Patient: Simon Simonson DOB Referral

History:

Mr. Simonson was referred by Janie, a family friend who is a speech pathologist, because of concerns about tongue function. Medical history is significant for HTN, AODM, and DJD. Mr Simonson reports that difficulty was first noted approximately one year ago and has noticed no change since then. He described mild oral phase swallowing difficulties related to bolus manipulation.

Evaluation:

The Dysarthria Profile was administered. Performance on the following subtests were rated age-appropriate: respiration, phonation, facial musculature (lips, jaw, soft palate, and face). Significant deficits were noted for tongue movements for speech and nonspeech movements, impacting articulation accuracy but only mildly impacting intelligibility.

Impressions:

Mr. Simonson exhibits mild-moderate flaccid dysarthria affecting cranial nerve XII, primarily on the left side. Dysphagia...

Recommendations:

1. Mr. Simonson was referred to his family physician to identify the cause of the flaccid dysarthria.

2. Following medical work-up, if Mr. Simonson wishes to address his speech and swallowing deficits, treatment could be provided here, twice per week for 4 weeks, with the following goals:

a.

Smart SLP, CCC/SLOP