Assignments
Portfolio

Your portfolio will serve as a clinical resource and also as evidence of competence in the prevention, assessment, and treatment of motor speech disorders and dysphagia. You may turn in a draft of each portfolio assignment by the due date indicated in the course schedule if you would like feedback from Dr. Clark. The final draft of the dysphagia and motor speech sections of the portfolio are due March 4 and April 29, respectively. Grading Sheet for Portfolio

Dysphagia Section

Assessment Report (25 pts)

Develop a narrative report based on assessment information provided by Dr. Clark (to be distributed in class). The report should include treatment recommendations.

Treatment Evidence Review (25 pts)

Conduct a literature review for the purpose of evidence-based practice. Develop a narrative summary of your review including:

Content

  • Select one treatment strategy from the following list
    • Thermal stimulation
    • Electrical stimulation
    • Masako
    • Shaker
    • Tongue strengthening
  • Identify and summarize at least three peer-reviewed articles examining the benefit of the treatment
  • Critique the identified studies as appropriate
  • Develop a summary reflecting your judgment of the quality or level of evidence supporting the use of the identified treatment

Form

  • There is no minimum or maximum page length, but it is anticipated that 3 - 5 double-spaced pages will be typical
  • Use APA 5 format
  • Consider this a professional paper: use professional language, a professional font, etc.

Motor Speech Section

Screening Procedures (15 points)

In many clinical settings, thorough assessment of every aspect of communication during the initial visit is inappropriate. For this project, you will identify a brief screening protocol for the identification of individuals for whom motor speech ability should be thoroughly assessed

Content:

  • Review of history (key indicators in the history that would signal the need to assess motor speech)
  • List basic screening procedures (elicitation procedures, etc)
  • Provide examples of behaviors that would indicate the need for thorough assessment of motor speech function

Form:

  • One single-sided page
  • Font no smaller than 10 pt
  • Use tables, columns, colors as appropriate to enhance organization

Assessment Report (25 points)

  • Select from patients Felizia Gomez, Harry Dauge, or Simon Simonson
  • Review the information provided (history, interview, report of handicap)
  • Score standardized tests based on findings reported
  • Develop an assessment report based on the information provided
  • Format of report
    • A brief narrative report is recommended, but other formats may be used if approved in advance
    • One page single space should be more than long enough
    • Students may discuss content and form of report but each student should submit an original report

Managing Motor Speech Disorders (30 points)

Develop a treatment summary sheet for each of the dysarthrias and apraxia of speech. For each disorder, your summary sheet should include

  • impairment level treatments targeting relevant speech subsystems
  • activity level treatment targeting relevant speech characteristics
  • brief list of treatment resources particularly suited for the specific communication disorder

This is the only assignment that may be completed in small groups. Each group member is responsible for all submitted group work. That is, each student should be familiar with the information contained on all the summary sheets as well as be able to verify the academic integrity of the submitted work.

Treatment Evidence Review (25 pts)

Conduct a literature review for the purpose of evidence-based practice. Develop a narrative summary of your review including:

Content

  • Select one treatment strategy from the following list
    • Integral Stimulation
    • PROMPT
    • Lee Silverman Voice Treatment
    • Pacing Board and/or Metronome
  • Identify and summarize at least three peer-reviewed articles examining the benefit of the treatment
  • Critique the identified studies as appropriate
  • Develop a summary reflecting your judgment of the quality or level of evidence supporting the use of the identified treatment

Form (see above)

Additional Features of Portfolio (5 pts)

  • Table of contents
  • Reference list
    • all resources consulting in the development of your portfolio should be cited, both in the text and by a reference list
    • copyright information (see below)

Students are encouraged to develop original materials for all components of the portfolio. However, if commercial or other non-original materials are included in the portfolio, a copy of the copyright information for those materials must also be included in the portfolio.

Competencies

What's a competency? ASHA requires that students demonstrate both knowledge and skills related to the management of communication and swallowing disorders. The portfolio, quizzes, and exam assess your knowledge of the course material. The competencies will assess your skill in the execution of a variety of clinical methods. All competencies are graded pass/fail. Students will repeat the competency until passing skills are demonstrated.

  • Clinical (bedside) swallowing exam
    • to be conducted in class
    • each student will conduct a clinical swallowing exam, including oral motor exam, on another student
  • MBS
    • to be conducted outside of class
    • in small groups, students will review and rate 5 modified barium swallow studies
  • Treatment
    • to be conducted in class
    • each student will demonstrate the ability to execute two swallowing maneuvers: supraglottic swallow and Mendelsohn maneuver
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