Transcript Jordan
Transcript Jordan
Skye Baker
Assessment Results
Client Name: Jordan Z.- Assessment (SLP)
Mode: learning
Collaborators 100/100
Hypothesis ✓
Assessments 100/100
Diagnosis 100/100
Recommendations 100/100
Skills Check
Pediatric AAC Needs Assessment 100/100
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Clipboard Contents
Case History
Reflective (+): 19
Acceptable (0): 2
Rejected (-): 2
7 seconds
Review the Case History Intake Form.
21 seconds
Does Jordan have any siblings?
Yes.
Areas of Concern
26 seconds
Why did you request an AAC evaluation?
27 seconds
Describe Jordan's current therapies.
28 seconds
Describe Jordan's previous therapies.
Therapies in the past. Well, she started out with pretty much all the
same that I just spoke, and she's continued that throughout her
entire life really since about six months old. The only therapy we're
not doing now is the developmental therapy.
30 seconds
What are your goals for your child?
31 seconds
Describe progress Jordan has made.
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So, earlier in her years when she was diagnosed with cerebral
palsy, she was making some great progress because we were
working toward her walking and she was using a walker. She had a
surgery called SDR, which is selective dorsal rhizotomy, which
releases the spasticity in her legs. And she was a rockstar, she was
doing great, making great strides, she was speaking more, she was
walking and really making great progress. And then two years after
that, she started to decline. And we lost a lot of the speech, she
wasn't able to communicate as well. Her upper body was more
affected, where before it was just her lower body. So... Jordan
works very hard, so the progress, she works as hard as she can to
strive in school and do very well in school. But we are seeing a
decline in her ability.
Developmental
35 seconds
Describe how she gets around at home and at school.
39 seconds
Tell me what activities Jordan can do independently.
So, Jordan's lost a little bit of her independence in the last few
years, but I can, that one thing that she does do very well
independently is swim. I mean, she does have some supportive
devices when she goes in the water, but she absolutely loves it.
And she's like a little fish. She does that very well by herself.
42 seconds
What do you need to help Jordan do?
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Medical
55 seconds
Describe any medication Jordan is taking.
She is, she's taking what's called Lamictal, and she has what's
called absence seizure disorder, and they're very difficult to detect.
It's more of a gazing off, daydreaming type of seizure. So the
medication we're taking has probably been the last four years.
Feeding / Swallowing
1 minutes 11 seconds
Does Jordan have any issues with eating and drinking?
Jordan has declined a bit in her eating and drinking. We've had
several swallow studies to ensure that there's no aspiration issues.
Thank goodness there has not been. But we have to take it slow
with Jordan when she's eating softer foods, drinking, just to make
sure she's sitting in the right position and she's getting enough of
that nutrition, so.
Language / Literacy
1 minutes 21 seconds
What are your thoughts on using an AAC device?
1 minutes 25 seconds
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1 minutes 30 seconds
Describe how she communicates with you and your family.
1 minutes 54 seconds
Describe any strategies you use to communicate with Jordan.
2 minutes 31 seconds
Why are you wanting an SGD for your child?
ability to find out what she needs, and we also want to be able to
use that with our our family. And it's just something that we need
to be successful in knowing what she desires in life.
2 minutes 44 seconds
Are you willing to learn how to use the device and help teach your
daughter?
2 minutes 58 seconds
Why are you pushing so hard for her to have an AAC device? Don't
you think that will limit her speech?
2 minutes 58 seconds
Redirect #1
3 minutes 5 seconds
What are the strategies she uses to communicate with you?
Very similar to what I just mentioned, the strategies that she uses
to communicate would be a lot of pointing. She has the ability to
yell out fairly loud, especially if she is really needing something like
having to use the restroom or she's hungry or thirsty. She does a
lot pointing, so.
3 minutes 12 seconds
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What are the current limitations with how you communicate with
her?
Some of the limitations would be, we don't have the device, so that
in itself is difficult because Jordan has a lot to say, and when she
uses this device, I can tell that she is really able to express how
she's feeling, what mood she's in, what she likes, what she doesn't
like. And right now, we don't have that device, so we're limited, and
at some point some days, I feel like I don't even know my own
daughter, like I don't know what she needs. And that's a limitation
for us.
Social / Behavioral
3 minutes 27 seconds
What are Jordan's motivators? What does she enjoy?
She loves swimming, and she loves to ride horses. She's motivated
by music, and she loves to dance, and she likes to tell jokes. So she
loves to swim and she loves movies. She loves to travel. And she is
probably the best traveler on an airplane. She absolutely loves it.
And loves being around family, and she's just she's just loves being
around fun family events and loves music and dancing.
3 minutes 35 seconds
Why do you continue to take her to all these activities?
3 minutes 35 seconds
Redirect #2
Collaborators
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Reflective (+): 12
Acceptable (0): 4
Rejected (-): 0
Allied Professions
8 seconds
You contact the Occupational Therapist
13 seconds
Based on your experience with Jordan, what access methods do
you recommend we test with her?
23 seconds
You contact the Speech-Language Pathologist
Hello, I'm Sue Gordan. I was Jordan's private SLP last year. I no
longer work with Jordan as she is getting all of her therapies at
school. How can I help you?
39 seconds
Tell me about Jordan's prior experience with AAC?
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47 seconds
Please provide an overview of the services you provided to Jordan.
5 minutes 1 seconds
You contact the Equine Therapist
5 minutes 9 seconds
You contact the Occupational Therapist
5 minutes 13 seconds
How often do you see Jordan?
I generally meet with her one to two times per week, depending on
her schedule.
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5 minutes 16 seconds
Based on your experience with Jordan, what access methods do
you recommend we test with her?
5 minutes 18 seconds
What are Jordan's strengths?
5 minutes 35 seconds
You contact the Speech-Language Pathologist
Hello, I'm Sue Gordan. I was Jordan's private SLP last year. I no
longer work with Jordan as she is getting all of her therapies at
school. How can I help you?
6 minutes 0 seconds
Tell me about Jordan's prior experience with AAC?
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6 minutes 9 seconds
Please provide an overview of the services you provided to Jordan.
6 minutes 14 seconds
Describe Jordan's receptive and expressive language abilities.
Educational
1 minutes 12 seconds
You contact the Special Educator
1 minutes 17 seconds
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She mostly uses eye contact and facial expressions. She is always
smiling and her laugh is contagious in the classroom. It would be
awesome if you could help her to obtain a device that will allow her
to interact more with her peers.
4 minutes 16 seconds
You contact the Special Educator
4 minutes 25 seconds
How does she interact with her peers?
She mostly uses eye contact and facial expressions. She is always
smiling and her laugh is contagious in the classroom. It would be
awesome if you could help her to obtain a device that will allow her
to interact more with her peers.
4 minutes 30 seconds
How are her parents informed of her progress?
4 minutes 40 seconds
What is Jordan's current level with reading and writing?
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Resources
2 minutes 12 seconds
You contact the PRC Regional Consultant
2 minutes 21 seconds
How can you help me during my AAC evaluation?
2 minutes 38 seconds
Tell me about the products you have for pediatric clients who need
an alternate access method other than touching the screen.
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methods. Clients can either touch the screen, use head tracking,
eye tracking, or scanning to access their words and
communication. With a Unity-configured Accent, communication
can grow from early first words to sophisticated language. Another
great option for pediatric clients is Picture WordPower running on
an Accent. It has a variety of levels to meet the needs of this
population. In addition to communication, Accent has engaging
activities to help someone learn and practice eye tracking or other
access methods. These are two great options for pediatric clients
who need an alternate access method.
Hypothesis
Hypothesis #1
12 minutes 12 seconds
Spastic Paraplegia, absence seizure disorder
Convulsions,spasms, or seizures
Assessments
Augmentative and Alternative Communication
36 seconds
Pediatric AAC Needs Assessment
4 minutes 2 seconds
Speech Generating Device (SGD) with Dynamic Display
Language
35 minutes 39 seconds
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Diagnosis
AAC/ Augmentative Communication
8 seconds
Needs AAC System
Neurological
23 seconds
Spastic Paraplegia
Dysarthria
53 seconds
Mixed Spastic-Ataxic Dysarthria
Language
1 minutes 10 seconds
Mixed Expressive/Receptive Language Disorder
Recommendations
2 minutes 46 seconds
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Skills Check
Pediatric AAC Needs Assessment
Which statement best reflects the information provided in Jordan's case?
A. Jordan is unable to communicate her wants and needs due to dysarthria and
spastic parapelgia. Her verbal speech does not meet her daily communication
needs. Correct
B. Jordan is unable to communicate her wants and needs due to a speech sound
disorder and cerebral palsy. Her verbal speech does not meet her daily
communication needs.
C. Jordan is able to communicate her wants and needs. Her verbal speech meets her
daily communication needs.
Which statement best reflects the information provided in Jordan's case?
A. Jordan does not have a history of hearing or vision impairment that would need
to be considered for speech generating device selection. Correct
B. Jordan does have a history of hearing and vision impairments that needs to be
considered for speech generating device selection.
Which mobility statement is most appropriate for Jordan?
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A. Spouse
B. Siblings Correct
C. Parents Correct
E. Teachers Correct
A. Communication board
Which device features should you consider for Jordan? Select all that apply.
B. Voice banking
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A. Touch Correct
B. Joystick Correct
Which language system features does the device need to include? Select all that apply.
B. Morphology Correct
D. Keyboard Correct
A. Left only
B. Right only
What support does Jordan benefit from in order to access the iPad?
The person holds her arm.
Which term describes showing someone how to say something on a communication
device?
A. Expectant pause
B. Recasting
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C. Modeling Correct
A. 12
B. 24
C. 48
D. 84 Correct
Jordan's teacher reports that she tries to access the iPad at school, but she has trouble
scanning the pages. At times, Jordan will accidentally select the incorrect item on her
device due to her limited dexterity in her hand but recognizes her error. School staff
will often transition to a page in her communication device for Jordan in order to
reduce fatigue and frustration level. In your opinion, is touch access a viable access
method for Jordan?
Yes
Summarize the amount of time and effort it takes for Jordan to access this device.
It is not taking her long to access this device.
During the joystick trial, which choices does Jordan demonstrate? Select all that apply.
A. Jordan is not able to demonstrate the finer motor control to start and stop the
joystick quickly with small movements. She does not demonstrate the stamina
needed to select a symbol on a page of at least 60 symbols, which is the
appropriate language level, throughout her day to meet her daily medical
communication needs. Joystick access is ruled out due to inaccuracy and
fatigue when trying to select targets on a screen for communication to meet
Jordan's daily medical needs. Correct
B. Jordan is able to demonstrate the finer motor control to start and stop the joystick
quickly with small movements. She demonstrates the stamina needed to select a
symbol on a page of at least 60 symbols, which is the appropriate language level,
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throughout her day to meet her daily medical communication needs. Joystick
access is recommended for communication to meet Jordan's daily medical needs.
Why is it important to seek input from the client about the SGDs and access methods
they are trying?
Because it help to customize the device for Jordan
Which choice best describes what occurs during Jordan's eye tracking trial?
B. Use some simple eye tracking activities to get her used to using her eyes to control
the cursor.
Once the device is properly positioned in relationship to Jordan, it is time to calibrate.
What is the purpose of completing eye tracking calibration?
B. To gather gaze data so the eye tracking system can adjust to the eyes of the
person using it Correct
After calibrating, what do you do next?
A. Use some simple eye tracking activities to get her used to using her eyes to
control the cursor. Correct
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What is the purpose of using the Timocco-on-Accent™ activities during this evaluation?
B. Jordan initially showed preference for the right visual field but responded to
verbal prompt to attend to the left visual field as well. Correct
C. Jordan initially showed preference for the left visual field but responded to verbal
prompt to attend to the right visual field as well.
What do you learn about Jordan’s ability to use eye tracking with this activity?
She is doing good with a little direction on how to use device.
After completing Timocco-on-Accent™ activities, what do you do next?
A. Figure out how many buttons on the screen Jordan can access with eye
tracking. Correct
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A. 4
B. 8
C. 15
D. 28
E. 36
F. 45
G. 60
H. 84 Correct
Jordan is using Unity 84 Sequenced, which gives her access to thousands of words of all
parts of speech, a variety of word endings, prestored messages, and a keyboard for
spelling. Vocabulary in Unity is organized so that it feels more like typing on a keyboard
versus searching through file folders or pages in a book. With this unique design,
individuals can develop motor plans for words. Given what you know about Jordan’s
receptive language, do you think this is the right place to start?
yes
What might you do initially to help Jordan learn Unity 84 Sequenced?
B. Temporarily mask/hide some of the words/buttons using a tool from PRC called
Vocabulary Builder. Correct
Jordan says the word “play.” What additional word is modeled?
A. That
B. It Correct
C. Video
Why might you provide modeling?
to make sure she understand the device
What two-word combination does Jordan make toward the end of this section?
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A. My turn
B. Turn it Correct
What do you observe during this clip? Select all that apply.
C. Jordan understands that she can use the words and phrases on the
communication device to direct the actions of others. Correct
D. After Jordan says something with the communication device, she looks at her
communication partner. Correct
A. 4
B. 16
C. 24
D. 48
E. 60
F. 84 Correct
What is one reason why someone might want a larger screen size when using eye
tracking even though they do well with a smaller one?
So she could have a bigger view.
Why is it important to incorporate input from Jordan into your assessment?
not sure
Which accessories do you recommend? Select all that apply.
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B. Joystick
C. Carry strap
E. Keyguard
A. Yes Correct
B. No
Does Jordan seem to understand that you take turns when playing games?
A. Yes Correct
B. No
How would you rate Jordan's attention span during this activity?
A. Good Correct
B. Fair
C. Poor
Where does Jordan place the girl in the house?
A. Upstairs Correct
B. Downstairs
C. In the bathroom
D. In the kitchen
What is the purpose of this activity?
Not sure
What does the informal assessment of receptive language skills indicate for Jordan?
Select all that apply.
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A. Rush her along and make sure she does activities quickly.
B. Give her enough time to think and move her body. Correct
B. Verbalizes yes
A. Yes Correct
B. No
How does Jordan express herself throughout the activity? Select all that apply.
A. Smiling Correct
B. Saying sounds
C. Nodding Correct
E. Waving
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How many steps and clarifiers are present with the prompt of, "Give the girl two
scoops of chocolate ice cream?"
8
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