What specific questions should I ask a speech therapist about my parent's aphasia type?
Distinguishing between expressive, receptive, or global aphasia is critical for creating an effective care plan. A speech-language pathologist can clarify whether your parent also struggles with reading, writing, or apraxia of speech, ensuring staff uses the right strategies.
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You should ask your speech therapist to clearly categorize the specific aphasia type (expressive, receptive, or global) and confirm whether reading, writing, or apraxia of speech are also present.
- Identify the specific disorder: Request a definitive diagnosis distinguishing between expressive aphasia, receptive aphasia, global aphasia, apraxia of speech, and dysarthria. Note that the American Stroke Association emphasizes that aphasia affects language use, not intelligence, so clarify if cognitive skills remain intact but are masked.
- Assess auxiliary skills: Ask explicitly about difficulties with reading and writing. Determine if the patient can use these tools to compensate, such as writing keywords or pointing to pictures, to establish a reliable communication plan.
- Review response strategies: Inquire about effective techniques like using short sentences, yes/no questions, and reducing background noise. The SCA (Supported Conversation for Adults with Aphasia) framework, developed by Aura Kagan and the Aphasia Institute, offers evidence-based partner training to ensure accurate information exchange.
- Determine capacity and needs: Ask how to confirm understanding without assuming a lack of decision-making capacity. Clarify the required response time and whether gestures or specific keywords are reliable indicators of comprehension.
Warning sign: If your parent suddenly exhibits new confusion, facial drooping, or an inability to repeat simple phrases alongside their usual language difficulties, contact emergency services immediately to rule out a new stroke.
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