"Observation Paper on an Aphasic Patient" is a great example of a paper on symptoms. I observed one of the neurogenic disorder videos at the NYU Communicative Science and Disorder department. The video was taken for a female patient. The session was combined with evaluation and treatment. The patient, who used a wheelchair for mobility, came into the therapy room with a smile and asked the clinician’ s name with a soft voice, slow speech, and minimal intonation. She handed over the binder that she bought with her to the clinician. The clinician opened it, and the patient, said: “ me” to determine the binder belongs to her.
She kept laughing. Then she said “ tissue” to the clinician. She reached over to get tissue with her left hand and seemed like her right side of the body was stiff. The clinician set the practice on the computer and notified the client the session is going to start with practice on the computer. The patient started laughing and mentioning she could not see the screen. She stated she could not see her right side by using her left hand demonstrated to the clinician.
The clinician started helping the patient shift everything over to the left side of the screen. The clinician then told the client that he wanted to know more about her by asking her a few questions. The client opened her mouth to say something, but it was quite difficult; hence, she clicked on the computer, which played the word ‘ food’ . However, she still seemed to struggle to come up with some words, so she clicked on the computer again and played the word ‘ stable’ .
When she finally got the words to say she asked the clinician to look at the computer, then he asked her whether the words ‘ stable’ and ‘ food’ meant the same, but she declined and said that they were different. While the clinician was still trying to adjust the computer, the computer said ‘ Japanese food’ and he asked the client whether she liked sushi. The client said she likes sushi and then asked the clinician whether he likes it too. Just before the clinician could answer, the client said that she knew the game and she seemed to find words to say, and both went silent for a while.
The clinician gave the client enough time to fix the problem then asked her whether she wanted to change to another game. The client gladly said okay although she did not know which game. The clinician suggested they play a game on the computer where the client would be asked questions and then give answers. First, the clinician asked her when she was born, and she replied on 4th August just like Obama.
Second, the clinician asked the client her name and phone number. She first made a face before saying her name is Suzie Moon, then after thinking for a while she clicked on the computer in order to produce her phone number. The clinician then asked her where she lives, and she gave the area, but could not say the city or state. Thus, using the computer device she produced ‘ New York’ city and imitated the computer. The clinician asked her the TV show that she liked, and she used the computer and produced a food channel.
Also, the client said she liked to watch television, which she produced using the computer, as well. She also accepted that she likes Opera, as well as going to the movies. However, she said the word movie before the computer could produce it, although she did not say the name of her favorite movie. When asked what she had for lunch, the client said she had a little bit of sandwich with coffee. She had difficulty pronouncing the word ‘ coffee’ and the clinician had to help her. After a while, the clinician selected another game on the computer and explained to the client that the practice involved selecting pronouns and common phrases and helped her move the practice.
The clinician explained to her that she would click on the icon in order to fill the blank. She performed quite well in the practice because she even mimicked the computer after it produced the sounds. Also, she produced the right answer after the computer requested her to follow. She was able to fill up the blanks, as well as produce single words during the practice.
The clinician was proud of her performance in practice and kept guiding her because at some point she concentrated on filling the blanks and forgot to produce the words. After some time, the clinician noticed that the client still had her jacket on even in the office. He asked her whether she was okay with it and she said she wore it because it was cold and then stated that the following day when the clinician calls her, she would put on an orange sweatshirt.
Later, the clinician decided that they should play checkers. Since the client did not know the game, he explained it a little bit, and the client gladly accepted to play checkers. The clinician asked the client a few multiple questions, which she answered confidently by clicking on the computer.
ReferencesWebbber, S. L. (2010). Writing from direct observation: The Art of Description. New York: Stephen Lloyd Webber.