CDS 602 Lecture 3

  1. Three Must Have Components of Comprehensive Exam
    • Hearing Screening 
    • Case History 
    • Evaluation 

    **Oral Mechanism Exam also important**
  2. Areas of Eval for Comprehensive Exams
    • speech sound production 
    • language 
    • fluency
    • voice

    *if you see a referral for a language disorder and vocab testing is all you see, there is a strong possibility the child has been misdiagnosed

    **Lexicon is directly related to world knowledge. Don't penalize a child on things they haven't been exposed to
  3. Preparation for Administering Evaluations
    • be honest about personal strengths and weaknesses 
    • improve weaknesses, maintain strengths
    • equip yourself - keep charts of important info if needed (norms for development etc.)
    • Learn the client - understand cultural factors that might play a role in their lang acquisition/use
  4. Purpose of Case History
    • beginning of understanding a client 
    • anticipate areas to assess in depth 
    • ID topics that need further clarification (ask questions about vague/contradicting info)
    • helps select tools and procedures
  5. Info Included in Child Case History
    • Family History 
    • Prenatal & Birth History 
    • Medical History 
    • Developmental History 
    • Educational History
    • Multicultural Case History (optional but optimal)
  6. Info Included in Adult Case History
    • Family History
    • Medical History
    • Educational History 
    • Work History 
    • Multicultural Case History
  7. Obtain Case History Info
    • Questionnaire 
    • Interview 
    • Chart Review 
    • any combo of the 3
  8. Info Obtained from Chart Review
    • date of onset
    • diagnosis on referral 
    • medical history 
    • interventions in progress 
    • current medical status 
    • personal info (age, marital status, financials, etc.)
    • medications (may impact our intervention)
    • previous testing/services provided 
    • notes from other professionals 
  9. Case History Questionnaire Pros and Cons
    • a time saver 
    • ID problem areas for later assessment 
    • generic - different types are available but one type may not ask all the questions you need answered 
    • provides only surface information
    • little flexibility in the way the question is asked
  10. Case History Interview Pros and Cons
    • takes a lot of time 
    • client specific/flexible - ask the questions you need to ask for each client 
    • ask as many questions as you like to better understand the client/disorder
  11. Outline of Written Case History (after obtaining info)
    • Basic IDing info (name, chron age, etc)
    • Referral source
    • Other specialists seen 
    • Statement of problem
    • Developmental history 
    • Medical history 
    • Family and social background
    • EDU background
  12. Case History Interview Purpose
    • Get info on client, family, and communication problem
    • clarify responses from questionnaire 
    • answer family questions about assessment/intervention activities
  13. Clinician Behavior During Interview

    (Know 5 Well)
    • clinician directed interview, be prepared
    • time and location formally specified 
    • unpleasant topics not avoided
    • distraction free, comfortable environment 
    • don't rush 
    • be prepared for emotional responses
    • use open ended questions
    • ask for examples 
    • vary your responses 
    • explain professional terms used
    • limit writing, record if necessary
    • address emotions and beliefs about the problem 
    • remember cultural differences
  14. Hearing Screening
    • determine if basic hearing skills are sufficient for normal communication
    • present pure tones at 20(noise free) or 25 (quiet) dB
    • test frequencies at 500, 1000, 2000, and 4000 Hz bilaterally
    • pass or fail
    • if first time failed, usually re-screen at later date before referring for full audiological eval
  15. Steps of Hearing Screening
    • Prepare client - give overview and instructions 
    • Place headphones - right is red
    • Orient client for the task - give a practice, present tone at a higher decibel so they knew what they're looking for
    • present tones
    • record results 

    **disinfect headphones with alcohol swabs after each use
  16. Informal Assessment
    • subjective, qualitative data 
    • criterion-referenced test: compare child to a standard
    • observations
  17. Formal Assessment
    • objective, quantitative data 
    • standardized test
    • norm-reference test: child compared to group of peers
  18. Screenings
    • cannot diagnose a condition 
    • results tell if further testing needs to be done
  19. Diagnostics
    • can diagnose a condition 
    • results tell if a problem exists and gives info about the nature of the problem
  20. Standardized Assessment
    • systematic 
    • explicit directions about what examiner can say/do
    • specific stimuli presented
    • explicit rules for scoring
  21. Norms
    average performance of a typical group of people at different age levels
Card Set
CDS 602 Lecture 3
CDS 602