ees «_,. Western Bedside Aphasia jattery.. Record Form «sm Neuroimaging Spontaneous Speech: Content Directions: Aske patent these questions g Se comer Soe ghee ee et gy. en pene tem Score 1. How are you today? (1 point =any meaningful response) o 2,_Whatls your fll address? (2 points = complete address 1 point = sect or cy ony). ® 3,_ Why are you herein the hospital? (2 points = complet response; point = incomplete response) @ ow te patient magazine * ple poms compte dcp payne tat ibang i plete points compete 4 eins incomplete desertion: 3 pons sen ems:2 pons = few Remsen! paht=sonereeantwordsopontssnotenngtispene) | _G)| Content ore 9 Spontaneous Speech: Fluency i i i Directions: Circle the point value that represents the statement that best the patient's speech fluency. i tector |i | Hk AAA 4 = Aoranmai eft vert-naun phrases, but ony ene ort propestonal sentences '§=Somehestations and wort- fing Sificay 1 3-Mosynintelige w-rolme muting sores words {8 =Greumlocitory, fluent speech wth semantic paephasisand word-indingdfiaty 2 ~Singlewords, often paraphaas, erful and hesitant 4 7=Fuent phonenicjagoe, semblance to ngih staan phonlogy 1 efecurent tereapicttsanes wth meaning intonation ; 6 =Logopenicbut arma stax fe ian, paaphass:sgifiant wor indo idly O-=Noworso sort meaningless i 5 Hang, paraphasic bt moreconplete sentences sant wording ety ‘Fluency Score (10); Auditory Verbal Comprehension: Yes/No Questions Directions: Say, m going to ask you some questions. Answer yes of no Patients may respond verbally gestural. Item Score em Score 1s yourname Smith? 1[0| 6 tsthedoor closed? io 2,_lsyourname Brown? [0] 7. willpaperbumin fre? ipo G. Isyourname —__?Gaytepatrsbstnane) | 1 | 0| & Does March come before une? ilo “Are the lights on this room? 1 [a] 8. Poveuestabanambetreyourcer [fo] a, 5. Areyoua doctor? 1 [0] 10. tahorselargerthanadog? Thiloep tn ra Sequential Commands . meoetaons os j ‘Materials: Coin, piece of papes, pen. Directo: Aske pateato repent te word ted below. Say, tone Mace aennapieceofpaerandpnintontttiepslet St, Fenenaterwordeeaiae nena Secthe coin, the paper, and the pen? | will ask youte pointto them and do things with them. Are you ready? Read each fem = z= ‘sere = jot 0 1 ‘ Q) 2. Window 1. Point tothe coin and the pen O ol 1 1 @ a ove o| 4 2. Point with the pen to thepaper 7. The telephone singing. 7 ea 4 1 1 @ ands, or buts. ; 3. Point tothe pen with the paper 5. Nolfs,ands, aly ji 7 1 1 wy 6. Thequickbrown foxjumps over the lazy dog, a 4. Putthe pen onthe paper andsturn over thes in. 1 ‘Sequential Commands Score (10) Repetition Score (10); arson, Inc.All ght reserved copyright © 2007 NCS Pearson, Psych PEARSON pearson Executive ofce 360! Green Valey Pre ‘Bloomington, MN $5437 Corp ———_- alae 7271 eww. rp.com 0,627.7 Product Number 0158440846 2021 2223 2417 ABCOEObject Naming fem Score] item score 4.| bed aa] hale Bedside Aphasia Score Sum the Content, Fluency, Auditory Verbal Comprehension, tect ne ligated ‘Sequential Commands, Repetition, and Object Naming scores. Divide 3} plow 13 | watch band i ‘the sum by 6; then muldply by 10to obtain the Bedside Aphasta Score, 4. | color ofan atc of elathing 14 | (oa collar 5.| elbow 15. | button §.| door a 16. | Hohe Sum of Scores 6 7.| magazine/ealendar 17.| pen ar 8.| shoulder 18 | (kinking) sro i 5.1 olsun tes ia wacko Bedside Aphasia Score |___" 10. | key 20. | index ager Object Naming Score 19) Reading zh i Hoi Directions: Ask te patient to read a paragraph aloud from a magazine. Score up| pi it ‘sentences, Deduct | point for each significant error or omission. Determine level of reading comp ‘questions. Score up to 5 additional points for reading comprehension. Writing Directions: Place apiece ofpaper anda pen onthe table and sey, item Score Bedside Language Score 1. Write your name. o ‘Sum the Content, Fucney, Auditory Verbal Comprehension, Sequential Commands, Repetion, Object Naming, Reading, and 2. Write your address. @ Wilting scores. Divide the sum by 8; then mulply by 10 to obtain the — Bedside Language Score. 2. Wrlte, “The telephones ringing” @ 4 Pleture description: Askthe patient to write about picture of some complet fom a magazine. Sey Write about whats Sum of Scores +8 happening in the picture. (5 points = complete description: points = incomplete x 10 ‘only; 1 point = some relevant words; 0 points = no. Bedside Language Score = ‘meaningful response) © Weiting Score 0) 5 i gs Apraxia (Optional) ds le Aphasia Classification: peri’? caps nie ‘ Directions: Say, tm going to askyouto de somethings. Try todothem _Directians: Ty dete the patients Bedside AphasiaClassifeaton ss well as youcan. Compare the patient's isiey, Auditory Verbal Comprehension, and” Repetition scores othe three scores assolated with each aphasla type. item Scare — : 1. Wave goodbye, a] fy yal Scores a 2. Close your eyes. ey] [gees ‘udtoryVerbal [ 3._Pretend to blow outamatch, 2) Aphasiatype | Fluency | comprehension 4. Pretend to use a toothbrush, a] | Sebal 3 Tea 5._ Pretend to knock ata door and open it a] [Broce 3 ag ‘lation s 4 2 Conduction > >6 ‘Anorie > 36 Apt with pemsion hom Keres Pol, 174, The Caradon orale Nerlogal Seees 10746