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
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
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
(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 ___.
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?
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.
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
What are the functionalist perspective language aspects of eval language? 5
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?
2 speech - artic
3 speech - voice
4 speech - fluency
What are related areas to speech/language evals? 3
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?
2 Data Gathering
3 Diagnostic Evaluation
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
5 language (comprehension and expression) (also literacy)
7 feeding and swallowing
What falls under clinical services for SLPs? 10
1 prevention and pre-referral
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
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
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
___ summarize the findings over several areas. They must be organized and use professional language.
What demographic info should be in the eval report? 6
4 DOB & CA
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
9 Any important info
What bg info is needed for an adult? 6
2 Education level
3 Medical history (Previous dx, Illnesses, Hearing loss)
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
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
5 Intelligibility level
6 Behavioral observations
What other miscellaneous results should be discussed in your results?
1 Pragmatics (if applicable)
2 Hearing screening
What should be included in the summary/interpretation of assessment? 5
1 Summary of results
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 varie
conversational content or partner