1. Controlled Situation Communicator

2. Controlled-Situation Communicator:
Persistent global, Broca’s, or Wernicke’s aphasia.
Does not have the linguistic ability to consistently initiate communication acts (despite automatic skills).
Without assistance may be isolated in a social situation.

3. Controlled-Situation Communicator (a little more detail):
Aware of environment, yet frustrated by inability to communicate other than frowning or sighing.
Too limb apraxic to gesture
Speech is stereotypic or nonexistent.
Perform poorly on standardized tests of: auditory comp, reading, writing (global).
Every communication attempt ends in a “short circuit.”
Emotional outbursts due to too many questions, speakers, noise, and changes in routine.

4. Controlled-Situation Communicator can participate when:
Communication strategies and tools are controlled, predictable, or routine.
Written or graphic choices are provided by partners.
Participation partner

5. Partner-supported communication
Takes the burden of performance of the patient and places it one the conversational dyad.
Exchanges can occur if a partner learns to anticipate possible responses and present them as graphic choices.
Communication of wants and needs, and maintenance of social etiquette.
Additional success with: linguistic processing, information exchange, social enjoyment, opinions, advice, and preferences.

6. Skills: #1: To call for attention or assistance
#2:To introduce self in structured communication situations.
#3: To communicate biographical information by pointing to contextual written choices
#4: To communicate specific information in answer to a question within a topic of interest by pointing to contextual written choices.
#5: To communicate opinions, preferences, and other qualitative responses to questions by pointing to a number on a five-point rating scale.
#6: To communicate social etiquette phrases by pointing to written phrases on structured situations.
#7: To communicate additional information when asked a question about a “topic starter” photograph, memento, or sentence.

7. Skill #1 To call for attention or assistance
Using a standard squeeze or push-button nurse call signal in the patient’s room or lounge.

8. Skill #2 To introduce self in structured communication situations
Point to written name and address by using a small card

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10. Skill #3
To communicate biographical information by pointing to contextual written choices.
Patient visually scans written choices
Points to correct information regarding: marital status, number of children, hometown, state of birth, or profession
2-4 choices

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12. Skill #4
To communicate specific information in answer to a question within a topic of interest by pointing to contextual written choices.
Partner initiates conversation
Writes contextual choices while asking questions

13. Skill #5
To communicate opinions, preferences, and other qualitative responses to questions by pointing to a number on a five-point rating scale.
Example:
How do you like your Mexican food?
Very mild Average Very hot

14. Skill #6
To communicate social etiquette phrases by pointing to written phrases in structured situations
Using a card containing symbolized, printed, or typed social etiquette phrases
Example: Thank you, I’m sorry, Pardon me, Have a good day!

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16. Skill #7
To communicate additional information when asked a question about a “topic starter” photograph, memento, or sentence.
Clinician or family member will provide a clear plastic sleeve, envelope, or holder for photographs of earlier times, recent activities.
Patient can initiate a topic by pointing to the picture, indicating that they want to talk about that particular topic.
Topic items need to be renewed on a regular basis.