Chapter 4: Reporting Assessment Findings
Chapter 5: Assessment Procedures Common to Most Communicative Disorders
Chapter 6: Assessment of Speech Sound Disorders
Chapter 12: Assessment of Voice and Resonance
Chapter 13: Assessment of Neuro-cognitive Disorders
100
What are two primary methods for conveying clinical findings?
1. Meeting with the client and/or their caregivers in person. 2. Written reports such as an IFSP/IEP or SOAP Note
100
What is the purpose of an oral mech. exam and what are some things to look for during the administration?
To evaluate the structure and function of the oral cavity and facial features that relate to communicative functions. Facial Symmetry Occlusions within the oral cavity Hygiene of the oral cavity Lip and Tongue Strength Breathing Patterns
100
What are some questions that should be asked during an interview when a client comes in for a speech sound disorder?
How well is the client understood by their family/peers/strangers? How does the speech impairment affect the individual? Which sounds seem to be the most difficult?
100
What voice qualities are being assessed during a screening for a voice disorder?
Resonance Pitch Tone Loudness Respiratory Support
100
What are some examples of neurocognitive disorders?
Aphasia TBIs Right Hemisphere Syndrome Dementia
200
At what age does an ISFP change to an IEP?
At age 3 From birth through age 2years IFSPs are utilized. From 3-21years IEPs are utilized.
200
How can a speech/language sample be obtained.
Through: Open ended questions/ spontaneous conversation Reading passage Narratives (containing a beginning, middle, and end) Pictures
200
When picking out an appropriateness standardized test what are some components that should be considered?
Sample Obtained The materials Age appropriateness Scoring and analysis
200
What are some specific questions that should be asked during a voice assessment?
At what time of the day does your voice start to weaken? What is your occupation? What are your eating/drinking/smoking habits? How has your voice changed over time? When did your voice start to deteriorate?
200
What are some specific questions so ask a client when they present with a neurocognitive disorder?
If you are bilingual, are the same deficits noticeable in both languages? Describe your language abilities when the problem first started and how have they changed over time? How does your language affect your interactions with others?
300
What is the main difference between an ISFP and IEP?
Family provisions are included in the ISFP. They emphasize the importance of family participation in the child's well being.
300
How do you determine speech rate?
Have the client read or speak for one minute. Then count the amount of words that are uttered within that minute, that tells you the words per minute #. Normal Rates of Speech for Spontaneous Speech: Adult- average 270wpm First Grader- average 125wpm Fifth Grader- average 142 wpm
300
What are some pros and cons of standardized testing?
PROS: short administration time, clinician knows the target, can compare performance to norms, provide representative sample of the English consonants and phonological processes in a limited number of stimuli CONS: limited phonetic contexts, vowels may not be included, not enough opportunities for the client to show their strengths
300
What has to happen before a client is seen by an SLP for a voice disorder?
The client needs to give the SLP a clearance document from an ENT. The ENT needs to rule out any medical issues that may be involved with the voice issues.
300
What is the difference between Broca's and Wernicke's Aphasia?
Brocas aphasia is a nonfluent aphasia where wernickes aphasia is fluent. People with weernickes aphasia may have a harder time understanding that they are not making sense when they speak.
400
If you want to share your clinical findings to other professionals associated with your clients case, do you need permission from your client?
YES! According to HIPPA, it is necessary to have written approval from your client stating that it is ok to share/send your documents to other professionals.
400
How do you determine intelligibility?
It is important to use a speech sample. This can be obtained through a formal assessment/ basic conversation/ observations in the clients everyday environment. intelligible words/total words= intelligibility
400
What are some measures that are not assessed via standardized testing?
Intelligibility and stimulability
400
What tasks are used during a screening for a voice disorder?
Counting Imitating words or phrases Reciting the alphabet Reading a short passage Prolonging vowel sounds Conversation
400
How does right hemisphere syndrome differ from aphasia.
Only mild deficits occur in regards to naming, fluency, auditory comprehension, reading and writing Pragmatic deficits are more noticeable Inappropriate humor
500
What information is included in a diagnostic evaluation?
Clients history: personal, health, family Reason for assessment/Why they are being seen by an SLP Formal Assessment findings regarding their speech, language, hearing, orofacial exam etc. Informal Findings regarding their voice, fluency, stuttering, breathing etc. Diagnosis, recommendations, prognosis, plan of treatment
500
What are the two ways that the Diadochokinetic task (DDK) can be utilized?
1. By counting the syllables produced within a predetermined number of seconds 2. Measuring the seconds it takes to produce a predetermined number of syllables
500
Why should you keep track of your clients errors/mispronounced words during an evaluation?
This will help you write your report after the session. It is important to give examples of your clients errors not just what they get correct.
500
What does the s/z ratio measure, and how is it calculated?
This is used to test for measuring respiratory and phonatory efficiency. The client should sustain /s/ and /z/ for as long as they can in one breath. This is done two times per phoneme. The longest /s/ time is divided by the longest /z/ time. A 1.0 ratio with normal duration for both phonemes indicates normal respiratory and vocal function.
500
What are some characteristics of an individual who presents with a TBI?
Attention deficits Anomia Impaired memory and language Poor organization and reasoning Aggressive behavior High frustration/anxiety
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