This PALS is making it very clear that to be engaged socially and to have significant conversations beyond basic activities of daily living, the system must allow for spontaneity and allow for novel utterance creation. Depending on how the PALS access the SGD, there are options for crating templates to support some level of novel utterance creation. 

Richard Hurtig, Ph.D.
ASHA Fellow
Professor Emeritus
Department of Communication Sciences & Disorders
The University of Iowa




On Jul 8, 2016, at 2:40 PM, Kelly C R Neff <xxxxxx@salud.unm.edu> wrote:

Antoinette:
 
Check out this handout from Dynavox. Not all of it will be pertinent, but it may give him some ideas on how to speed up conversations by creating longer narratives before conversations. If the patient is wanting to have real conversations, perhaps setting up narratives would be the way to handle that. This might work for at least frequent topics and conversations that this patient may have with people (e.g., trips they have taken, topics of interest, recent movies he saw, etc.). It won't solve everything, but it may speed up some conversation. Also, I don't know if you patient is using eye gaze on the TobiiDynavox, but the NoDwell trial software might speed up communication if it works for him. I hope this helps!
 
-Kelly Neff, M.S., CCC-SLP
Speech Language Pathologist
University of New Mexico Hospitals
 
From: xxxxxx@alsa.simplelists.com [mailto:xxxxxx@alsa.simplelists.com] On Behalf Of xxxxxx@improveability.com
Sent: Friday, July 08, 2016 11:15 AM
To: ALS AT Listserv
Subject: How to have more natural conversations with AAC
 
Hello AAC peeps,
 
I got the following question from a PALS that I would like to get additional feedback on:


"I am now effectively at a point where people can no longer understand me when I speak, except when I use individual words like yes. no, hungry, etc.  But no sentences; they come out slow and slurred.  I've taken the first step; I have a Tobii-Dynavox and am learning how to use it.  But that doesn't address how to actually be part of an interchange with people and even with my wife.  I feel like there's this person inside me bottled up that can't get out.

Maybe this is just a pipe dream but Is there any good literature that is available that would help me and other people to know how to achieve this?"


I already gave him some pointers on how to facilitate AAC use, such as letting people know if it is ok to guess and waiting for him to finish.  I also shared with him some low tech options, but I would like to know others thoughts on this.


Thanks for your feedback. 
 
Sincerely,
 
Antoinette Verdone, MSBME, ATP
Owner, Rehabilitation Engineer
ImproveAbility, LLC
Office: 512-522-1705
Cell: 512-497-6026
Fax: 888-501-1009
3310 W Braker Lane, Suite 300-424, Austin TX 78758
 
DARS Provider# 1-274278960-0-000

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