Introduction: Aphasia is understood as difficulty in understanding or producing language caused by disorders involving the brain hemispheres. Early assessment of aphasia is very important to prevent the emergence of telegraphic speech styles, improve welfare, independence, social participation, quality of life, reduce length of stay and care costs, but there is little literature on this subject, especially in stroke patients. Purpose: This study is to provide an overview of the assessment of aphasia in stroke patients. Methods: The design of a case study involving 6 participants and data collection was carried out by conducting an assessment using the Language Aphasia Screening Test (LAST) instrument which was monitored for 3 days, including monitoring errors for naming images, monitoring mismatches repeating words and sentences, monitoring spontaneous pronunciation, monitoring image comprehension, monitoring comprehension of verbal instructions.Results: A total of 6 ischemic stroke patients were found wrong in repeating words and sentences. Conclusion: In aphasic stroke patients all language modalities are impaired, ranging from spontaneous speech, repetition, naming, language comprehension, reading and writing

Pasien stroke akut sebagian tidak terdeteksi afasia, hal ini dilihat dari angka kejadian afasia yang dilaporkan. Mereka yang ditemukan sudah menggunakan gaya berbicara telegrafis karena keterlambatan mengenali tanda dan gejala afasia. Tentu hal ini meningkatan hari rawat, biaya perawatan, pasien mudah depresi dan menurunkan derajat hidup. Alat ukur untuk menilai afasia menjadi salah satu faktor keberhasilan deteksi dini. Namun, dari yang ada tergolong lama dan tidak melaporkan sensitivitas dan spesifitas sehingga dapat diragukan kesahihannya. Tujuan dari penulisan artikel ini adalah menemukan sensitifitas dan spesifitas alat ukur serta cepat dalam mendeteksi afasia pasien stroke akut. Metode yang digunakan literature review dari penelitian sebelumnya dengan mengekstrak 3 artikel Tahun 2010-2019 dalam bahasa Inggris yang membahas tentang identifikasi skrining tes afasia yang dipilih dari beberapa database. Language Screening Test sangat kuat dalam mendeteksi afasia stroke dilihat dari nilai sensitivitas dan spesifitas serta cepat dalam penilaiannya dengan waktu hanya 2 menit, namun instrumen ini tidak melaporkan onset stroke.

About 21% -35% of patients with acute stroke experience aphasia or motor impairment language interpretation. Impact because of the lack of action independence of the nurse in improving Augmentative Alternative Communication (AAC) is not the fulfillment of the needs of the patient. AAC is media in the form of electronic devices, alphabet boards, drawing boards that contain the basic needs which may be designated by the patient that helps in communicating.The research method is a literature research, focused on the search of some previous research. The results of the research show that the role of transformational leadership increase the AAC in stroke patients aphasia motor through insiparasional motivation where the leader becomes an example to be emulated by subordinates, providing a strong motivation for change with guidance and training, individualizad consideration that is hear input to want to change apply the AAC, Idealized influence where the leader as a mentor who has charisma makes followers want to practice the AAC, and intellectual stimulation is to encourage the subordinates to see problems in aphasia motor can be minimized with the AAC. Thus it can be concluded that the Style of transformational leadership may benefit the nurse endeavor in AAC therapy.