CDS 602 Lecture 1

process of arriving at a diagnosis 

done throughout clinical process to determine how effective treatments are

• observe and measure phenomena to compare to something similar (peer, specific person) or standard (how 50 yr old men from area speak)
• includes trial therapy
• quantifiable descriptive data
• formal probes

**results of specific tests 

**comes before assessment

measures the effectiveness of specific skills  to improve 

objectively observe/measure to understand the condition of something

• results of specific tests are synthesized and we figure out what the test means 
• note skills or lack thereof

**interpreting raw data

**what is reported to the family 

**done throughout the clinical process to document progress, stagnation, regression

• ID/determine nature of disease through examination 
• result of evaluation

• Is there a problem?
• If so, what?

• distinguish between conditions with similar signs 
• probability of one disease 

ex)determining whether its allergies or a cold 

**essential to intervention and treatment 

**be familiar with disorders and symptoms

• Determine reality of a problem 
• Determine etiology of a problem 
• Provide clinical focus

• extent to which patterns draw attention when it occurs 
• may not be a disorder, depends on the context of differences

impact on client's current abilities or potential growth because of communication difference

extent to which difference impacts message transmission

• Predisposing 
• Precipitating 
• Perpetuating

render susceptible to developing problem 

ex) jazz singer/teach/cheer coach/choir director predisposed to voice disorder because of abuse

Cause/trigger onset of disorder

ex) singer gets gig at Atretha homegoing 

**abuse during performance triggered disorder

make a condition endure/advance 

ex) Dr. prescribes vocal rest and patient doesn't listen

What do I know about...

• the problem? (review referral/failed screening)
• this person (case history)
• my skills in treating disorder and/or person (native lang, age, etc.)
• services of other professional for this client (am I qualified, who can help me do the best?)

What factors need to be changed/removed to improve prognosis

the probability of improvement

• 1. Receive complaint
• 2. Perform History Examination
• 3. Synthesize and Analyze Data
• 4. Determine Diagnosis/Differential Diagnosis
• 5. Make Clinical Decisions (is treatment appropriate?)

*be able to compare diagnostic process to scientific method

**be able to compare diagnostics process to scientific method