Basic-Choice Basic-Choice CommunicatorCommunicator

Kristi BlairKristi Blair

Terri CunninghamTerri Cunningham

Kari KaufmanKari Kaufman

Basic Choice CommunicatorBasic Choice Communicator

Who is it?Who is it? Global Aphasia, Global Aphasia, PerseverationPerseveration Jargon AphasiaJargon Aphasia Some patients progress to the next level (cotnrolled-Some patients progress to the next level (cotnrolled-

situation) while others do notsituation) while others do not

Why do it?Why do it? Family members see treatment as something positive Family members see treatment as something positive

and respectful of their suddenly impaired spouse or and respectful of their suddenly impaired spouse or parent. parent.

Basic-Choice CommunicatorBasic-Choice Communicator

What is it?What is it? Establish roles of sender and receiver in Establish roles of sender and receiver in

simplified exchangessimplified exchanges Develop basic turn taking skillsDevelop basic turn taking skills Provide a means of indicating shared Provide a means of indicating shared

referencereference Developing consistent indicators (pointing)\Developing consistent indicators (pointing)\

Can later become essential in conveying more Can later become essential in conveying more specific information.specific information.

Skill #1Skill #1

To choose items to meet grooming needs during To choose items to meet grooming needs during daily routinesdaily routinesPatient SubgoalsPatient Subgoals To look at the partner when addressed by nameTo look at the partner when addressed by name To visually attend to and scan presented objectsTo visually attend to and scan presented objects To take and grasp objectsTo take and grasp objects To choose a desired object by gazing, grasping, or To choose a desired object by gazing, grasping, or

pointing after the clinician gives a context or offers a pointing after the clinician gives a context or offers a choice of objects or offers a verbal choice.choice of objects or offers a verbal choice.

Sample ActivitiesSample Activities Choosing pants or a shirt for a daily outfitChoosing pants or a shirt for a daily outfit

Skill #2Skill #2

To choose pictured items in the context of a functional To choose pictured items in the context of a functional activityactivityPatient SubgoalsPatient Subgoals

Look at the clinician when addressed by nameLook at the clinician when addressed by name To look from the clinician to pictured items and scan themTo look from the clinician to pictured items and scan them Maintain index finger in pointed position with initial physical Maintain index finger in pointed position with initial physical

assistanceassistance Make a choice by pointingMake a choice by pointing Turn pages of a catalogue or photo album at the appropriate Turn pages of a catalogue or photo album at the appropriate

moment in interactionmoment in interaction

Sample ActivitiesSample Activities Choosing family members to send cards to out of a photo albumChoosing family members to send cards to out of a photo album

Skill #3Skill #3

To participate in Tic-Tac-ToeTo participate in Tic-Tac-Toe

Patient SubgoalsPatient Subgoals To grasp a penTo grasp a pen Give pen to partnerGive pen to partner Generate an appropriate graphic symbolGenerate an appropriate graphic symbol Complete one or more logical moves without Complete one or more logical moves without

assistanceassistance

Skill #4Skill #4

To participate in simple card gamesTo participate in simple card gamesPatient SubgoalsPatient Subgoals To grasp cards and visually scan themTo grasp cards and visually scan them Indicate the partners turnIndicate the partners turn Match cardsMatch cards Lay down cardsLay down cards Compare the value of cards and determine the winnerCompare the value of cards and determine the winner To follow basic rules of a card gameTo follow basic rules of a card game

Sample ActivitiesSample Activities Uno, War, Old MAidUno, War, Old MAid

Skill #5Skill #5

To communicate affirmation with a head To communicate affirmation with a head nod and refusal with a head shakenod and refusal with a head shakePatient subgoalsPatient subgoals To look at clinician when addressedTo look at clinician when addressed To nod head up and down with ?sTo nod head up and down with ?s To shake head when presented with choices To shake head when presented with choices

not desirablenot desirable

Sample ActivitiesSample Activities Naturalistic communication situationNaturalistic communication situation

Skill #6Skill #6

To add features to outline drawing of a man or To add features to outline drawing of a man or house in an interactive contexthouse in an interactive contextPatient subgoalsPatient subgoals Visually attend to the clinician’s drawing of a man or Visually attend to the clinician’s drawing of a man or

house outlinehouse outline Visually attend to missing features when given verbal Visually attend to missing features when given verbal

cues or assistancecues or assistance To grasp a penTo grasp a pen To add a feature to the drawing given verbal cues or To add a feature to the drawing given verbal cues or

assistanceassistance To independently add features to the drawing on a To independently add features to the drawing on a

turn by turn basisturn by turn basis