Scenario Sarah Year Question & Answer Guide (With Explanation)
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What This Question Is About
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How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
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Original Question
Scenario: Sarah is a 33-year-old female who had an ischemic attack secondary to embolization 2 years ago. A CT scan indicated a large infarction in the posterior-lateral margins of the frontal lobe and temporal-parietal lobes on the left. A speech therapy examination revealed some right-side facial asymmetry. She followed one-step commands. Orientation was difficult to determine due to limited language output. Her attempts at speech were characterized by groping and off-target sound selection. She was intelligible when she produced single-word monosyllabic words. However, beyond this, her speech was characterized by errors such as sound and syllable transpositions, articulatory groping, and sound additions. Her presentation is consistent with Broca’s aphasia and moderate-severe apraxia of speech. Sarah is married with three girls and worked in insurance sales until she had the CVA. Her husband is very involved with her care but often gets frustrated with not being able to communicate with her. She has been receiving speech/language therapy ever since the incident. However, her doctor recently told her that she is unlikely to make any further improvements in her communication skills. QUESTION: Which prognostic indicators would inform your decision to continue with SLP treatment or not? Select exactly 5 that apply. If you select more than 5, points will be deducted. A. A consideration of different aspects of recovery, specifically those that have not been explored in treatment yet, but which have a positive prognosis. B. Sarah’s gender C. Sarah’s willingness to learn and practice compensatory strategies. D. Sarah’s stimulability and willingness to learn how to use multimodal communication/AAC to support verbal communication. E. Sarah’s facial asymmetry. F. Social support from Sarah’s husband/family. G. Sarah’s pre-onset factors (including age and educational status) and post-onset status (e.g., awareness of deficits, tolerance for treatment, motivation) H. Sarah’s coordination and ambulation abilities.
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