CSCD3082 Lecture Notes - Lecture 13: Metacognition, Literal And Figurative Language, Reduced Affect Display

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Week 13 lecture notes children with acquired brain injury. Gradual emergence from coma, gcs 8-9 (3 = unconscious, 15 = alert) Disoriented, confused about where they are, who those around them are. Westmead pta scale: memory test, learn the name of examiner, learn 3 pictures. Emergence of pta = all questions answered correctly 3 days in a row. Requires verbal skills: implications for children with pre-existing ld, young age. Less than 1 hr = mild injury. More than 4 weeks = extremely severe. Coordination with other services (ot, physio, social worker etc. ) Accommodation of pt and family, rural support. Early rapid recovery after coma and pta. Lack of initiation, flat affect, single word responses. Social communication and pragmatics: turn-taking, topic maintenance, appropriate tone, interpreting suprasegmental/prosodic features, responding to facial expressions and body language, keeping up with pace of conversation. Higher-level language, executive function: figurative language, metaphors, ambiguity, interpretation, inferencing. Weak lip / tongue muscles: coordination, intelligibility, chewing and swallowing.

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