The "coach" will help the patient develop a script for a scenario (such as ordering food at a restaurant), and help the patient practice and perform the scenario in and out of the clinic while evaluating the outcome. Supported conversation also involves using a communicative partner who supports the patients learning by providing contextual cues, slowing their own rate of speech, and increasing their messages redundancy to promote the patients comprehension.Additionally, it is important to include the families of patients with aphasia in treatment programs. Clinicians can teach family members how to support one another, and how to adjust their speaking patterns to facilitate their loved ones treatment and rehabilitation. Prognosis
Prognosis is strongly dependent on the location and extent of the lesion (damage) to the brain. Many personal factors also influence how a person will recover, which include age, previous medical history, level of education, gender, and motivation. All of these factors influence the brains ability to adapt to change, restore previous skills, and learn new skills. It is important to remember that all the presentations of Receptive Aphasia may vary. The presentation of symptoms and prognosis are both dependent on personal components related to the individuals neural organization before the stroke, the extent of the damage, and the influence of environmental and behavioral factors after the damage occurs. The quicker a diagnosis of a stroke is made by a medical team, the more positive the patients recovery may be.
This is because Wernickes area is responsible for assigning meaning to the language that is heard, so if it is damaged, the brain cannot comprehend the information that is being received. Poor word retrieval: ability to retrieve target words is impaired. This is also referred to as anomia. Fluent speech: individuals with Wernickes aphasia do not have difficulty with producing connected speech that flows. Although the connection of the words may be appropriate, the words they are using may not belong together or make sense (see Production of jargon below). Production of jargon: speech that lacks content, consists of typical intonation, and is structurally intact. Jargon can consist of a string of neologisms, as well as a combination of real words that do not make sense together in context. The jargon may include word salads. Awareness: Individuals with Wernickes aphasia are often not aware of their incorrect productions, which would further explain why they do not correct themselves when they produce jargon, paraphasias, or neologisms. Paraphasias:Phonemic (literal) paraphasias: involves the substitution, addition, or rearrangement of sounds so that an error can be defined as sounding like the target word. Often, half of the word is still intact which allows for easy comparison to the appropriate, original word. E.g. "bap" for "map"
Semantic (verbal) paraphasias: saying a word that is related to the target word in meaning or category; frequently observed in Wernickes aphasia. E.g. "jet" for "airplane" or "knife" for "fork"
Neologisms: nonwords that have no relation to the target word.E.g.