RECORDED PORTION:
Be a 'why' person -
know why you are asking what you're doing should cx want to know reason behind
your line of qq.
Get case hx, gather
info and really start to have this discussion w/family members…
Clarify info from
case hx -
Dr. L. starts her
interview w/case hx form
- Ideally, you should have this from cx b4hand
SLIDE 3 - Interview
has 3 components
OJO - make sure you
don't use professional jargon during the interview…
Be empathetic to
anxiety level of family - Emphasize major pts (they may not be listening too
much); put them at ease… Using big words = opposite of being professional… Talk at a level they will understand ->
very important!
SLIDE 4 - Interview
- You want ppl to be comfortable - lay it out,
make sure they understand, and don't leave you more confused..
- You may not be able to view case hx prior to meeting the client…
SLIDE E ex of CE qq
SLIDE 6 What is
significant - look for patterns…
SLIDE 7 - Define
professional terms &
- Prof writing is clear, concise, to the pt….
Is a problem is
child is delayed in multiple areas
When was first word
- were they talking around when they started to walking? Another way to ask…
Slide 7 - CS vs
vaginal… emergency? Vaginal = still typical (best practice) even if CS are more
common - was baby in distress, cord around next - put baby at higher risk for
s/l delay - did baby stay in nicu, etc, jaundice? What does jaundice lead to -
brain damage… not many ppl know that as it's so easily trreated, but you have
to think about places where med attn is not available… important to monitor to
make sure it was treated… where proper
tx available - bilirubin levels checked etc,
- APGAR- only ppl who ask are SLPs… how children are presenting at birth.. Test to determine if child can breathe, whether heart trouble, etc. how the BABY is doing outside the womb… 1-10 higher = better.. 7-9 = normal; lower than that suggest med attn…
Complicational
pregnancy - premies
- Breathing probs lead to sucking/swallowing probs, leads to oral-motor devel in prep for SPEECH as we strengthen these muscles…
Medications -
important to know if mothers on during preg, child thereafter… As we go thru
case history, we start to piece what things together case hx
Babbles then stops…
helps w/ diff dx - autism? Hearing disorder?
Lang dominance vs
difference … is it a q of exposure vs disorder..
2nd/3rd lang use..
Know what degree
- 1st lang tests out well…
- 2nd lang doesn’t, so what's been the exposure
- Trouble in both langs?
- Loss of 1st lang (child enters in school speaks more English … to expose self to 2nd lang community).
- Ball park lang expos % is 40% exposures… , then assess in that language
Kayser & Langdon
- best prac article… SLPs tended to test using std test (in English) to test EL
children, even tho formalized testing there does… What is our best assessment?
No assessment is the same, and no child can be treated the same…
Gather info on:
Age of acq simul
before age of 3 or seq aftr age of 3
To whom did they
speak English to, Nanny, in-laws
ASHA - to be
proficient in a lang - one must be able to read, write & speak … in that
lang
Informal procedure
-review
ADULTS - previous
ed & skills
Hobbies, etc. what
can we do to bring back fxl communication
- When adults come in we know they have a probl and we want to bring them back to that fxl communication
OE & CE qq…
OE - begins w/ axn
verbs, dialogue, etc.
CE -come much more
naturally…
Both have benefits,
and both - OE - open dialogue, lead to
other areas…, like CR
CE - gets to more
specific, to the point info - like Std test
IN your
communication - define prof. terms… ppl who aren't in our field don't know
this… professional writing should be clear, precise and to the point…
SUNDAY quiz 9 am - 5
qq 1 hour/1 sitting! No going in and out.. Closed notes and book… closes end of day…
Discussion board
pract OE/CE -
Syndrome Proj - use
notes column to expand…
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