional situations Discussion: Other factors