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Pediatrics For Speech Language Pathology
Final Exam for Pediatrics for Speech Language Pathology Class
133
Other
Undergraduate 4
12/10/2012

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Term
Phonology
Definition
If there were concerns about the child's intelligibility using IPA and the others are using broad transcription
Term
Morphology
Definition
MLU(Brown)
*Count the number of morphemes the child produces divided by the number od words
Term
Syntax
Definition
Developmental Sentence Analysis
*get an idea of the grammatical structure used
*SALT is used
*look at each sentence and give points depending on the grammatical structure used
*shows us where the child is making attempts and where the child is accurate
Term
Semantics
Definition
Semantics Analysis - one word utterances
*look at the language sample, fill in types of utterances the child is using
Term
Pragmatics
Definition
*Dore's Primitive Speech Acts - how the child i s using language to communicate
*Fey's Conservational Coding - determining how assertive and how responsive the child i
*utterance by utterance
*determine how they are using each utterance to communicate
Term
Standarized/Norm Referenced tests
Definition
*Administer one or more of these tests, usually one for receptive and one for expressive
*you want to find out where your child fits into the normal curve
Term
Informal Assessment
Definition
*with this you tie it all together
*notice the gaps and strengths
*pull together additional probes or tests for the child to see the areas you will want to treat
Term
Basic Goals
Definition
*general in nature
*basic goal in one of the components of language
Term
Goal Selection
Consider: How many items to consider?
Definition
6
Term
1. Current level of functioning on the structure
Definition
Is it important to focus more on form or meaning?
Term
2. Potential effect of the new form on communicative effectiveness
Definition
What is most helpful for the child?
Term
3. Response generalization
Definition
Could you, by working on one target, promote generalization to another target?
e.g. He is walking --> that could generalize to --> that is a man
Term
4. Teachability
Definition
How easy is it to teach that specific target?
How am I going to teach my patient the target?
Term
5. Perceptual Saliency
Definition
How easy is it for the patient to hear the target /t/, /s/?
*most of these children have sketchy processing and it can be hard for them to pick up the small signals
*it can be good to overarticulate but we have to start to fade as soon as possible
Term
6. Comprehension
Definition
*Can the child understand the target?
*Should the child be able to understand it before we can expect them to be able to produce it?
*Should they have to show they understand before we work on having them producing them?
*Does production come as we teach comprehension or does comprehension come as we teach production?
Term
Goal Attack Strategies
Definition
Horizontal
Vertical
Cycle
Term
Horizontal Goal Attack Strategy
Definition
Work on each of the 3 goals during each session
Term
Vertical Goal Attack Strategy
Definition
Work on one of the goals until that goal is mastered
Term
Cycle Goal Attack Strategy
Definition
Work on 1st goal in the 1st session and so on with all the goals and then at the 4th session start back over with the 1st goal
Term
Indirect Therapy
Definition
Clinician hands therapy over to someone else such as teachers, parents, peers, and siblings
Term
Direct Therapy
Definition
Clinician performs therapy with the child, themselves and handing it over to others
Term
Treatment settings to provide therapy
Definition
In your office
in the classroom
in the child's home
Term
Treatment setting in your office
Definition
*less distractions
*you control the environment
*material on hand so you can modify easily
Term
Treatment setting in the classroom - negative
Definition
*classroom is full of distractions
*tough to organize and plan to have the responses this child needs to succeed
*often teachers don't like someone coming into their space
*may be hard to build a relationship with the edcuator
Term
Treatment setting in the classroom - Positive
Definition
*helps them generalize
*helps teachers so they can do the same things that the SLPs are modeling to provide a language rich environment for the child and others
*not such a big question to the other students, not so foreign and strange
*sometimes it works well for peers to be involved in the process - peer mentors who can promote success
*prevent frustration at the source which is the classroom
Term
Treatment setting in the child's home
Definition
* you have your supplies with you and you have to be very organized
*could use things in the environment but things the SLP brings may spark interest
*use daily routines to encourage the child
Term
Trainer Oriented - Positive
Definition
you know what you want the child to do
Term
Trainer Oriented - Negative
Definition
*the activity becomes more about the reward instead of what we are trying to help him or her learn
*less likely to promote generalization
*often difficult for people other than SLPs to complete because they are so complex
Term
Operant Procedures for trainer oriented procedures
Definition
*based heavily on treatment
*the clinician decides what is needed to produce
*decides what is correct and incorrect
*reinforces child
*sets up behavioral plan and reinforcement schedule
*gradually works to shape child's language into what she wants it to be
*develops activities for child to produce goals
*modeling -provides lots of examples for the child and then asks which is the right way
Term
Child Oriented Treatment Procedures
Definition
*clinician foes in with a very broad goal
*all clinician does is model
helpful for young child with limited vocabulary
Term
Parallel Talk
Definition
talk about what child is interested in
Term
Expansions/expatations
Definition
you say what the child said but more complicated
Term
recast sentences
Definition
corrective feedback
Term
simplifying linguistic complexity
Definition
everything you make a little simpler for the child
Term
build up and break down
Definition
go larger then small again
e.g. ball, large ball, large red ball, large ball, ball
Term
Hybrid Treatment Procedures
Definition
you have a goal of what you want the child to produce but your expectations for the child are more free
*more open ended for the child
*more natural
*we think it will generalize more
*easier for parents to do
Term
Focused Stimulation
Definition
hear person talking on and on about the same thing
e.g. he is walking, he is talking, he is running, he is dancing, /is/
Term
vertical structuring and expansion
Definition
another model of the child saying something and then you suggest a longer utterance and add to their utterance
Term
incidental teaching
Definition
give in after a couple of times and give them what they want
Term
Mand Model
Definition
you ask child to say something specific, you ask questions of the child so that the child doesn't have to initiate 1st scripting
* you could have the child go thru an order of producing certain tasks
Term
Causes of intellectual disabilities
Definition
Biological
Social Environmental
Term
Social Environmental Causes
Definition
*can cause intellectual disabilities
*poor environment can make intellectuality depressed
*strong environment can promote the development of cognitive skills
Term
Biological Causes
Definition
Toxins in the environment
Term
Biological Causes
Definition
radiation exposure
Term
Biological Causes
Definition
very high fevers
Term
Biological Causes
Definition
high doses of medications
Term
Biological Causes
Definition
smoking
Term
Biological Causes
Definition
fetal alcohol syndrome
Term
Biological Causes
Definition
cocaine/ marijuana
Term
Biological Causes
Definition
chromosomal differences
Down Syndrome being the main one -93% of people abort
Term
Biological Causes
Definition
Fragile X Syndrome - males will not procreate but females will, not knowing they have it
Term
Biological Causes
Definition
baby born with lack of oxygen to the brain
Term
Biological Causes
Definition
mother contracts meningitis or rubella
Term
Associated disorders
Definition
*high rates of mental illness
*1/3 to 1/2 of people with schizophrenia have ID
*50% of cerebral palsy have ID
*Vast majority of people with ID have seizures
Term
Cognitive Functioning
Definition
Attention
Discrimination
Organization
Transfer
Memory
Term
Attention
Definition
overall this tends to be a strength, especially with those with down syndrome
Term
Discrimination
Definition
Seeing the differences between things
*visual spacial skills tend to be good
*speaks to the relative strength in picking up letters and reading
Term
Organization
Definition
*might be a challenge
*being able to organize how things go together
*good for us to know if they have a problem with this because we might want to preorganize before we present it so they can see how it is put together
Term
Transfer
Definition
it is often going to be difficult for them to generalize skills to another person and another setting
*some people might be rigid and have a problem with seeing change
Term
Memory
Definition
*long term storage of information can be a strength
*once someone with an ID learns something and has it down, it might be a problem extinguishing that information
Term
System Selection: What are we going to use?
Definition
Pictures
real objects
photographs
line drawings
words paired with pictures
Term
Pragmatics
Definition
*Gestural and intentional developmental patters similar to those of children developing normally
*may take less dominant conversational role
*poorer clarification skills than metal age matched peers developing normally
Term
Semantics
Definition
*More concrete word meanings
*not as able to see words have multiple meanings
*slow vocabulary growth
*more limited use of a variety of semantic units
*children with DS able to learn word meaning from exposure in context as well as mental age matched peers developing normally
Term
Syntax/Morphology
Definition
*Length complexity relationship similar to that of preschoolers developing normally
*same sequence of general sentence development as children developing normally
*shorter, less complex sentences with fewer subject elaborations or relative clauses than mental age matched peers developing normally
Term
Syntax/Morphology 2
Definition
sentence word order takes precedence over word relationships
*reliance on less mature form, though capable of more advanced
*same order of morpheme development as preschoolers developing normally
Term
Phonology
Definition
Phonological rules similar to those of preschoolers developing normally but reliance on less mature forms, though capable of more advanced ones
*challenge for clear speech
Term
Comprehension
Definition
*poorer receptive language skills, especially children with DS, then mental age developing normally
*poorer sentence recall than mental age matched peers
*more reliance on context to extract meaning
Term
Pragmatics characteristics of a ID person
Definition
* more passive conversationalist
*not able to explain themselves
*less likely to add information
Term
Semantics characteristics of a ID person
Definition
*not able to see words have multiple meanings
*12% of kids with DS would have one word by 12 months of age
*might have fast mapping
Term
Fast Mapping
Definition
hypothesized mental process whereby a new concept can be learned (or a new hypothesis formed) based only on a single exposure to a given unit of information
Term
SaLT
Definition
Speech and Language Therapy
Term
Syntax/Morphology characteristics of a ID person
Definition
*problems with past tense words
*problems with /ing/
Term
Phonology characteristics of a ID person
Definition
*challenge for clear speech
*DS - low muscle tone
Term
Comprehension characteristics of a ID person
Definition
*poorer sentence recall
Term
Augmentative Communication
Definition
Helps with verbal speech
Term
Alternative communication
Definition
Used to replace verbal speech
Term
aided
Definition
*picture book
*computer system
*eye gaze system
*number external communication system
*Ipad
*PECS
*Books with words and phrases
Term
PECs
Definition
Picture Exchange Communication
*pictures or words that they give to a communication partner, to let them know their wants and needs, who immediately honors their request
Term
Eye Gaze System
Definition
The Eyegaze System allows children and adults with cerebral palsy, brain or spinal cord injuries, multiple sclerosis and other diseases or conditions to control their surroundings and communicate with others, using advanced-eye recognition software.
Term
Unaided
Definition
*ASL
*Using person's body to communicate
*Eye blinking - one for yes and two for no
*Using feet to sign
Term
High Tech
Definition
Cheaper than it used to be but still more expensive then low tech
*DynaVox
*Proloquo2go
*Verbal Victor
Term
Proloquo2Go
Definition
Children that have trouble with speaking could possibly be taught to use this app by pushing symbols and/or vocabulary words to form phrases. The easy to understand symbols enable children and other individuals with special needs to communicate. Proloquo2Go works on all iDevices, making it a portable AC device.
Term
Verbal Victor
Definition
Verbal Victor is designed primarily for individuals with emerging communication skills, who associate
actions with pictures of objects they are familiar with, such as their own beds, swings, toys, etc.
Term
Low Tech
Definition
Better if you have low or no power
*Alphabet board
*phrase chart
Term
Team
Definition
SLP
OT
PT
Engineer
Parents
Client
Teachers
Term
SLP
Definition
Speech therapy
Term
OT
Definition
fine motor
Term
PT
Definition
positioning in wheel chair
Term
Engineer
Definition
can help with fabrication like wheel chair trays
Term
How many steps in the Assessment
Definition
8 steps
Term
1.Observe the nonverbal communication skills
Definition
*What are they doing non-verbally to communicate?
*Are they pointing?
*Are they gesturing?
*Are they using eye gaze?
Term
2. Assess Receptive Language
Definition
*The ability to understand
*find out the ability to follow commands
*find out how they discriminate objects - between objects
Term
3. Assess Literacy
Definition
*Find out if they are reading at the appropriate age
*If they can read it creates so many options
*If they can spell they can communicate whatever they want
Term
4. Determine likelihood for Oral Speech
Definition
some sort of side goal to continue to reach oral speech
Term
5. Assess Physical Skills
Definition
*trunk control
*hand use - index finger
Term
6. Assess Sensory Skills
Definition
observe what senses they are using
Term
7. Assess Cognitive Skills
Definition
Does client know if something is out of sight it still exists?
Term
8. Assess the Environment
Definition
*What are the Parents doing to encourage communication?
*what consistency is there between school and home?
*How receptive are the parents to the assisting devices?
Term
System Selections
Definition
*Almost always start with low tech
*find out how many items the child can use
Term
Means of Access
Definition
*How will the person indicate their system?
*Can they have a finger pointing device attached to their hang?
Can they use their fist?
Term
Treatment in Autism
Definition
*Keep it functional and reinforcing
*think about their age and what others their age might be interested in
*Make sure the reward is motivating
Term
Prevalence in Autism
Definition
*1:88 children
*1:54 males
*in the 1980s it was 10:1000
Utah 1:47
*varies from study to study
Term
Low-functioning Autism
Definition
not communicative
Term
PDD- Pervasive developmental disorder
Definition
More middle ground - the most common
Communication difficulties (e.g., using and understanding language)
Difficulty with social behavior
Difficulty with changes in routines or environments
Uneven skill development (strengths in some areas and delays in others)
Unusual play with toys and other objects
Repetitive body movements or behavior patterns
Unusual likes and dislikes
Term
Aspergers Syndrome
Definition
*high functioning Autism
* characterized by significant difficulties in social interaction, alongside restricted and repetitive patterns of behavior and interests
Term
Male:Female
Definition
4:1
Term
Causes of Autism
Definition
*Genetic
*Biological
*Environmental (toxins)
Parenting Style -NO
Term
Characteristics of Autism
Definition
*Impairment in social communication
*language and cognitive impairments
*restrictive and repetitive behavior
Term
Echolalia
Definition
the automatic repetition of vocalizations made by another person
Term
Mutism or muteness
Definition
an inability to speak caused by a speech disorder
Term
Executive Functioning Skills
Definition
Problems with: ability to reason, problem solve, plan, ability to organize
Term
Characteristics of behavioral/emotional regulation
Definition
*insistence on sameness
temper tantrums - so much anxiety they can't control or stop
Term
Characteristics of sensory/feeding issues
Definition
*hypo/hypersensitivity to stimuli
Term
Applied Behavioral Analysis
Definition
*main choice of intervention
*more specific
*we use this but try to find other ways to incorporate it
*more $ given for ABA academically then in private care
Term
Phases of PECS
Definition
6 phases
Term
Phase 1 - How to communicate?
Definition
*You figure out what motivates the child, like on a care, then you would help the child give the picture to someone who will then give that item to the child
*child is actually engaging with a communication partner
Term
Phase 2 -
Definition
*distance and persistence
*get far away and child has to go to person (clinician)
Term
Phase 3
Definition
Discrimination between symbols
Term
Phase 4
Definition
using phrases
Term
Phase 5
Definition
*answering a direct question
*asking the child what they want
Term
Phase 6
Definition
commenting
Term
Program: More than Words
Definition
*developed for kids with autism
*hands approach to help families develop language and communication skills in their child
Term
Facilitative Communication (FC)
Definition
*Involves having the caregiver give the communication
*goal is to have people move all of their support
*every study showed facilitator was the one actually moving
Term
holding therapy
Definition
the idea is that you would hold them like in the womb
Term
Auditory integration
Definition
put headphones on and listen to classical music to help the autistic characteristics
Term
Dolphin and animal therapies
Definition
*thousands of dollars
*something that could be used as a tool if it is affordable for the parent
Term
Mega Vitamins
Definition
filling these kids full of vitamins which could be damaging to the children
Term
sensory integration
Definition
*weighted vests
*rocking was to be supported and and spinning was to be supported with SI
Term
Child language Assessment
Definition
6 steps
Term
Case History
Definition
parents fill that out
Term
Hearing Screening
Definition
minimal hearing loss
Term
Oral Motor Evaluation
Definition
always want to look in oral cavity ever though this may not have an effect on language
Term
Language Sampling
Definition
You start out by playing with the child and then throughout the sample you would challenge the child and you would be making informal observations
*this is recorded
You would be observing receptive and expressive langauge
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