‘Aphasia Awareness Month – June 2020’
Awareness is key to Aphasia Rehabilitation!
Aphasia is acquired communication disorder which impairs the ability to process language, due to brain damage
My brother-in-law, who is in his early 60s, suddenly felt weakness of his right side of the body along with slurring of speech. He was immediately taken to a nearby hospital and medical treatment was given, as he had developed brain stroke. By God’s grace, he recovered, he is now able to walk with support but his hand is still not working. We are also unable to understand what he is saying as he is not able to speak in sentences and most of time, he is pointing using his left hand. The doctors referred us to a speech therapist. She conducted some tests and said he has aphasia and needs to attend speech therapy for recovery of his speech………. as told by the caretaker of the stroke survivor
Many of you must have come across such a situation in your lives. Brain stroke is the second most common cause of death in the world(WHO report,2016). In the Indian context, the estimated adjusted prevalence rate of stroke range is, 84-262/100,000 in rural and 334-424/100,000 in urban areas. The incidence rate is 119-145/100,000 based on the recent population-based studies. Aphasia persists as a disability in 21%–38% of stroke survivors. The number of persons with aphasia (PWA) in our country is likely to be around two million. So, let us know what is ‘Aphasia’.
What is Aphasia?
Aphasia is an acquired communication disorder due to brain damage that impairs a person’s ability to process language, but does not affect intelligence. Aphasia impairs the ability to speak and understand others. Most of the PWA also experience difficulty reading and writing. There are many types of Aphasias. Some people have difficulty speaking while others may struggle to follow a conversation. In some people, aphasia is fairly mild and you might not notice it right away. In other cases, it can be very severe, affecting speaking, writing, reading, and listening. While specific symptoms can vary greatly, what all people with aphasia have in common are difficulties in communicating.
How Long Does it Take to Recover from Aphasia?
If the symptoms of aphasia last longer than two or three months after a stroke, a complete recovery is unlikely. However, it is important to note that some people continue to improve over years and even decades. Improvement is a slow process that usually involves both helping the individual and family understand the nature of aphasia. Contacting a Speech Therapist is crucial in the recovery of speech and communication.
— Natl Aphasia Assoc (@NatAphasiaAssoc) June 1, 2017
Who is a Speech Therapist and what do they do to recover Speech in a PWA?
Speech Therapists are trained in Allied Health Care Professionals. They deal with identification, diagnosis, prognosis and planning of speech therapy, using appropriate clinical tools, in management of aphasia. They use certain techniques in recovering the speech and language in a PWA, they also provide compensatory learning strategies for communicating. The Speech Therapists may choose to deliver their services either on person to person bases or through Tele-rehab.
What is Aphasia Tele-Rehab?
Just like we have Telemedicine to reach people in remote areas, where specialized doctors are not available, Tele-rehabilitation are facilities provided through e-services. PWA can be tested and advised by the speech therapist from their own locations using e-resources. This will not only help in dealing with the communication problems of PWA but also improve the quality of life of that individual as a whole.
How Do You Communicate with a Person with Aphasia?
Remember the diagnosis of aphasia does NOT imply a person has a mental illness or impairment in intelligence. The stroke survivor can hear (Check understanding with yes/no questions), so, don’t speak loudly. Use sentences that are short and to the point. Keep the noise level down and stand where the survivor can see you.
Remember to treat the stroke survivor as an adult and let him or her share in decision-making. Help the stroke survivor cope with feelings of frustration and depression. Above all, be patient with the person with aphasia. Give them the time they need to try to speak and get their point across to you. This not only respects their dignity, but makes it less stressful for them when communicating.
Dr. C. S. Swathi
(Telangana Audiologists and Speech-Language Pathologists Association)
(Note – This news is not a medical consultation in any case. This is a Press release. You can not make any decision based on this news story. Do not become a doctor yourself, consult a qualified doctor.)