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後天性異常族群AAC (ALS 肌萎縮性脊髓側索硬化症 (symptom (weakness 肌肉無力, upper-extremity (arm…

- - - - unable to speak by the time of their deaths
  - - - 第3階段
        
        preserve communication effectiveness of their natural speech(保留自然言語的溝通效度)
      - 第1階段
        
        monitor speech performance 監控言語表現
        
        Speech Intelligibility Test
        言語句子清晰度測驗
      - 第2階段
        
        select AAC options, purchase AAC technology & instruct person who will rely on AAC and facilitators
      - 第4階段
        
        educate the person with ALS and decision makers about AAC-related decisions
    - - (2) Assessment of current and anticipated future capabilities(評估當前和預期未來的能力)
      - (3) Assessing social and personal care supports(評估社交及個人護理的支持)
        
        Evaluate intervention outcomes 評估介入結果
        
        Assess constraints 評估限制
        
        Acceptance and use of AAC 接受與使用
      - (1) Identifying participation patterns and associated communication needs 辨別參與模式和相關的溝通需求
      - (4) Selecting low-and high-tech AAC options that will meet current and future needs 選擇可以符合目前及未來需求的AAC
        
        Operational competence 操作能力
        
        Facilitator support 協助者支持
    - - provide effective communication options in response to changing communication needs capabilities, and living situations
- - - - Compensatory support (代償支持)
        
        Alphabet supplementation (字母輔助法)
        
        eg. IKWYDLS :musical_note:
    - - Severe/profound dysarthria
        
        AAC interventions tend to be very personalized, depending on communication need and capability profile
    - - involve
        
        traditional AAC strategies
        
        assistive technology
  - - - Vision limitations
    - - Aphasia失語症
        :red_cross:word finding→:red_cross:verbal or written organization
    - - Intention tremor顫動 in upper limb
    - - subcortical dementia (皮質下失智症)
- - - - LSVT 延遲聽覺回饋
      - :check: AAC
    - - :green_cross: AAC
      - LSVT→maintain speech
    - - AAC strategies
      - tech with speech synthesis output
  - - - maybe Dementia
    - - consider potential 動作控制
      - :arrow_down: range and speed of 動作
- - - - 增加個案反應的一致性及將這些反應融入到有意義的溝通之中
    - - 幫助個案代償注意力及記憶的障礙
    - - :red_cross:learning new information
      - AAC systems that contain pictorial or other non-orthographic symbols
- - - - Similar to Dementia
    - - 記憶組織包裹、話題事件、索引卡片
    - - 認知性的補充策略
- - - - 溝通卡
      - 印刷文字