SpeechPathology.com Phone: 800-242-5183


Presence - Apply Now - September 2022

Primary Progressive Apraxia of Speech and Aphasia in a Complex Case of Neurodegenerative Disease, presented in partnership with Rush University

Primary Progressive Apraxia of Speech and Aphasia in a Complex Case of Neurodegenerative Disease, presented in partnership with Rush University
Richard K. Peach, PhD, CCC-SLP, BC - ANCDS
October 29, 2015
Share:

Dr. Richard Peach:  We are going to talk about a particular case to demonstrate what progressive apraxia of speech and aphasia looks like.  As you will see, this case is very representative of what you might see in this condition.  I think it is a good example for us to use and go through exactly what this particular disorder is about. 

How many of you may have already seen cases of primary progressive apraxia of speech and aphasia?  This will be a great experience to introduce you to this type of case.  For those of you who are in tertiary medical centers, such as myself, these are the kinds of cases that you might see somewhere down the line.  Hopefully this will provide you some good background so that you can recognize it when you see it.

Learning Objectives

Our learning objectives are to describe the clinical presentation of progressive apraxia of speech and aphasia in a complex case of neurodegenerative disease, to identify the speech and language characteristics of progressive apraxia of speech and aphasia, and to provide recommendations for the management of the disorder.  We will go through some literature to augment what we see in the case I am going to present.  We will talk specifically about the recommendations that we made to the patient and the family for this case. 

Case Study: Patient M

For our case study, we have patient M.  She is a 67-year-old woman who is right-handed.  In January 2012, she first reported that she was having the acute onset of a speech disturbance.  That was described at the time as slowed speech, but without any real articulation difficulty at that time, and that she was having no problems in terms of her reading and writing.  She has a previous medical history of depression.  She has had chronic hearing loss.  She also is a smoker and at that time, had been smoking about a pack a day for about 40 years.  Her social history is that she had completed two years of college.  She is a retired office manager and was living with her daughter at the time that she was first seen for this problem. 


richard k peach

Richard K. Peach, PhD, CCC-SLP, BC - ANCDS

Professor

Richard K. Peach, PhD is Professor of Communication Disorders and Sciences, Neurological Sciences, and Otolaryngology/Head and Neck Surgery at Rush University Medical Center, Chicago, Illinois.  Dr. Peach is a Fulbright Scholar and a Fellow of the American Speech-Language-Hearing Association.  He is former editor of the American Journal of Speech-Language Pathology and is board certified in neurologic communication disorders in adults by the Academy of Neurologic Communication Disorders and Sciences.   Prior to his appointment at Rush University, he was a member of the faculties of Emory University and the University of Georgia. 



Related Courses

Best Practice for Assessment and Treatment of Bilingual Aphasia
Presented by Maria Muñoz, PhD, CCC-SLP
Video
Course: #9759Level: Intermediate1.5 Hours
This course focuses on best practice in the assessment and treatment of bilingual aphasia by speech-language pathologists. Recommended practices are contrasted against common mistakes made by clinicians working with bilingual patients with aphasia. Implementation of best practices are modeled through case studies.

Behavioral Frameworks for Dementia Management
Presented by Mary Beth Mason, PhD, CCC-SLP, Robert W. Serianni, MS, CCC-SLP, FNAP
Video
Course: #9473Level: Intermediate1 Hour
This course will focus on cognitive-communication intervention strategies for various dementia presentations and will provide a review of evidence-based treatment. Behavioral frameworks along with their rationales will be introduced and applied across several dementia types and mild, moderate and severe levels of impairment.

Dysphagia in Neurodegenerative Disease
Presented by Debra M. Suiter, PhD, CCC-SLP, BCS-S
Video
Course: #9732Level: Intermediate1 Hour
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.

Acceptance and Commitment Therapy: An Introduction for SLPs
Presented by William S. Evans, PhD, CCC-SLP
Video
Course: #10771Level: Intermediate1 Hour
An introduction to Acceptance and Commitment Therapy (ACT), a modern evidence-based counseling approach, is provided in this course. Research support for ACT is discussed, and case studies to illustrate how ACT techniques can help patients and their families with the psychosocial consequences of living with communication disorders are presented.

Social Isolation and COVID-19 Cognitive Decline: From Zero to Hero!
Presented by Amber B. Heape, ClinScD, CCC-SLP, FNAP, CMD, CMDCP
Video
Course: #9514Level: Intermediate1 Hour
Social distancing and isolation associated with the COVID-10 pandemic have begun to take a toll on patients in residential settings, but SLPs can help mitigate the long-term consequences. This course will discuss the risk factors for and effects of isolation, as well as potential strategies to prevent or reverse pandemic-related cognitive decline.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.