掉语筛查量表(国外英文资料).docVIP

失语筛查量表 The pingshan branch of the second peoples hospital in fujian province (rehabilitation hospital) Loss language sieve check list Name: sex: age: ward: bed number: hospital no. : Rihands: cultural degree: clinical diagnosis: Onset date: admission date: evaluation date: Spontaneous language: Understand the evaluation Ⅰ, spoken language understanding A, step instructions right is not correct 1, show me which is the pen () () 2, pick up the spoon () () 3, put the cup over () () 4, hold out your hand () () positive B, two step instructions right is not correct 1, show me what is the pen, then picked up the spoon () () 2, get a pen and put it on the right side of the glass () () 3, the first two fingers, then pick up the spoon () () 4, pass me the soap, then use finger pen () () positive C, three-step instruction right is not correct 1, put the pen in the cup, hand me the soap, and pick up the spoon (). Pick up the spoon, place it on the left side of the soap, and fasten the cup over () (). 3, show me which is the lamp, then stretch out two fingers and close your eyes (). Put the pen between the soap and the glass, pick up the spoon, and refer to your nose (). positive Ⅱ, written language comprehension Understand A, words correctly is not correct 1, the cup () () 2, the spoon () () 3, soap () () 4, pen () () positive B, sentences to understand correctly is not correct 1, picked up the spoon () () 2, stretch out two fingers () () 3, put a spoon in between pen and soap () () 4, put the cup on the right side of the pen () () positive Ⅲ, sign language comprehension 1, cup: demonstrate the action of drinking water from a cup, and then ask the patient to point out the object in front of him to drink water. Correct () incorrect ()Pen: demonstrate how to write with a pen. Then let the patient point out what you write with. Correct () incorrect () Soap: demonstrate the washing of soap with soap, then ask the patient to point out the items you use to wash your hands. Correct