Case Study - Moderate Wernicke’s Aphasia

Moderate Wernicke’s Aphasia

Age:79

Time Since Stroke:15 months

Type of Aphasia:Moderate Wernicke’s Aphasia

Problems: Jane wanted to have conversations and to read again. As a former professor and advanced degree nurse, she loved to help people and to learn.

Unfortunately, her fluent aphasia was approximately 50% understandable to listener due to neologisms (nonsense words) and paraphasias (mistakes that are sound similar to the word). She could not fix her mistakes when she noticed them, and the more she tried to fix them, the further she got from what she wanted to say. This was very discouraging to her and she would give up.

Assesment: Using The Aphasia Center’s testing protocols

  • Relatively good comprehension in context
  • Sometimes repeated up to 4 syllables
  • Emerging awareness of deficits
  • Some gesturing and describing to support communication
  • Some requests for clarification (i.e. “What do you mean?”)
  • Reading comprehension of some single words
  • Copying short sentences

Treatment: She completed a 6-week program and My Aphasia Coach software homework daily.

Results:

    BeforeAfter
    Naming
    50%
    70%
    Reading
    0%
    37.5%
    Writing
    16%
    33%
    Word Comprehension
    50%
    75%

  • Learned better strategies to help her communicate more effectively
  • Initiated these strategies independently
  • Improved her ability to self-correct her speech
  • Stopped trying to fix her speech after two failed attempts
  • Learned to use her phone and computer more independently