Speech Therapy Telepractice Program for a Client with Aphasia
Telepractice is the service delivery method of using technology to provide rehabilitation services at a distance. The purpose of this case study is to demonstrate a successful speech therapy telepractice program for a client with aphasia.
CP was a 68-year-old, right-handed female who was referred for speech therapy telepractice services 6 months following a left hemisphere stroke. At the time of her stroke, a computed tomography (CT) scan revealed a left middle cerebral artery (MCA) cerebrovascular accident (CVA) in the parietal and temporal lobe regions, which was accompanied by severe fluent aphasia and mild oral dysphagia. CP was seen for inpatient speech therapy, followed by outpatient services for 5 months and reportedly made improvements in receptive and expressive language and functional communication using an iPad. Past medical history was significant for diabetes, hypertension, and bilateral carpal tunnel syndrome. CP was a high school graduate and retired bookkeeper. She lived at home with her 92-year-old mother and had two supportive daughters: one lived close by and the other in a nearby state.