Aphasia and being spoken over

Setting: Stroke rehabilitation clinic

Paul Harris, 63, has post-stroke word-finding difficulty. The supplied assessment supports extra response time and short choices; he wants to participate in ordering his own lunch while his sister tends to answer for him.

Task

Address the patient directly and invite their preferred support.
Explore unwanted sentence completion.
Agree extra time, optional choices, gestures or written keywords.
Choose an everyday conversation goal and obtain permission for relative involvement.

Aphasia and being spoken over consultation plan

The patient’s supplied assessment identifies word-finding difficulty and supports using short choices and extra response time.
The clinician should address the patient directly and ask permission before involving the relative.
A written keyword or gesture can supplement speech in this session.
The therapy goal is a personally chosen everyday conversation, not a promise of complete recovery.
Paul Harris, 63, has post-stroke word-finding difficulty. The supplied assessment supports extra response time and short choices; he wants to participate in ordering his own lunch while his sister tends to answer for him.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.