u/espressotiniii

Hi SLPs!

I’m currently working in OP and just evaluated a 70-year-old pt who had a stroke 13 years ago. I’d classify her as severe expressive, moderate-severe receptive. Also presenting with what appears to be AOS. Unable to use right arm.

Family stated they have tried multiple STs over the years with no success with any mode of communication.

She is alert and cooperative, but all utterances are stereotypies and even yes/no isn’t 100% reliable. She can follow directions though and imitate (facial expressions, not speech).

Where do I even begin with this case? I wanted to try high-tech AAC (humor me, I do think she’s capable) but wanted to ask others with more experience with this level of aphasia.