Miterm Flashcards

1
Q

Principle of Ethics I

A

Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally or who are participants in research and scholarly activities.

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2
Q

Principle of Ethics II

A

Individuals shall honor their responsibility to achieve and maintain the highest level of professional competence and performance.

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3
Q

Principle of Ethics III

A

In their professional role, individuals shall act with honesty and integrity when engaging with the public and shall provide accurate information involving any aspect of the professions.

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4
Q

Principle of Ethics IV

A

Individuals shall uphold the dignity and autonomy of the professions, maintain collaborative and harmonious interprofessional and interprofessional relationships, and accept the professions’ self-imposed standards.

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5
Q

HIPAA violations

A
  • talking about clients to those outside of the clinic or collaborators
  • posting about clients on social media
  • accessing client information (videos, charts) in public space where others could see
  • including identifying information in the report (name, hospital, address, DOB, referring physician)
  • lack of caution when carrying/ transporting/ storing reports or assignments
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6
Q

HIPAA identifiers

A
  • name
  • geographic subdivisions smaller than state (county, street, zip code, etc)
  • dates (moth and day) relevant to an individual
  • phone/ fax numbers
  • SSN
  • medical record numbers
  • health plan beneficiary numbers
  • account numbers
  • certificate and license numbers
  • vehicle identifiers (i.e. license plate numbers)
  • medical device identifiers and serial numbers
  • fingerprints
  • full face photographic images
  • IP addresses
  • any unique identifying number, characteristic, code, and record ID that allowed de-identified information to be re-identified
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7
Q

Purposes of assessment

A

screening- to decided if there is a strong likelihood that the individual does or doesn’t have a problem

differential diagnosis- allows the clinician to label the problem/ distinguish the disorder from another with similar symptoms

to determine eligibility of services- speech and language services often covered by public funding (i.e. schools, medicare) or private health insurance –> documented disorder needed to qualify for services

to establish a baseline- develop intervention targets, track and document progress

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8
Q

tools of assessment

A

screening
case history
interviews and questionnaires
behavioral observations/ informal tools (attentiveness, comfort levels)
NR tests
criterion referenced tests

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9
Q

screening

A

quick and efficient way to determine if full eval is needed

usually pass/fail

con: can sometimes yield false negatives or false positives

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10
Q

case history

A

information on the client’s communication skills/ areas of concern

any known underlying medical conditions

family history or communication problems

previous assessments and interventions

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11
Q

informal assessment tools

A

case history

behavioral observations (client’s comfort level, attentiveness, sociability)

language sampling

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12
Q

NR tests

A

A norm-referenced test is a standardized test or assessment that attempts to rank an individual test-taker in comparison to a subset of the population that also took the same test.

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13
Q

Advantages of NR tests

A
  • Objective
  • results can be compared to a larger group of similar individuals
  • may be widely recognized, allowing for common ground of discussion with other professionals
  • insurance companies and school districts may prefer known tests for third-party payments and qualification for service
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14
Q

dynamic assessment

A

Allows the clinician to determine how an individual responds to different support strategies

Assists in the determination of the types of intervention techniques that may promote change for an individual

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15
Q

Static assessment

A
  • Responses are not shaped or supported.
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16
Q

Disadvantages of Norm Referenced Tests

A
  • do not allow for individualization- testing situations may be unnatural and not representative of real-life
  • must be administered exactly as instructed for results to be considered valid and reliable
  • test materials may not be appropriate for certain populations, e.g., culturally and linguistically diverse client
17
Q

Criterion Referenced Tests

A

Criterion-referenced tests and assessments are designed to measure student performance against a fixed set of predetermined criteria or learning standards—i.e., concise, written descriptions of what students are expected to know and be able to do at a specific stage of their education.

18
Q

Raw Score

A

type of score obtained from NR test

The number of points obtained on the test

19
Q

Standard/Scaled Score:

A

type of score obtained from NR test

A method for converting the raw score into a score that can be compared to the sample population

20
Q

Percentile Ranking

A

Per 100 individuals in the normative sample, the percentage of individuals that scored below the score your client attained.

21
Q

Confidence Interval

A

obtained from NR test

The range within which the true score of the individual falls. This interval takes into account the standard error associated with tests

22
Q

Composite/Index Score

A

A cluster of several individual subtest scores that together form a profile of a particular type of skills (example, receptive language, expressive language)

23
Q

Age/Grade Equivalent Score

A

The least reliable of scores on a norm referenced measures. Age or grade equivalent scores should not be used to determine the presence of a disorder.

24
Q

Behavioral Orientation to Learning

A

Learning theory

  • Believes learning is to change behavior
  • Uses stimuli in the external environment

*Purpose is to produce a behavioral change

*Result - behavioral objectives, skill development, and training

25
Cognitive Orientation to Learning
Learning theory * Learning is an internal mental process (including insight, information processing, memory, and perception) * Locus of learning is internal cognitive structuring * The purpose of learning is to develop the capacity and skills to learn better * Result - cognitive development, learning how to learn, intelligence, and memory as a function of age.
26
Humanistic/Experiential Orientation
learning theory Maslow- experience is the primary phenomenon in human learning ◦ Motivation is based on physical safety, love/belonging, esteem, knowledge/understanding, aesthetics, and self-actualization. Rogers - experiential learning ◦ Learning takes place when the topic is relevant to the interests of the student ◦ Learning proceeds faster when the threat to self is low ◦ Self-initiated learning is the most lasting and pervasive. * Views learning as a personal act to fulfill potential * Person/student-centered. * The purpose is to become self-actualized and autonomous. * Result - Self-directed learning
27
Social Orientation to Learning
learning theory Vygotsky - believed that social interactions, more than biological and cultural impacts, profoundly influence cognitive development. Individuals learn on two levels: 1. Initially, through social interaction with more competent persons 2. They gradually develop more self-directed learning due to teacher or peer guidance. Views learning as interaction/observation in social contexts Learning is the relationship between people and the environment. The purpose of learning is to engage in full participation in communities. Result – socialization
28
The continuum of naturalness
The degree to which intervention contexts correspond to everyday communication situations and interactions - intervention activity itself, physical context in which the activity takes place, the individuals with whom the client interacts with during the intervention Clinician directed approaches (clinician controls all aspects of the intervention: anticedent, behavior, consequence) --> hybrid approaches (highly natural but clinician maintains control -ie forced stimulation- used in peds, targeting a specific word or phrase and using it repeatedly, script therapy- telling their stroke story, practicing a speech) --> client centered approaches (facilitative play: self talk, parallel talk, expansions, extensions, recasts; vocational activities) If 2 activities are equally effective in eliciting a communicative response, the naturalistic one is preferred bc it will generalize better
29
components of a lesson plan
1. Long Term Objective(s) aka Long Term Goal(s) 2. Short Term Objective(s) aka Short Term Goal(s) 3. Procedure (and cueing hierarchy) 4. Rationale
30
feedback
should be varied and specific (directly related to the task performed) continuous reinforcement- each correct response should be reinforced, tell them what they did well intermittent reinforcement- used after a new skill has been established
31
purpose of a lesson plan
outlines what the clinician is preparing to do for the session, how they will accomplish it, why it's being done
32
Components of a Short Term Goal
Performer - who will be performing the objective Performance – what the client/patient is expected to do. Conditions – the important conditions (if any) under which the performance is expected to occur - i.e. "given a graphic organizer..." Criterion – describes the level of acceptable performance (how well the learner must perform in order to be considered acceptable) - i.e. "with 80 percent accuracy and minimal cueing"
33
Long term goals
state the broad changes in communicative behavior to be achieved during the course of therapy - they are general, we measure the progress of LTGs within the context of STGs can be achieved over weeks, months or years
34
short term goals
stepping stones of getting towards the LTG
35
Antecedent, Behavior, Consequence (ABC)
type of clinician directed approach *Antecedent: The trigger or situation that occurs before a behavior. For example, the prompt * Behavior: The observable action or response. For instance, producing a target or not * Consequence: The outcome that follows the behavior (reinforcement, feedback, scaffolding, etc)
36
subjective
first section of a soap note The primary emphasis in this section is on impressions of the client’s focus during the session. While stated as“subjective,” clinicians must make statements as factual as possible. comments about the client's engagement, if client appeared fatigued - give evidence of how so (i.e. repeated yawns, head on table)
37
Objective
- Opens with Behavioral Objective stated in plan (can be italicized other labelling/formatting can be used to set it apart). - Results should include specific data on the client’s performance. - State whether or not the goal was met. Ex "goal met. Client named 4/5 items" adjust goal if goal was not met. even if it was, we usually want to see them meet the goal twice before moving on
38
Assessment
Interpretation of the objective data and the significance of the data. Not a play by play of their responses - looking for patterns of performance and behavior - How does the client’s performance in this session contrast with other sessions? - How can the client’s performance best be characterized? - Strength and weaknesses - compare performance to expectations based on dx and previous performance
39
Plan
Based on careful consideration of performance listed above. - Outlines steps to be taken in next session. - Level of detail required varies. Ex. Advance PCA targets to 3-4 syllable words continue word initial vowel targets for PCA Advance inferential questions to 80% accuracy client will continue the VNeST with a focus on generating at least one semantically related subject per verb trial