EXAM 2: Ch 7, Peripheral S-L Tx Management Issues Flashcards
How do you get a caseload when you are a new SLP in a school or hospital?
Schools: inherit a caseload, then dismiss and add clients with time
Hospitals: may inherit some ongoing clients and take on daily tasks like swallowing evals.
How do you get a caseload if you are a new CFY in a clinic?
You may start out with no clients and then:
- add new clients as they are referred
- add clients as you complete assessments and the client qualifies.
What are some standard materials that should be provided by your employer?
- paper, pens
- tongue depressors
- mirror
- gloves
- pen light
- tissues
- alcohol/hand sanitizer
- some basic therapy materials
What are six basic therapy materials?
- books, for all ages
- toys (various ages & dev. stages)
- magazines
- newspaper
- hobby books, cook books, etc…
- reinforcers/rewards
What do you need to make sure of when using games in therapy?
That the game is designed to address the client’s goal/objective.
Instead of helping the client with concepts of the game, what should you focus on?
Helping the client remain focused on the communication event being addressed rather than concepts of the game.
What kind of games are best for therapy?
Games that have no specific rules.
How can you help make the game functional for tx in group sessions?
By removing the competition.
How should you adapt the game? (three reasons?
- to increase the # of opportunities for the client to respond.
- to eliminate the element of competition.
- to decrease wasted time.
What are some things to consider when scheduling?
- client’s nap time
- school hours
- doctor appts
- your lunch
- your bathroom breaks
- how many cleints and what type (back-to-back, library, lunch, recess…)
- how much time your clients have with you.
what are the lengths of some typical therapy sessions?
-30, 45, or 60 minute blocks
What do CA public schools use the Communication Severity Scale (CSS) determine?
1) Presence of an impairment
2) Amount of time allotted for treatment
True or false: client files should be kept under lock and key, including assessment and informed consent data.
TRUE - follow procedure of the work environment
What should you consider for clients when creating the therapeutic environment?
Consider clients who may be susceptible to certain colors, lighting, and sounds.
What is the therapeutic environment?
the physical and psychological climate designed for the client’s maximal involvement.
What should you consider for certain clients who may be sensitive?
- room size
- furniture type
- temperature
- lighting
- noise level
What are treatment plans based on?
Goals/objectives.
In the schools, what is used for treatment plans?
IEPs
In a clinic, what is used for treatment plants?
SOAP notes/lesson plans
What should a working file or daily chart include?
- Service date for therapy
- Attendance
- Goals/objectives
- Client performance data
- Recommendations for next session
- Conversation with caregivers
What do progress notes document?
Client progress (duh)
What four criteria are dismissals dependent upon?
- Met goals within and outside of therapy
- Reached maximal progress
- Caregiver desires to discontinue services
- Medical or related difficulties
