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These flashcards encompass the core ideas, definitions, and significant terms discussed in the CSD 482 Module 2 lecture notes, focusing on assessment, evaluation, diagnosis, treatment planning, and important concepts in speech and language pathology.
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Assessment
Ongoing process of gathering information about communication and swallowing; determines presence/absence and functional impact.
Evaluation
The set of procedures/tools used to examine behavior (tests, samples, SFE, instrumental measures).
Diagnosis
Label/statement about the disorder based on assessment/evaluation.
Treatment / Plan of Care (POC)
Intervention begun as soon as assessment starts; includes goals, procedures, frequency, dismissal criteria.
PLOF / CLOF
Previous Level of Function vs Current Level of Function; important for prognosis and billing.
Person-centered care
Assessment/treatment focused on the client’s goals, context, and values.
Orofacial/Structural-Functional Exam (SFE)
Exam assessing oral motor strength and structure.
Cognitive-linguistic
Assessment of memory, attention, executive function, word retrieval, comprehension.
Multidisciplinary assessment
Each professional reports separately.
SOAP notes
Subjective, Objective, Analysis, Plan format used for session-to-session notes.
ICD-10 codes
Used for medical diagnosis and reimbursement.
Dynamic assessment
Method to test learning potential and differential diagnosis.
Person-first language
Language that emphasizes the individual, e.g., 'a girl with speech sound disorder'.
Treatment plan
Includes client information, diagnosis, target behaviors, goals, procedures, and maintenance plans.
Progress notes
Periodic summary of progress towards goals.
IEP
Individualized Education Plan for students with disabilities affecting educational performance.
IFSP
Individualized Family Service Plan for infants/toddlers and their families.
Functional impact
The effect of a communication disorder on an individual's daily activities.
Cultural competence
Understanding and respecting linguistic differences and dialects.
Physical Mechanism (Speech Production) Assessment
An evaluation of the physiological processes involved in producing speech sounds, including voice, articulation, and resonance.
Swallowing Function Assessment
An evaluation of the oral, pharyngeal, and instrumental phases of swallowing to identify any difficulties in the swallowing process.
Common Impairments/Signs to Screen For
Cognition: impaired memory, slowed processing, poor attention, executive dysfunction.
• Language: word-finding issues, comprehension difficulties (auditory/reading), problems with morphology/syntax, pragmatic deficits.
• Speech: slowed or slurred speech, sound errors, issues with prosody or intonation.
• Hearing/CAPD: decreased discrimination or auditory processing ability.
• Behavior/affect: mood changes, agitation, depression—affecting communication.
• Swallowing: coughing during meals, wet voice, pocketing food, weight loss.
Differential Diagnosis Tools
Standardized tests (norm-referenced) + informal/criterion-based tasks.
Language & speech sampling for naturalistic behavior.
Therapeutic probes/dynamic assessment to test teachability.
Instrumental measures (MBSS/FEES, acoustic/voice measures) when anatomical/physiologic details needed.
Multidisciplinary input (PT/OT/neuro/ENT/psych/educator) for differential causes.
Interdisciplinary
Each assess separately; single cohesive report
Transdisciplinary
Professionals assess together; integrated outcomes and cross-disciplinary roles
Clinical Decision-Making Framework (Why/What/How?)
Why? Identify cause/etiology and factors influencing deficits.
What? Which communication domain(s) are affected, and what behaviors characterize the impairment?
How? Are deficits remediable? Will you remediate, compensate, or train caregivers? Map assessment → goals → treatment.
Discharge Report
Summarizes entire course, outcomes, recommended follow-up; reassessment required for exiting IEPs
The Three Fundamental Components to Assess
Cognitive-linguistic, physical mechanism, and swallowing function