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Explore valid assessments for aphasia in acute, sub-acute/rehab, and community/chronic settings. Discussion includes challenges and future directions in clinical practice.
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Putting the Evidence into Practice in Adult Language
Adult Language STATS Community Rehab Acute Chairs: Melissa Brunner, Julia Murphy, Linda Jones Academic leader: Lyndsey Nickels Number of members: 30 Clinical experience: 1-30+ years Clinical roles: acute, rehab and community
Clinical Question Clinical Question What type of assessments are clinically valid to assess aphasia in the: a) Acute b) Sub-acute/ Rehabilitation c) Community/chronic settings?”
E3BP model Image: http://mark413.files.wordpress.com/2010/02/cartoon.jpg
Adult Language in 2013 • 3 leaders: 3 clinical areas, 3 subgroups • Linda - Acute • Melissa - Rehab • Julia – Community • Members allocated to 1 relevant subgroup • Each meeting assigned to a subgroup and chaired by that leader (e.g. Community meeting in November)
Adult Language in 2013 continued Trial of new CAP-D form Joint CAP within meetings Article discussion within meetings Group based data collection and clinical discussions (e.g. assessments available, positives and negatives for each)
Positives Large group size Motivated and committed group members CAPs personally relevant to SP’s area of clinical practice Practical application of CAPS Improved communication & participation in meetings Positive clinical discussions & knowledge gained from other clinicians
Improved participation Image: http://30.media.tumblr.com/tumblr_lwkv0irEf91qh3iyxo1_400.jpg
Challenges Large group size Difficulty CAP-ing diagnostic and/or qualitative articles Knowledge required to use new CAP-D form and CADE scoring Broad clinical question Variability within clinical setting and amongst subjects in articles Time! Image: http://www.livingbetterat50.com/wp-content/uploads/2013/01/Heidi-McLaughlin_photo-of-ant-pushing-uphill.jpg
Time Image: http://www.treetopt.com/newsletter/View_from_the_TreeTop-Nov09_files/image007.jpg
Future Directions Continuing with CAT Ongoing CAP-ing Practical application of CAPs Group project / trial of assessment tool across a number of sites Image: http://www.giftsanddec.com/photo/355/355133-puzzle.jpg