Auditory Comprehension Treatment in a Clinical Setting: Case Studies

Presented by Janet Patterson and Mary Purdy

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Video Runtime: 37 Minutes, Learning Assessments: 59 Minutes

Treatment programs for persons with auditory comprehension deficit must be individualized, theoretically motivated, and based on evidence. Although published treatment protocols may be used, it may not always be possible to deliver a protocol as described in the original literature. Factors that limit successful implementation of a published protocol are client-related factors such as environmental awareness, personal needs and goals, or aphasia severity; clinician-related factors such as program drift or unfamiliarity with a treatment protocol and expected outcomes; and setting-related factors such as voltage drop or time limits imposed by a facility. Successful treatment implementation and outcome requires clinicians to understand the theoretical and situational evidence supporting a protocol; to compare the aims of a treatment protocol and aims for a specific client; and to plan and provide evidence in justification for protocol modifications. Linking these components in clinical decision-making requires following the components of evidence-based practice and providing theoretical, empirical, or observational evidence to justify decisions. This process will be illustrated using case examples of individuals with mild to severe auditory comprehension deficit accompanying aphasia.

Meet your instructors

Janet Patterson

Janet Patterson is chief of the the Audiology and Speech-Language Pathology Service at the VA in Northern California. Prior to that, she held academic positions as faculty member, associate dean, and department chair at California State University East Bay, Central Michigan University, and Michigan State University. With…

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Mary Purdy

Mary Purdy is professor emeritus at Southern Connecticut State University, where she taught courses on aphasia and related neurogenic communication disorders. She is board certified by the Academy of Neurologic Communication Disorders and Sciences and has authored articles, book chapters, and presentations related to aphasia.…

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Chapters & learning objectives

Selecting an Appropriate Auditory Comprehension Approach

1. Selecting an Appropriate Auditory Comprehension Approach

Treatment programs for persons with auditory comprehension deficit must be individualized, theoretically motivated, and based on evidence. Although published treatment protocols may be used, it may not always be possible to deliver a protocol as described in the original literature. Treatment, client, and outcome factors related to selecting an appropriate treatment will be discussed.

Clinical Example 1: Aphasia With Severe Auditory Comprehension Deficit

2. Clinical Example 1: Aphasia With Severe Auditory Comprehension Deficit

Successful treatment implementation and outcome requires clinicians to understand the theoretical and situational evidence supporting a protocol, to compare the aims of a treatment protocol and aims for a specific client, and to plan and provide evidence in justification for protocol modifications. This process will be demonstrated using a case example of an individual with severe auditory comprehension deficit.

Clinical Example 2: Aphasia With Moderate Auditory Comprehension Deficit

3. Clinical Example 2: Aphasia With Moderate Auditory Comprehension Deficit

Successful treatment implementation and outcome requires clinicians to understand the theoretical and situational evidence supporting a protocol, to compare the aims of a treatment protocol and aims for a specific client, and to plan and provide evidence in justification for protocol modifications. This process will be demonstrated using a case example of an individual with moderate auditory comprehension deficit.

Clinical Example 3: Aphasia With Mild Auditory Comprehension Deficit

4. Clinical Example 3: Aphasia With Mild Auditory Comprehension Deficit

Successful treatment implementation and outcome requires clinicians to understand the theoretical and situational evidence supporting a protocol, to compare the aims of a treatment protocol and aims for a specific client, and to plan and provide evidence in justification for protocol modifications. This process will be demonstrated using a case example of an individual with mild auditory comprehension deficit.