quiz 2 Flashcards
define cultural competence
having the neccessessary level of knowledge and skills to provide care to a client form a different cultural group
explain the process of developing cultural competence
ongoing process so continual self evaluation is required, and an expanding understanding about another culture
list the acronym to gain cultural competnece
A- awareness S- skill
K-knowledge E-encounters
D-desire
Define A-Awareness
are you aware of your own biases and personally held isms
define S-skill
do you have the skills necessary to conduct a speech language assessment in a culturally sensitive manner
K-knowledge
do you know about the biological, cultural, and linguistic diversity that exist in our society, and do you know the worldview of different cultures
define E-encounters
do you have meaningful and transforming encountrs with people and cultures different from your own
d-desire
do you have a desire to become culturally and linguistically competent
List the knowledge needed for a pre-assessment
clients culture, normal communicative development associated with that culture, clients personal history
what happens without having the proper knowledge before the preassessment
assessment procedures may be inappropriate coming from a linguistically/culturally diverse group and diagnostic conclusion may be incorrect
List a few names of different terms needed to understand culturally and linguistically diverse populations
AAE, CLD, ELL, ESL
CLD
culturally and linguistically diverse group
ELL
English language learner
ESL
English as a second language
list 4 different social customs and beliefs
- cultural groups have different views of disability and intervention
- cultural groups hold diverse views of a woman’s role in society
- cultural groups hold different views of familial authority
- names and titles appropriate to use during communicative exchanges may vary among different cultures
list the steps to planning and administering an evaluation to CLD
- use culturally appropriate assessment materials
- test in the clients dominant language and in English
- collect multiple speech language samples and use narrative assessment
- focus on the clients ability to learn rather than what they already know
- be prepared to modify the assessment approach as more is revealed about the clients abilities
- consult with other professionals
- consult with an interpreter
- be sensitive when meeting clients or caregivers in interview situation
How would one distinguish between a difference and disorder in a CLD client
CLD clients may demonstrate communicative difficulties that appear to be disorders but are actually a result from language differences between the native and second language. Typically, if the difficulties are present only while using one language, they are considered language differences.
what is the primary source of preassessment information
a written case history
When gathering information from other professionals, list 4 things it would be helpful to identify about the clients case history and preassessment information
- the history or etiology of the disorder
- associated social, educational, and familial problems
- existing speech language diagnosis and goals
- treatment histories including the effect of the treatment
What are the disadvates associated with receiving client preassessment information from other professionals
It may lead to a biased view of the clients condition. It is
It is important to maintain an objective position throughout the assessment. List the 2 ways in which the clinician can do this
- Making clinical judgements primarly based on direct observation and evaluation results
- follow the HIPPA privacy rule when obtaining or providing information
what are the 2 methods for reporting assessment findings, conclusions and recommendations
information giving meetings and written report
explain information giving sessions
conducted with clients and or clients caregivers, typically shorter and less formal than intake interviews
What are the three components of the information giving meeting
introduction, discussion, and conclusion
explain the introduction, discussion and conclusion of the information giving meeting
introduction- stating the purpose and structure
Discussion- providing a written report, discussing major findings, and using jargon free language (may use illustrations and charts)
Conclusions- showing appreciation and providing a sumamry
List the requirements of a writtens assessment report (format style and degree of detail needed vary across clinics, facilities, and universities)
Indentifying information- name DOB, email
Overview/background- referral source, initial status, presenting concern/complaint
histories- speech and language development medical, hearing, familial, etc
List 4 things that generally, most assessment/diagnostic reports include
- assessment and phonological processes
- phonemes (speech sounds)
- intelligibility
- language (receptive vs. expressive)
In general, what three components do most assessment/diagnostic reports include
a summary- concise statement of mot significant findings including diagnosis and prognosis
Recommendations- suggestion to clients and caregivers (to treat or not to treat) (referral to other professionals)
Speech-language pathologist name (with credentials)
IFSP
individualized family service plan
List the steps important to writing IFSP and IEP
written documents specific to children from birth through high school
outline the disabilities and needs of the child
describe services to be provided
emphasize the importance of family participation in the child well being
what is the age range or IEP and IFSP
IFSP- infant to toddlers
should later be transferred to IEP
what is clinical correspondance
common clinical practice to send letters to other professionals.
What is neccessary before forwarding or sending any clinical information
clients written consent to forwarding or sending any confidential information
what are soap notes
Subjective, objective, assessment, plan notes used in a medical setting to report client information and facilitate communication among professional. Used on an ongoing basis during evaluation and treatment. required to be written immediately after working with the client
explain the acronym SOAP
S- subjective
(contains non measurable and historic information and summarizes problem from client/caregiver point of view)
O- objective
(contains measurable findings. document examination results for diagnostic session and document objective performance for treatment session)
A-assessment
(a synthesis of subjective and objective section. for diagnostic session, write conclusion and recommendations. for treatment session, record the clients current status in relation to goals.
P-plan
(record plan of action. how will these sessions be implemented)
What are the potential issues a client or caregiver may have with completing a case history form
aome clients wilth limited English proficiency may not understand the questions or time may have passed between the onset of symptoms and now
define raw score
initial score obtained based on the number of correct or incorrect repsponses
define standard score
performance compared to the average and normal distribution
define standard variation
the variation within the normal distribution
what is the most common standard score
average of 100 with a standard deviation of 15
what standard deviation is considered below average
-1.5 to -2
define scaled score
Performance compared to the normative sample. not necessarily following a normal distribution. Allowing comparisons between the client and appropriate normative sample
define z score
an example of a standard score. revealing how many standard deviation the converted raw score is from the mean
define percentile rank
revealing the percentage of people scoring at or below a given score
define stanine (or standard nine)
an additional method of ranking based on 9 unit scale
explain confidence interval
The degree of certainty on the part of the test developer that the scores obtained are true.
list how HIPPA has improved the healthcare system
-Allowing consumers to continue and transfer health insurance coverage after a job change or loss
-reducing healthcare fraud
-mandating industry-wide standards for electronic transmission of health care information and billing
-protecting the privacy and confidentiality of health information
All SLPs have an obligation to (3 things)
- provide services with professional integrity
- achieve the highest possible level of clinical competence
- serve the needs of the public/population
what is the purpose of an orofacial examination
to identify or rule out structural factor that relate to a communicative disorder
what is the DDDk syllable rate
Measurement of the clients’ ability to make rapid alternate speech functions… provides information about a clients motor and speech planning ability
what are the primary sources of preassessment information
- written case history
- interview with the client, parents, spouse or caregivers
- information from other professionals
what is case history
starting point for understanding clients and their communicative problem allowing clinicians to identify areas requiring further clarification, anticipate the areas requiring assessment, etc
