The words are the therapy — expressive aphasia
| Patient | 63M, subacute phase |
|---|---|
| Lesion | MCA territory, moderate |
| Severity | NIHSS 8 |
| Days since onset | 10 |
| Before the strokeIndependent; electrician, pub quiz regular. | |
| Also on the chartHypertension; Atrial fibrillation | |
| PrecautionsFatigue shortens sessions; Frustration — structure success | |
Test yourself
What does rehabilitation arrange for his language?
The teaching
Aphasia moves the therapy into the conversation itself: intensive speech-language therapy for the language, partner training for the dose, and a hard no to the two kind responses — finishing his sentences and rationing his visitors — that starve the very practice recovery needs.
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The full sequence
This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.
Sources on this page: Brady MC et al. Cochrane Database Syst Rev. 2016 · Kagan A. Supported conversation for adults with aphasia. Aphasiology. 1998. Brady MC et al. Cochrane Database Syst Rev. 2016