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Flashcards in Clinical Procedures Exam 2 Deck (89):

The CADL is used for ___

individuals with aphasia, TBI, and MR. Communication Activities of Daily Living


The EVT is used for ___

expressive language; Expressive Vocabulary Test; ages 2;6 to 90;0


THe GFTA is used for ___

Goldman Fristoe Test of Articulation measures articulation at different lvls of complexity and monitors growth; preschool through young adulthood


PAT is used for ___

Photo Articulation Test - children articulation inventory, 3;0 to 8;11


OME is important because we need to make sure that our clients can ____, ____, and breathe.

make speech sounds, swallow, and breathe


What does the OME assess? 2

1 Structure (anatomy)
2 Function (physiology)


What are we looking for in OME? 7

1 strength
2 symmetry
3 sensitivity
4 coordination
5 ROM- (that, ice cream cone)
6 Muscle tone (not marshmellowy, like Down syndrome; ID)
7 tongue anchor (velopharyngeal efficacy) & other


What do we look for in the face? 3

1 symmetry
2 chapped lip (due to drooling/dehydration)
3 sensitivity - notice when drooling


What do we look for in the lips? 4

1 symmetry/not floppy, good closure
2 bilabials, and labiodentals check by hold air in
3 check food chewing


What do we look for in the tongue? 3

1 speech sounds (fast and precise)
2 marks on the tongue (could be bites from hypoglossia)
3 symmetrical tongue movement


What do we look for in the hard palate? 2

1 breaks
2 discoloration
(to have good oral sounds and good swallowing)


What do we look for in the soft palate?

1 good movement - keeps the food out of the nose
2 no hypernasality


Trigeminal is responsible for ___.

chewing, pain and other sensory in the tongue


Facial is responsible for ___.



Vagus is responsible for ___

vocal fold vibration, digestion, swallowing


Hypoglossal is responsible for ___.

tongue movement


What defines a criterion-reference test? 3

`1 no comparison to other people (doesn't yield std scores, but you can create them)
2 yields a development scale
3 assists in determining, baseline function; treatment targets and progress


What is a criterion reference test useful for? 3

1 determining baseline function
2 determining treatment targets
3 determining incremental progress


How does a criterion reference test determine treatment targets?

look at the aspects the client always misses


What are the two types of criterion reference tests?

1 commercially available tests (such as developmental test)
2 clinician constructed tests


What is another name for a developmental scales?

standardized test, since it gives standard scores, but didn't go through strict test developmental procedures


What are the types of scores from criterion reference tests?

percentage correct
performance rating
rating scale


What are examples of criterion referenced tests? 4

Rossetti Infant Toddler Language Scale
Apraxia Battery for Adults - 2 (ABA-2)
Hawaii Early Learning Profile (HELP)
Voice Assessment Protocol for Children and Adults (VAP)


What are aspects of clinician constructed criterion instruments? 2

1 examines a specific skill
2 in detail
(good for CLD pop; shows growth and change; and knowing where to focus treatment)


What are clinician constructed criterion instruments good for? 2

good for CLD pop; shows growth and change; and knowing where to focus treatment


____ is a quick screening for vocal fold function.

s/z Ratio


What does a s/z ratio 1.0 with short duration mean?

possible respiration inefficiency


What does a s/z ratio 1.2 or more mean?

possible vocal fold pathology


What are the areas of eval language? 3

1 form
2 content
3 use


What are the functionalist perspective language aspects of eval language? 5

1 morphology
2 syntax
3 phonology
4 semantics
5 pragmatics


What are the areas of eval of speech/artic? 3

articulation (phono?), intelligibility, prosody (could also be treated under pragmatics)


After age ___, client should be fully intelligible.



What are the areas of eval of speech/voice? 4

phonation, quality, prosody, resonance


What are the areas of eval of speech/fluency? 2

rate & rhythm, prosody


What are the 7 areas of eval?

1 language
2 speech - artic
3 speech - voice
4 speech - fluency
5 hearing
6 swallowing/dysphagia
7 pragmatics


What are related areas to speech/language evals? 3

1 cognition
2 social/emotional/behavioral
3 motor functioning - the client's body


What do we do if we suspect a problem in a speech/language related field?

make a referral with objective terms


What do we need to find out? 4

1 speech prod
2 language skills
3 bg info (med, dentist)
4 parents and siblings bg


___ is not a criterion reference test, but is still important. It tests provides pragmatic language.

Pragmatic Language Skills Inventory (PLSI)


PLSI tests ages ___ through ___ with ____

5;0 thru 12;0; pragmatic language disabilities


____ is a criterion reference test for pragmatic, language comprehension, and play.

The Rossetti Infant Toddler Language Scale


The RITLS tests ages ___ through ___ with ___

birth thru 3;0; pragmatics, language, and play


___ is a criterion reference articulation test which includes prompts and facilitates a child's production of previous phonemic errors.

Contextual Test of Articulation (CTA)


The CTA tests ages ___ through ___ for ___.

4 through infinity; previously identified artic errors


___ is a parent/caregiver checklist which looks at speech, syntax, semantics, coherence, initiation, scripted language, context, nonverbal communication, social relationships, and interests.

Children's Communication Checklist


The CCC-2 tests ages __ through ___ for __.

4;0 thru 16;11; expressive and receptive language, pragmatics and interests


_____ measures the overall impact of stuttering on an individual's life (from client's perspective).

Overall Assessment of the Speaker's Experience of Stuttering (OASES)


The OASES tests ages ___ through ___ for ___.

7;0 thru infinity; stuttering/fluency


What are the 6 steps in the referral process?

1 Referral
2 Data Gathering
3 Diagnostic Evaluation
4 Results
5 Prognosis
6 Recommendations


The client may be difficult to assess why? 5 (3 medical, 2 behavioral)

1 physical limitations
2 medically fragile
3 easily fatigues ("the client fell asleep during the session" is an objective statement, "the client was sleepy/tired" is not).
4 extremely passive and withdrawn
5 overly active/impulsive


How can you adapt your assessment to deal with difficult to assess clients? 4

1 adapt the environment and observations
2 observe target behaviors
3 complete informal tasks/testing
4 interview the caregiver


What is covered by speech-language pathology? 7

1 speech sound production
2 resonance
3 voice
4 fluency
5 language (comprehension and expression) (also literacy)
6 cognition
7 feeding and swallowing


What falls under clinical services for SLPs? 10

1 prevention and pre-referral
2 referral
3 documentation
4 collaboration
5 counseling
6 intervention
7 diagnosis
8 consultation
9 assessment/evaluation
10 screening


What goes into prevention and advocacy for SLPs? 5

1 improve communication wellness
2 present primary prevention info
3 provide early intervention services
4 advocate thru community awareness
5 participate actively in professional organizations


What goes into education, administration and research for SLPs? 4

1 educate public re: comm and swallowing
2 serve as an expert witness
3 admin and manage clinical & academic pgms
4 conduct basic and applied research related to comm disorders & swallowing


What are the different roles/activities of Audiologists? 6

1 prevention
2 identification
3 assessment
4 rehab
5 advocacy/consults
6 edu/research/admins


What goes into prevention for audiologists? 3

1 prevention of hearing loss
2 protection of hearing
3 noise measurements


What goes into identification for audiologists? 5

1 ID dysfunction
2 hearing screening programs
3 screen for other disorders thru screening
4 ID pops at risk for HL
5 ID peeps at risk for speech/lang disorders


Where can an SLP practice? 11

1 public and private schools
2 early interventions settings
3 health care settings
4 private practice settings
5 universities and university clinics
6 individuals' hmes and community residence
7 community, state and federal agencies and institutions
8 correctional institutions
9 corporate and industrial settings
10 research facilities
11 AND park or public library


Where can an audiologist practice? 7

1 private practice
2 medical settings
3 community and university hearing and speech centers
4 managed care systems
5 industry
6 military
7 state agencies


What does the speech language pathology assistant scope of practice entail? 8

1 assist with speech-language and hearing screenings (but no interpretation)
2 follow documented tx palns or protocols dev by the supervising SLP
3 doc client perforamance and report this info to the supervising SLP
4 assist with clerical duties as directed by the SLP
5 perform checks and maintenance of equipment
6 assist with departmental operations (scheduling, record keeping)
7 collect data for monitoring quality improvement
8 follow the SLP, be compliant with SLP


What are the national requirements for licensing for SLPs and audiologists?

Graduate from an accredited program (including comprehensive exams)
Certificate in Clinical Competency (CCC) (specified as SLP or Audiology)
Pass the Praxis
Complete the Clinical Fellowship Year (9 months)


What are the state requirements for licensing for SLPs and audiologists?

some states have requirements (SLP, audiologist, and SLPA) and 2 hrs continuing ed (ethics) and fingerprinted; state of texas department of state health services


How do you transfer your license to a new state?

most states have a transfer law in place so that you don't have to resubmit all your documents to a new state.


What should you remember with oral language in clinical settings? 7

1 Attend to the comfort of the listener
2 Explain the purpose of the discussion
3 Be an empathetic listener
4 Allow time for comprehension
5 Be aware of cultural differences
6 Enlist qualified interpreters to assist
7 Allow audience to be an active part of the


____ language establishes trust.



What do we do when we gather information? 3

1 review existing records
2 case history questionnaire
3 interviews


___ summarize the findings over several areas. They must be organized and use professional language.

Evaluation reports


What demographic info should be in the eval report? 6

1 name
2 gender
3 age
4 DOB & CA
5 Address/phone
6 Parents/Guardian/Spouse


What should be included for reason for eval? 2

1 why they came for appt
2 referral source


What bg info is need for a child? 9

1 School/educational status
2 Developmental milestones
3 Pregnancy/birth history
4 Medical, illnesses, tubes, diagnosis
5 Family info.
6 Previous testing/therapy
7 Being seen by other professionals
8 Medications
9 Any important info


What bg info is needed for an adult? 6

1 Vocation
2 Education level
3 Medical history (Previous dx, Illnesses, Hearing loss)
4 Medication
5 Previous testing/treatment
6 Being seen other professional


What do you include in your language assessment/eval results? 7

1 Which tests were administered
2 Results/scores
3 Language sample and results
4 Indicate if there is a disorder (above/below normal)
5 Examples of responses
6 Comments on performance
7 Behavioral observations


What do you include in your speech assessment/eval results? 6

1 Which tests were administered
2 Results/scores (include the phonemes in error)
3 Oral mechanism exam results
4 Disorder?
5 Intelligibility level
6 Behavioral observations


What other miscellaneous results should be discussed in your results?

1 Pragmatics (if applicable)
2 Hearing screening
3 Voice
4 Fluency


What should be included in the summary/interpretation of assessment? 5

1 Summary of results
2 Disorder
3 Assign severity level
4 Prognostic statement (not a guarantee)
5 Special considerations


What do recommendations/impressions sections include? 2

1 Referral for further testing
2 Recommendations for treatment or not (How much? Frequency or duration, Specific recommendations for the client or parents)


What is included in notes to document progress? 4

1 Lesson Plans and Daily Logs (Developed/compiled daily/weekly or when client attends)
2 SOAP notes (Written daily/weekly or when client attends - systematic documentation of what happened during the session)
3 Treatment or Intervention Plans → Progress Reports (Written at specified intervals (ex: semester)
4 Discharge Summaries or Exit Reports (Report of client’s cumulative progress (initiation of tx to discharge))


What goes into lesson plans? 3 (iv)

1 Developed daily/weekly
2 Includes: (i) LTGs, (ii) STGs, (iii) techniques/activities, (iv) Materials)
3 Guides implementation of individual or group treatment


What goes into daily logs? 3

1 Compiled daily/weekly
2 Includes: STGs, data (charting & % acc), explanation of what/why change occurred (or didn’t occur)
3 Suggests changes in following day/week’s LP


What does SOAP stand for?



What is meant by Subjective in SOAP?

summarizes observations re: client’s level
of attention/participation in tx


What is meant by Objective in SOAP?

specific data re: performance on tx tasks


What is meant by Assessment in SOAP?

interpretation of observations and data


What is meant by Plan in SOAP?

recommendations for future action


What goes into treatment plan to progress report? 3 (vi)

1 At periodic intervals, summarize and document cumulative progress toward targeted goals
2 Include: (i) Brief background information, (ii) Summary of specific goals, (iii) Data-based analysis, (iv) Interpretation of data, (v) Prognosis for change, (vi) Recommendation re: need/direction of future tx
3 Treatment Plans and Progress, Reports vary according to disorder, age or setting (At USLHC: Tx Plans = plan (bckgrd info + goals), PRpts = progress on plan (all components included)


____ may differ across all areas of language (syntax, morphology, phonology, lexicon, semantics)



____ are varieconversational content or partner



_____ refers only to pronunciation.