lang dis.: overview of tx & infants Flashcards

1
Q

the continuum of naturalness

A

-organizes therapy based on similarity to real life
-critical to meeting the needs of client

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2
Q

most natural

A

child-centered
-indirect language stimulation
-daily activities
-facilitated play

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3
Q

in the middle

A

hybrid
-milieu therapy
-focused stimulation
script therapy
-interactive book reading

*more structured or scripted

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4
Q

least natural

A

clinician directed
-drill
-drill play
-modeling
direct teaching
-discrete trial training

*good for school-age that need that structure

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5
Q

follow the child’s lead

A

CCT
the child decides what to play with and how

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6
Q

wait & respond

A

CCT
use cues from the child to initiate an exercise or model a form -> interpret an action as an intention to communicate

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7
Q

self talk and parallell talk

A

cct
self -> we describe our own actions
parallel -> we give play by play of childs actions

*neither require child to talk

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8
Q

imitation

A

cct
imitate what the child says

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9
Q

expansions

A

cct
add grammatical markers to make an acceptable adult utterance.
*client is missing grammar, you fill it in adding the grammar

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10
Q

semantic elaborations

A

cct
add semantic info to a child’s remark.
*ex. child says doggy house, you say “the dog is in the house! he goes in abd out!”

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11
Q

buildups and breakdowns

A

cct
focus on syntax by saying things in different ways

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12
Q

recasts

A

cct
pragmatically appropriate response to child that models a grammatically correct utterance. recasts are like expansions but add the requirement that you naturally pass the conversational turn

*adds grammar but more naturalistic, like in conversation

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13
Q

verbal reflective question

A

cct
-recasts that repeat part of the child’s utterance but pass the conversational turn.

*doggy house is responses to with “the doggy is in the house isnt he?”

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14
Q

vertical structuring

A

cct
clinician uses incomplete child utterances to build complete, grammatical utterances

*would want to use with client that has 2-word utterances

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15
Q

3 characteristics of hybrid therapy

A
  1. target one or a small set of specific language goals that are identified, perhaps through criterion-referenced procedures
  2. clinician retains control materials necessaru to create or intorudce language goals
  3. prepared lingustic stimuli are used to respond to child’s communication and to model and highlight the forms being targeted
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16
Q

focused stimulation

A

ht
tempt child to use target forms; use a high number of models, more than is natural in typical conversation (pushing the good models)

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17
Q

milieu therapy

A

ht
3 components
1. environmental arrangement aka communicative temptations (taking a toy, handing it to the client, and waiting)
2. responsive intervention
3. conversation based contexts

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18
Q

incidental teaching

A

ht
arrange the environments with things the client needs but that are out of reach. the clinician uses focused attention, making eye contact and waiting

*tell me what you want

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19
Q

mand-model

A

ht
a mand is a request from the clinician for an utterance

*something they can say

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20
Q

script therapy

A

ht
common routines the child is familiar with. for example, passing out nametags or getting ready for story time. 2 options: introduce cloze procedure or disrupt the routine

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21
Q

interactive book reading

A

ht
reader uses 1) commenting, 2 asking questions, 3 responding by adding a little more, and 4 giving time to respond o enhance language input, structure is provided by the book

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22
Q

clinican directed therapy

A

the clinician specifies the materials, how the client will use them, the type and frequency of reinforcement
-appropriate when intellectual deficits may impede incidental or more natural learning

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23
Q

discrete trial training

A

cdt
heavily structured events or trials that are rpeated frequently
-salient targets and no distractors

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24
Q

explicit instructions

A

telling then what you want them to do
-clients often benefit from this early in therapy (beginning a newactivity or working on a new target)

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25
Q

modeling

A

cdt
show what must be done. parents and caregivers can be allies

26
Q

direct teaching

A

cdt
typically best for school-age children and older. quickly wears down a client’s attentional capacity

27
Q

extrinsic reinforcement

A

reinforcement comes from outside client

28
Q

intrinsic reinforcement

A

reinforcement comes from the client itself

29
Q

prenatal risk factors for communication disorders

A

-fetal alcohol
-low or very low birth weight
-family hist of developmental delays
-facial abnormalities
-in utero exposure to toxins
-infection while in utero
-bicornuate uterus

30
Q

genetic/congenital risk factors

A

-genetic disorders (williams, down syndrome, cri du chat)
-sex chromosome disorders (turners, fragile x, klinefelter’s syndrome)

30
Q

nicu related birth factors

A

estimates place risk of developmental delays near 50% for all infants born prematurely

31
Q

low birth weight

A

-prematurity highly correlated with small size
-small babies more likely to need intubation, ventilation, and feeding tubes

32
Q

gestational age

A

age calculated from the first day of the pregnant person’s last menstural period to the present day

33
Q

chronological age

A

age from birth

34
Q

15-18 weeks

A

swallow (amniotic fluid)

35
Q

27-28 weeks

A

weak, disorganized sucking pattern

36
Q

32 weeks

A

stronger sucking pattern noted

37
Q

34 weeks

A

more stable rhythm/pattern

38
Q

suckling

A

primitive form of sucking

39
Q

sucking

A

more mature pattern

40
Q

rooting

A

turn head towards stimulation

41
Q

phasic bite

A

stimulation of teeth/gums

42
Q

NG tube

A

through the nose, down the esophagues and into the stomach
-used for short term feeding

43
Q

NJ tube

A

through the nose, down the esophagus, through the stomach and into the small intenstine
-when feeding into stomach isnt tolerated

44
Q

PEG tube

A

directly into stomach through a small incision in the abdomens skin
-for long term use

45
Q

JEJ tube

A

through the stomach and into the small intense or directlly into the small intenstine
-for long term use

46
Q

posturing

A

use an infant pillow

47
Q

specalized equipment

A

selecting an appropriate nipple for bottles

48
Q

sensory stimulation

A

modify tmperature and consistency

49
Q

oral stimulation for feeding and outside of feeding

A

toothettes
-stroking side of face and cheeks, squeezing cheeks, stroking ridge of nose

50
Q

environmental modifications

A

may need to increase/descrease stimulation

51
Q

communication

A

eye contact

52
Q

cue based care

A

infant cues are indicators of whether the activity ‘works’ for the infant or not. Cue based care requires caregiver to observe, interpret, and then respond

53
Q

signs of physiologic instability

A

drooling, gulpting, nasal flaring

54
Q

signs of disengagement

A

infant pushes nipple out of mouth

55
Q

signs of co-regulated feeding

A

caregiver gives time for breathing

56
Q

non-nutritive sucking

A

-not related to nutrition
-pacifier use during tube feeding; thumbs

goal is to link non-nutritive sucking to feedings (before or after) so that a baby makes a connection between sucking and the reinforcement of nourishment

57
Q

kangaroo care (skin-to-skin)

A

-decreased length of hospital stay
-shorter ventiliation periods
-increased alertness
-enhanced sense of parent nurturance

58
Q

individual family service plan IFSP

A

-required for children from birth to 3
-serves the purpose of maximizing child development and optimizing familys capacity to address needs
-no offical format
-must include 5 levels of functioning: physical, cognitive, social, emotional, communicative, and adaptive

59
Q
A