1. Basic-Choice Communicator Kristi Blair Terri Cunningham Kari Kaufman

2. Basic Choice Communicator Who is it? Global Aphasia, Global Aphasia, Perseveration Perseveration Jargon Aphasia Jargon Aphasia Some patients progress to the next level (cotnrolled- situation) while others do not Some patients progress to the next level (cotnrolled- situation) while others do not Why do it? Family members see treatment as something positive and respectful of their suddenly impaired spouse or parent. Family members see treatment as something positive and respectful of their suddenly impaired spouse or parent.

3. Basic-Choice Communicator What is it? Establish roles of sender and receiver in simplified exchanges Establish roles of sender and receiver in simplified exchanges Develop basic turn taking skills Develop basic turn taking skills Provide a means of indicating shared reference Provide a means of indicating shared reference Developing consistent indicators (pointing)\ Developing consistent indicators (pointing)\ Can later become essential in conveying more specific information.

4. Skill #1 To choose items to meet grooming needs during daily routines Patient Subgoals To look at the partner when addressed by name To look at the partner when addressed by name To visually attend to and scan presented objects To visually attend to and scan presented objects To take and grasp objects To take and grasp objects To choose a desired object by gazing, grasping, or pointing after the clinician gives a context or offers a choice of objects or offers a verbal choice. To choose a desired object by gazing, grasping, or pointing after the clinician gives a context or offers a choice of objects or offers a verbal choice. Sample Activities Choosing pants or a shirt for a daily outfit Choosing pants or a shirt for a daily outfit

5. Skill #2 To choose pictured items in the context of a functional activity Patient Subgoals Look at the clinician when addressed by name Look at the clinician when addressed by name To look from the clinician to pictured items and scan them To look from the clinician to pictured items and scan them Maintain index finger in pointed position with initial physical assistance Maintain index finger in pointed position with initial physical assistance Make a choice by pointing Make a choice by pointing Turn pages of a catalogue or photo album at the appropriate moment in interaction Turn pages of a catalogue or photo album at the appropriate moment in interaction Sample Activities Choosing family members to send cards to out of a photo album Choosing family members to send cards to out of a photo album

6. Skill #3 To participate in Tic-Tac-Toe Patient Subgoals To grasp a pen To grasp a pen Give pen to partner Give pen to partner Generate an appropriate graphic symbol Generate an appropriate graphic symbol Complete one or more logical moves without assistance Complete one or more logical moves without assistance

7. Skill #4 To participate in simple card games Patient Subgoals To grasp cards and visually scan them To grasp cards and visually scan them Indicate the partners turn Indicate the partners turn Match cards Match cards Lay down cards Lay down cards Compare the value of cards and determine the winner Compare the value of cards and determine the winner To follow basic rules of a card game To follow basic rules of a card game Sample Activities Uno, War, Old MAid Uno, War, Old MAid

8. Skill #5 To communicate affirmation with a head nod and refusal with a head shake Patient subgoals To look at clinician when addressed To look at clinician when addressed To nod head up and down with ?s To nod head up and down with ?s To shake head when presented with choices not desirable To shake head when presented with choices not desirable Sample Activities Naturalistic communication situation Naturalistic communication situation

9. Skill #6 To add features to outline drawing of a man or house in an interactive context Patient subgoals Visually attend to the clinician’s drawing of a man or house outline Visually attend to the clinician’s drawing of a man or house outline Visually attend to missing features when given verbal cues or assistance Visually attend to missing features when given verbal cues or assistance To grasp a pen To grasp a pen To add a feature to the drawing given verbal cues or assistance To add a feature to the drawing given verbal cues or assistance To independently add features to the drawing on a turn by turn basis To independently add features to the drawing on a turn by turn basis