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Creating Low-Tech Visual Scenes Communication Notebooks in Aphasia

Creating Low-Tech Visual Scenes Communication Notebooks in Aphasia . Kristy S.E. Weissling, SLP.D. * David R. Beukelman, PH.D. *#% Julie Weiss, B.S.* . *University of Nebraska-Lincoln # Madonna Rehabilitation Hospital %Monroe Meyer Institute. Agenda.

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Creating Low-Tech Visual Scenes Communication Notebooks in Aphasia

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  1. Creating Low-Tech Visual Scenes Communication Notebooks in Aphasia Kristy S.E. Weissling, SLP.D. * David R. Beukelman, PH.D.*#% Julie Weiss, B.S.* *University of Nebraska-Lincoln # Madonna Rehabilitation Hospital %Monroe Meyer Institute www.aac-rerc.com

  2. Agenda • Discuss template design-rationale for development • Show examples and use patterns • Discuss clinician feedback on templates • Provide web resource for templates

  3. Template Rationale • Decrease work load • Increase efficiency with digital photo manipulation • Provide resource in a commercially available and common software program • Begin the use of personalized and visual scene material early in treatment process

  4. Template Design • Design Principles • Borders: used to define space and to delineate who the text is for (PWA or listener) • Pictures: relevant in relation to print, should be close in proximity to the accompanying text • Repetition: important for organization from page to page; repeat color, shape, texture, spatial relationships, line thickness, sizes, etc. • Proximity: items should relate to each other and be grouped close together as one visual unit, to reduce clutter

  5. Template Design • Available in: • Index card (3 x 5) • Half page • Full page • Navigation pages available (1/2 page) • Navigation tabs available • Coming soon…group pages

  6. Examples of Templates

  7. Examples of Templates

  8. Examples of Templates

  9. Severe Aphasia • 59 y.o. female • CVA • No spoken output • 50% auditory recognition of common words MTDDA • Read and answered 67% of yes/no questions on MTDDA accurately • No legible writing

  10. Example-Severe Aphasia

  11. Aphasia and Cognitive Impairment • 53 y.o. male • Cognitive/Linguistic deficit following brain tumor resection • Naming 32/36 points on ADP • Auditory Language Comprehension 18/28 on ADP • Writing 26/30 points on ADP • Reading 27/30 on ADP information sheet • Memory and Attention Moderately impaired on CLQT

  12. Aphasia and Cognitive Impairment - Example

  13. Memory Impairment • 58 y.o. male • Memory and attention deficits - aneurysm • ABCD Episodic memory score 2.3 • 3-words 3 shapes • Immediate recall of words only – no shapes • No delayed recall of words or shapes • Recognition memory • words 1/3 • Shapes 2/3

  14. Memory Impairment-Example

  15. Positive Comments from Clinicians • Communication book is working well • It was easy to assemble • Format is straightforward • It is a way to interact socially as well as repair communication breakdowns • Nice way to organize material

  16. Suggestions from Clinicians • Creating ways for clients to use the books in novel situations, better understanding of when it could help most

  17. Resources • Low tech templates available at: • http//aac.unl.edu (note: no www) • Go to: • Updates • Visual scenes resources • Low tech visual scenes templates • Manual is also available • You must have a PC computer and Microsoft publisher software on your computer

  18. http://aac.unl.edu 1. 2. 3. 4.

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