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PPA – SLT Compensatory Strategies — SCE Neurology MCQ

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HardNeurorehabilitationPPA – SLT Compensatory StrategiesSCE Neurology

A person with primary progressive aphasia wants to continue chairing a local group. Spoken word retrieval is deteriorating, but writing and smartphone use remain effective. Which speech-and-language therapy plan best preserves participation as the disorder progresses?

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Correct answer: CBuild personalised written and digital supports, rehearse target situations and train communication partners

Speech-and-language therapy in primary progressive aphasia should start from the person’s participation goals and retained abilities. Therefore the plan should co-design written and digital supports for meetings and telephone tasks, practise their use and train communication partners. Strategies require review as language and practical needs evolve. Impairment-based work may be included, but it should not displace compensatory communication or promise restoration of normal language. Gesture, writing and technology are assets rather than obstacles.

Reference: RCSLT: Dementia clinical guidance. https://www.rcslt.org/members/clinical-guidance/dementia/dementia-guidance/