EXAM 2: Ch 7, Peripheral S-L Tx Management Issues

Question 1

How do you get a caseload when you are a new SLP in a school or hospital?

Answer 1

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.

Question 2

How do you get a caseload if you are a new CFY in a clinic?

Answer 2

You may start out with no clients and then:

1. add new clients as they are referred
2. add clients as you complete assessments and the client qualifies.

Question 3

What are some standard materials that should be provided by your employer?

Answer 3

• paper, pens
• tongue depressors
• mirror
• gloves
• pen light
• tissues
• alcohol/hand sanitizer
• some basic therapy materials

Question 4

What are six basic therapy materials?

Answer 4

1. books, for all ages
2. toys (various ages & dev. stages)
3. magazines
4. newspaper
5. hobby books, cook books, etc…
6. reinforcers/rewards

Question 5

What do you need to make sure of when using games in therapy?

Answer 5

That the game is designed to address the client’s goal/objective.

Question 6

Instead of helping the client with concepts of the game, what should you focus on?

Answer 6

Helping the client remain focused on the communication event being addressed rather than concepts of the game.

Question 7

What kind of games are best for therapy?

Answer 7

Games that have no specific rules.

Question 8

How can you help make the game functional for tx in group sessions?

Answer 8

By removing the competition.

Question 9

How should you adapt the game? (three reasons?

Answer 9

1. to increase the # of opportunities for the client to respond.
2. to eliminate the element of competition.
3. to decrease wasted time.

Question 10

What are some things to consider when scheduling?

Answer 10

• 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.

Question 11

what are the lengths of some typical therapy sessions?

Answer 11

-30, 45, or 60 minute blocks

Question 12

What do CA public schools use the Communication Severity Scale (CSS) determine?

Answer 12

1) Presence of an impairment

2) Amount of time allotted for treatment

Question 13

True or false: client files should be kept under lock and key, including assessment and informed consent data.

Answer 13

TRUE - follow procedure of the work environment

Question 14

What should you consider for clients when creating the therapeutic environment?

Answer 14

Consider clients who may be susceptible to certain colors, lighting, and sounds.

Question 15

What is the therapeutic environment?

Answer 15

the physical and psychological climate designed for the client’s maximal involvement.

Question 16

What should you consider for certain clients who may be sensitive?

Answer 16

• room size
• furniture type
• temperature
• lighting
• noise level

Question 17

What are treatment plans based on?

Answer 17

Goals/objectives.

Question 18

In the schools, what is used for treatment plans?

Answer 18

IEPs

Question 19

In a clinic, what is used for treatment plants?

Answer 19

SOAP notes/lesson plans

Question 20

What should a working file or daily chart include?

Answer 20

• Service date for therapy
• Attendance
• Goals/objectives
• Client performance data
• Recommendations for next session
• Conversation with caregivers

Question 21

What do progress notes document?

Answer 21

Client progress (duh)

Question 22

What four criteria are dismissals dependent upon?

Answer 22

1. Met goals within and outside of therapy
2. Reached maximal progress
3. Caregiver desires to discontinue services
4. Medical or related difficulties