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CASE SCENARIO Mr. Jones is a 64-year-old male who is post-CVA with resulting Broca’s aphasia. Assessment data indicates mild difficulty with naming, moderate difficulty with word fluency (5/20 with 1- to 2-word utterances), 50% sentence comprehension and word finding, and 3/10 on responsive speech. Non-standardized reading comprehension assessment indicates functional word comprehension (80%) and moderate difficulty with comprehension of sentences and paragraphs (55%). Mr. Jones has comorbid chronic health conditions such as R hemiparesis and hypertension. He has a supportive family. He is highly motivated and desires greater independence in social interactions but has reduced confidence in communication with familiar and unfamiliar speakers, especially when the content is not familiar to the communication partner. Patient reports: Reduced participation in activities outside of the home (e.g., viewing or participating in sports) Difficulty engaging in preferred reading activities (e.g., reading novels or newspapers) Increased withdrawal from social interaction Wife reports difficulty understanding his attempts to communicate needs at home Wife reports friends have difficulty understanding his attempts to communicate, especially with unknown context Deliverable: As a group, you will complete the following: 1. Write one STG for naming (SMART goal)- time period is 2 weeks (medicare standard) 2. Provide a patient centered activity that aligns with that goal. What will you do in your tx session to address this skill? How will you support his learning?
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