CAS Comprehensive Assessment

Voice articulation and language are the major elements of human speech production. When a disorder related to any of these elements is present, the ability to communicate may be impaired. Voice is the elements of the speech that provides the speaker with the vibratory signal upon which speech is carried.

Being able to work with both children and adults has allowed me to broaden my view of what the field of speech language pathology will consist of. During my freshman year, in the spring semester of 2014, I was able to volunteer in Marquette’s clinic and take data for an SLP graduate student who was working with an adult with an intellectual disability. This experience allowed me to broaden my basic knowledge of the field of speech-language pathology. Also this past fall semester of 2016, I was able to work with an SLP graduate student in Marquette’s clinic, where we provided therapy to a preschool-aged client. We worked together in creating activities to target his speech language disorder, using both hybrid and clinician-directed approaches throughout the semester. By the end of the semester, we were able to observe very positive results concerning both his receptive and expressive language, which was highly rewarding to see. I am also going to be working in Marquette’s Clinic again next semester where I will be working with clients who have aphasia. This opportunity will allow me to further my knowledge and interest of individuals who I have a special interest

The client had an L-hemisphere CVA on 8/11/10. After the stroke, the client was admitted for a 5 day acute care hospitalization and then into an inpatient rehab setting for six weeks for one hour every day. Through a speech evaluation, the client was diagnosed with a mild anomic aphasia and mild apraxia of speech. The client 's goals are to improve her mobility, communication, and return home. This session was a re-assessment six months after she was discharged from the inpatient rehab setting.

What was the clinical importance of the results? Report the effect size if included in the study.

In the research study I am assisting in, we seek to improve the level of intelligibility in patients utilizing and electrolarynx; seeking to increase prosody and intonations to make their speech sound more natural.

Whether you are performing a comprehensive / general survey assessment or a focused assessment, there are four basic tools employed which includes inspection, auscultation, percussion, and palpation (Jarvis, 2008). These methods recommended to be utilized in a well arranged manner from least disturbing or invasive to most invasive to the patient (Jarvis, 2008). Inspection is the first and most commonly used and during this assessment, the provider is striving to identify conditions that can be seen with eyes, ears, or nose such as skin color, bruises or rash, size of body parts, hair, ear, eyes and abnormal findings, sounds, and smell etc (Javier, 2015). For instance, Baid Heather 2006, suggested that if a patient walked into the room or facility, gait maybe observed, if on wheelchair or bed rest, posture issue will be noted while listening to the patient tone of voice or breathing will indicate neurological issues such as dizziness, inability speaking, difficulty swallowing, headache, head injury , vision issue, discharge from ear etc and respiratory issues hence this assessment is vital as it can lead to more evaluation and findings (Jarvis, 2015). Another is Auscultation which succeeds inspection, especially with abdominal assessment which is required to be auscultated prior percussion or palpation to curb production of false bowel sound because the assessment requires quiet to prevent false sounds and done over bare skin, listening to one sound at a time

These physical examinations will enable the clinician to understand to an extent the presence of hyperacusis and its effect on daily living. The presence of a clicking or popping sound during chewing, jaw locking, and changes in the biting pattern and dental occlusion are likely to indicate the presence of temporomandibular dysfunction, which has been linked with hyperacusis. Patients with superior canal dehiscence (SCD) syndrome experience vertigo and hyperacusis to bone-conducted sounds. (Burris, Evans, & Carlson, 2010; Hilgenberg, Saldanha, Cunha, Rubo, & Conti, 2012).

A Speech-Language Pathologist works directly with a wide variety of patients, birth to adulthood who suffers from speech or language disorders. Those disorders may include disfluency, expressive or receptive language, social communication, cognitive-communication, and swallowing disorders. I am fervid about helping individuals, and I have seen first-hand how important our voice truly is. This is why I chose a career in this field, I want to help, and give a voice to those who are not always heard. As a Speech- Language Pathologist it is important that you obtain certain trains in order to be successful; including, interpersonal skills, teamwork, and problem solving skills.

S.S. has average hearing. S.S.’s hearing was evaluated using an Otoacoustic Emission test. This screening allowed S.S.’s hearing to be tested without a verbal respond. In addition, her hearing was evaluated using a pure tone air conduction-hearing test where S.S. would raise her hand when she heard a sound. Also during the evaluation,

Garrit and Oetting are both prominent Speech Language Pathologists and have been recognized by the American Speech-Language Hearing Association. The authors work in the field of Communication Sciences and Disorders at Louisiana State University in Baton Rouge. The article was trustworthy because of its substantial

The criteria of the evidence of significant language impairment, is the procedure in which the information about the child’s language is being gathered and being evaluated. There is a crucial debate on whether should therapists and researchers use standardized tests or non-standardized ones, while assessing a child. If the tests should be standardized then which ones should be used (Bishop, 2013)? Each researcher can focus on specific aspects of language when assessing the language abilities of a child. On DSM-IV-TR, it is given the score of 1 or 1.5 SD below the population mean as a result of impairment. This criterion may in fact be arbitrary and not suitable for the identification of language impairment. Additionally, there are cases, where children are being referred as a language difficulty, while professionals cannot find such evidence, through the tests (Law et al. 2011). For Cohen et al. (1998), we should be more careful in identification of language problems, since it is possible that a language problem may look

Resonance disorders can be assessed during the oral peripheral examination by observing movement of the velopharyngeal mechanism during phonation of the /a/ sound. In addition, the presence of hypernasality and nasal emissions should be ascertained during the examination (Pena-Brooks & Hedge, 2007).

Directions: To give these evaluation measures, try to have the patient fill out as much as they can beforehand. When using the pediatric form, have the child’s parent(s) or guardian(s) fill out the questions. If the child is old enough to understand their situation, encourage the child to fill out the appropriate forms with their parent(s) or guardian(s). Filling out the form ahead of time will ensure that patient is not rushed or feeling pressured to fill out the form, and they can do it at their leisure. The patient should be instructed to fill out what they can, and if there are any questions or uncertainties, they can be reviewed during the first session. Regardless, the first voice session will include a thorough review of the case history form between the speech-language pathologist and the patient, to ensure complete understanding and accuracy of the

There are several types of Neurogenic speech disorders such as aprosody and apraxia of speech, but in this paper will be focused on the disorder otherwise known as, aphasia. Classified as a language disorder, aphasia debilitates a person’s ability to form, read, write and/or understand spoken language (“American Speech,” n.d.). My goal is to inform and create awareness about aphasia in hopes that it will break down the barriers between those with aphasia and those without. The purpose of this paper is to help patients with aphasia by knowing the three stages of aphasia, by knowing the psychosocial challenges of people with aphasia, and finally, by knowing different methods that will directly help

One major tool that basically all speech pathologist use is Brown’s stages of syntactic and morphological development. “Browns stages of development was developed by Roger Brown, the stages help determine what path the normal expressive language development in English, in terms of morphology and syntax.(1984 Brown & Brooks)” To find the stage at which the child is at the speech pathologist must have the child say utterances. To find an accurate stage the pathologist will want to take down at least 100 utterances, if they don’t do a large number of utterances, than the accuracy could be greatly thrown off. Mann, Shankweiler, and Smith stated speech pathologist will take the utterances and count the morphemes using Brown’s stages 14