Assessment Protocol

Develop a brief  protocol for the assessment of neurogenic disorders.  The protocol should include the following features:

  • elicitation procedures
  • description of observations to be made
  • space for recording responses

The following assessment areas should be included:

  • one page for review of medical history (a guide for reviewing medical records)
  • one page for interview questions (may be categorized by disorder area)
  • one page for assessment of the motor system
  • one page for assessment of speech production
  • one page for assessment of language function
  • one page for assessment of cognition
  • one page for assessment of clinical swallowing assessment

Assessment Case Presentation

Given the historical information provided, develop an assessment plan and present the plan to the class.

Content

  • Process for obtaining relevant history (how will the information be obtained? from whom? include sample interview questions)
  • Formal observations
  • Informal observations
  • Estimated length of assessment session & number of sessions required (if applicable)
  • Brief role-play of one component of the assessment (the specific component will be identified with the historical information provided)

Format

  • Develop a web page illustrating your assessment plan
  • Include on the page the historical information provided as well as the plan
  • Develop a 5 minute role-play to be presented during the interactive class meeting. The role-play should illustrate key behaviors of all participants (e.g., clinician, patient, care-giver, professionals)

Treatment Guidesheets

Content

  • address each of the main disorder areas: dysphagia, aphasia, dysarthria, apraxia of speech
  • include strategies for addressing specific aspects of each of the disorders (e.g., auditory comprehension, intelligibility, delayed pharyngeal swallow)
  • summaries of common standardized treatment protocols

Form

  • no more than one single page for each disorder area
  • font no smaller than 8 point New Roman
  • use tables, columns, color fonts, margins, etc to facilitate readability
  • text and diagrams are both acceptable

To receive full credit for the guide sheets, there must be evidence of integration of information and thoughtful organization. Hint: Do NOT just reprint the lecture notes in small, colored print

Treatment Presentation

Given the historical information provided, develop a treatment plan and the plan to the class.

Content

  • List examples of goals targeting the impairment, activity, and participation levels (including internal & external factors if appropriate)
  • Describe at least 3 treatment activities
  • The activities described should fill the amount of time typically allotted for a single treatment session for the patient described
  • Brief role-play of one treatment (the specific treatment should be cleared with Dr. Clark)

Format

  • Develop a web page illustrating your treatment plan
  • Include on the page the historical information provided as well as the plan
  • Develop a 5 minute role-play to be presented during the interactive class meeting. The role-play should illustrate key behaviors of all participants (e.g., clinician, patient, care-giver, professionals

Competencies

  • Clinical swallowing examination, including oral motor exam
    • conducted in class on a fellow student
    • will preferably use the developed assessment protocol
  • Observation and interpretation of videofluorographic swallow assessment
    • using the MBS training tape
    • complete observation forms for the 5 test studies at the end of the tape
    • may be completed in small groups
  • Two swallowing maneuvers (Mendelsohn and Supraglottic Swallow)
    • conducted in class

 

Heather M. Clark, Ph.D.
clarkhm@appstate.edu