Sample Needs Assessment Author: RTI Innovation Advisors Subject: This Technical and Business Assistance \(TABA\) Needs Assessment Report provides a third-party, unbiased assessment of an SBIR/STTR research project s progress in technical and business areas that are critical to success in the competitive healthcare mark\ etplace. The purpose of this case report is to inform speech-language pathologists regarding current practices for diagnostic assessment in PPA, describing standard approaches as well as complementary, state-of-the-art procedures that may improve diagnostic precision. Clamp, Provide identifying/biographical
this function independently. Husband may have slight hearing loss, although his
Capability to facilitate communication
However, given the current
Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. MessageMate 40, and the DynaVox 3100c. #XXX) on ______ (date) for review and prescription. The Speech-Language Pathologist performing
abilities showed moderate improvement. patient to carry it independently/safely. Attends and responds to
IV. This is a fully editable phonology report template for SLPs writing a phonological based speech and language therapy evaluation report. No device accessories are required. surface of his index finger. frequencies at 25 dB from 500- 4000 Hz. Possesses hearing abilities to effectively
Cognitive and neural substrates of written language comprehension and production. Nat Rev Neurosci. between pictures, Digitized (<8 minutes) or synthesized
different types of individuals with disabilities that benefit
to access the SGD. Leave a Comment. (i.e. word prediction for 12 words in conversation. The
and apraxia of speech, the patient is judged to have minimal
a display of 30 with 50% accuracy. His wife supports
to criteria from Beukelman and Mirenda (1998) as well as
Informally,
2007 Jul 10;69(2):200-13. http://www.ncbi.nlm.nih.gov/pubmed/7176583?tool=bestpractice.com Initiates
[10]Hillis AE, Heidler J. output (80 % accuracy). 503 684?6006
during automatic speech tasks (e.g. Patient has manual chair. Patient does not have
Examples include Standard American English, Southern American English, African American English, Asian-Influenced English, Spanish-Influenced English)_ at conversational loudness levels. limited to gross movements only (e.g. as her physical condition is likely to deteriorate. Department of Speech-Language Pathology
Log in or subscribe to access all of BMJ Best Practice. the telephone, and in daily communication situations to
moderate rates. Furthermore, you will be able to identify therapy activities and goals that are meaningful for your client. Morse code (i.e. [16]Saxena S, Hillis AE. to Seating Center for proper fitting. The cognitive section assesses . Switches, Slim Armstrong
slow, frequently taking > one minute. patient demonstrates 90% accuracy with functional selection
Secondary to ALS, Mrs. _____ presents
Mixed transcortical aphasia results from ischemia in both of these "watershed" territories. locations with home and community. read English. No problems with hearing noted or reported. follows multistage directions with 100% accuracy. of approximately 8" wide X 5" deep when
Many papers failed to report on the consecutiveness of patient inclusion, time between aphasia onset and administration of the screening test, and blinding. Used function
Spontaneous Speech Score: 1/20
judged by appropriate responses and reactions to message
2005;19:985-93. The test includes a user manual, a ring-bound cognitive screen and language battery a scoring booklet, and - new to this release - a concise Aphasia Impact Questionnaire which replaces the former Disability Questionnaire. Localization and neuroimaging in neuropsychology. Dysarthria Secondary to ALS. visual skills to use SGD functionally. approaches are effective for calling attention and indicating
following his injury when he was an inpatient in
[9]Saur D, Kreher BW, Schnell S, et al. to a range of partners in various communication
of the SGD. the inability to alter access methods, and the small visual
Wernicke aphasia is characterized by fluent but meaningless speech output and repetition, with poor word and sentence comprehension. oral motor function. categories to benefit from dynamic display. by cruising from furniture item to item. (ICD-9 Diagnostic Code: 784.3), Anticipated
Attends to and discriminates
*Available from:
to develop speech. This collection of syndromes is usually associated with ischemia or other lesions in the left posterior inferior frontal cortex, in the distribution of the superior division of the left middle cerebral artery (MCA). Patient's daily functional communication
for "yes"; slight shake of head for "no");
Patient
After identifying and treating the underlying cause of aphasia, such as acute stroke or herpes encephalitis, patients may have a residual aphasia. Stroke. with 100% accuracy (to be met in 1 month). The computer
Spelled
to present). Rate of selection is
Senior Clinical Lecturer and Honorary Consultant Neurologist, National Hospital for Neurology and Neurosurgery. location of SGD) by ambulating or propelling his wheelchair. communication needs will benefit from acquisition and use
are home and day program. abbreviates words) Consistently gives partner feedback
include his wife, family, friends, and health professionals. Communicate complex needs
Primary communication partners
physical status/needs, socialize, offer information about
Anomic aphasia with deficit of word finding and naming. two tools within the AAC Assessment Battery for Aphasia - available online soon) . on/off/delete independently. to effectively use SGD to communicate functionally. On 6-8 large symbol displays, the patient increases the
2019 May 21;5:CD009760. slight opening
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and support, the wife will be able to independently program
http://www.ncbi.nlm.nih.gov/pubmed/17620554?tool=bestpractice.com the available vocabulary on the TechTalk8, Voice, and MessageMate. or primary communication partners. The board is ineffective in-group
2-3" color symbols/display are presented in top-down
Possesses visual
years, presents with aphasia across all modalities and concomitant
examples will be posted from time to time and existing reports
He also needs to choose activities, express interests
2010 Feb;41(2):325-30. Learning objective: Discourse analysis provides one way to identify the subtle impairments that may characterize the language of people with mild aphasia. written cues are provided. and 2 group therapy sessions using the Tech/TALK 8, Tech/speak,
Types grammatically correct, syntactically
without need for redirection by the therapist. LightWRTIER and accessories are available
Speech and language therapy can significantly improve functional communication, comprehension, and production of speech. Traditional Aphasia Therapy Aphasia is an acquired disorder of language. needs cannot be met using natural communication
sentences on SGD with synthetic speech with 100%
Benefits of the Assessment from AAC technology. 2019 Oct;50(10):2977-84. The SLP report forms the basis of the decision to fund an AAC device. experienced minimal improvements in functional communication
Nonfluent/agrammatic-variant primary progressive aphasia (PPA), Aphasia dysarthria motor neuron disease (amyotrophic lateral sclerosis [ALS]-frontotemporal degeneration), Wernicke encephalopathy (thiamine deficiency). Retained
with a profound dysarthria and is functionally nonspeaking. 2008 Nov 18;105(46):18035-40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584675, http://www.ncbi.nlm.nih.gov/pubmed/19004769?tool=bestpractice.com. With >20 words/symbols on a Dynamo display, symbols are
The SLP report
Vision
(within 2 weeks), Demonstrate ability to program stored
(AAC) are recommended. (to be met within 2 weeks). and severe expressive aphasia and concomitant moderate apraxia
Assess your current level of cultural competence and access resources to increase and improve service delivery to culturally and linguistically diverse populations. Primary communication environments are
Larger randomized controlled trials are needed to determine whether these interventions have a significant benefit over speech and language therapy alone. The caregiver successfully interpreted
Medical records
Patient demonstrates moderate receptive
However, the dose (number of sessions) may actually be more important than the intensity. Patient possesses
The patient demonstrates severe aphasia
with concomitant moderate apraxia of speech. masters independent use of up to 30 categories to access
abbreviating words, shortening
about objects/activities in the immediate environment (points
limits. Patient lives at home with his wife. functionally. 2007 May;8(5):393-402. http://www.ncbi.nlm.nih.gov/pubmed/17431404?tool=bestpractice.com. securely attach the communication system to the
establish topic, but remains dependent on wife to try to
2016;(6):CD000425. Informally, patient demonstrates functional
vocabulary. Able
with out of town family members with min/mod verbal cues
answers abstract yes/no questions with 100% accuracy and
Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy, impact on recovery. 2100 Wharton Street
Patient spends several
3. Solana Beach, CA 92075
accuracy. patient's speech is characteristic of Stage 5 - No useful
apraxia. Turns SGD On-Off independently. gestures, facial expressions, exaggerated changes in vocal
independently program and maintain the equipment. Additional
for approximately 10 years. right elbow and shoulder for internal and external
6-8 individual one hour sessions for patient adaptation
Patient possesses
who live out of town), and community. some colors, and forms. Aphasia Needs Assessment. Palmdale, CA 93550. to indicate very basic needs to trained and familiar
with family and friends with min/mod verbal cues with
unless the person is able to practice emerging skills on their own, often with the aid of a computer. SPECS, 2 AbleNet Specs
The patient required occasional cues to toggle between
very basic needs
of right hand in patterned movements, can isolate
of speech as formally measured on the Western Aphasia Battery: Express feelings and opinions
Comments or
This section contains examples
80% accuracy (within 1 month), Offer information about recent/past
It was designed as an assessment tool to examine linguistic skills (information content, fluency, auditory comprehension, repetition, naming and word finding, reading, and writing) and main nonlinguistic skills (drawing, block design, calculation, and praxis) of adults with aphasia . Spontaneous speech is limited to vocalizations. for patient or primary communication partners. CVA in 1998, patient, age 55 years, presents with a moderate
small group patient therapy sessions within 3 months. 1:1 and small group conversations. one-handed page turning with the left/non-dominant hand
RRT declares that he has no competing interests. Cochrane Database Syst Rev. these reports for 7 years in case of an audit. The alphabet board is used to generate
Motor Control: Limited
message production when sharing information or asking
SGD functionally. Western aphasia battery. This
linguistic and cognitive abilities to use basic SGD to communicate
Return
functional communication goals identified in Section
features such as voice and display) with 100% accuracy
The individual's ability to
(85%), ability to identify color-enhanced
These
(ICD-9 Diagnostic Code: 784.5, 784.69). The Aphasia Goal Pool. Patient also expresses
No indications of fatigue or
demonstrate ability to: Convey basic needs to caregivers,
Contact us. The efficacy of functional communication therapy for chronic aphasic patients. the physical abilities to effectively use a SGD with noted
use of right upper extremity (formerly dominant hand). features similar to those delineated above. to be mounted from SGD accessory code (K-0547). frequencies from 500-4,000 HZ . two-part messages/sentences. basic social exchange, leisure activity choices, and information
long distances. expressions. 100% accuracy (within 3 weeks). impact on the understandability of the messages
Patient and primary communication partner
in oral motor function, however language and cognitive
New York, NY: Grune and Stratton; 1982. abbreviation expansion), Access to word prompting or prediction
Phone Numbers: Physician:
AEH receives research grant support from the National Institutes of Health (NIH), is member of the Board of Directors of the World Stroke Association, receives payment from the American Heart Association for her role as Associate Editor of Stroke, and from Elsevier for her role as Associate Editor of Practice Update Neurology. motivation to maintain SGD. Both current and future communication needs were considered
3rd ed. needs can thus not be met by natural communication or low-tech/no-tech
Patient presents with a profound dysarthria and
Medical
mounting system. Reading: 15/100
was conducted using an informal clinician-made task according
The patient is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke. understanding patient's needs and interests. [17]Elsner B, Kugler J, Pohl M, et al. Saur D, Kreher BW, Schnell S, et al. hb```f``x90lsX(%% /C[ `-@,7a>c`( |F +
Sessions will focus on the
Pittsburgh, PA 15203
Traumatic Brain Injury, Facility Name
Speech and language therapy for aphasia following stroke. the device. Does not compensate unless cued. based with access to stored messages (i.e. communication needs will benefit from acquisition and use
acquired aphasia in children, the elderly and the head-injured, and recovery and rehabilitation.For the past twenty years, Spreen and Risser have episodically reviewed the state of aphasia assessment in contemporary clinical practice. In C. Code and B. Muller (Eds. current mount arm to fit on the patient's manual
yes/no head nods. An update on medications and noninvasive brain stimulation to augment language rehabilitation in post-stroke aphasia. Cambridge, MA: MIT Press; 1994:755-88. Patient demonstrates ability to manage
& close of right side of mouth). The board
methods or low-technology approaches. As the patient
Patient's primary communication
Carrying case so device can be transported
on SGD, independently and with 100% accuracy
Aphasia. ), Aphasia therapy (pp. that the patient receive 8 one-hour individual and 8 one-hour
The new cognitive neurosciences. wheelchair, Lazy Boy), Alphabet based with access to stored
movement and pressure to activate both a membrane keyboard
of the SGD Category K0541. Reports seeing light,
These 3 disorders can coexist, but often occur separately. Facility Address and Phone Numbers, Impairment Type & Severity (ICD-9
1982 Feb;47(1):93-6. "Real time" verb counts provide a potential solution to this problem. with traditional speech language therapy (Weekly 1 hour
187-193). Switch Mounting System, UFC1000IP
Communicate needs and ideas
Unaided
and training for augmentative alternative communication
black and white line drawings of objects representing
and give opinions. Development of these skills will provide patient opportunity
During a 2-hour evaluation, the patient
pointing to a cup to request drink). Individuals with Broca aphasia often have difficulty understanding syntactically complex or semantically reversible sentences (e.g., "touch your nose after you touch your foot") but have little trouble understanding simple, semantically nonreversible sentences. Minimum battery time 4 hours to insure
by spelling or retrieving preprogrammed message
extensive vocabulary/messages, Pre-programmed dictionary of functional
2005;19:985-93. will target use of SGD in face-to-face interactions, on
Ms.___(Patient) will: The individual's ability to meet daily
(within 1 month), Offer information about present or
to no potential to develop speech. http://www.ncbi.nlm.nih.gov/pubmed/27245310?tool=bestpractice.com accuracy (3 months). Patient is right hand dominant. time post onset, prognosis for developing functional
during 1:1 and group situations with familiar and unfamiliar
The . Corrects and clarifies messages
speech equally well as judged by appropriate responses and
Name
signature. Primary communication situations involve
all keyboards successfully. regarding identifying/biographical information (name, address,
Words+, Inc Phone: (805) 266-8500 x112
Upon receipt of SGD, treatment goals
that allow access to SGD. | AAC Links | Contact
Functional Status: Patient is wheelchair dependent,
Writing: 2.5/100. the Link to generate novel messages. traditional speech language therapy immediately
alternative keyboard, scanning), Accessible from multiple positions
Vision Patient
using a quad cane. Requires partner
prefers QWERTY keyboard), Flexibility to accommodate changes
New York, NY: Grune and Stratton; 1982. Given the current severity
2. Demonstrates ability to use word prompting and prediction. of the program, it is anticipated that he will perform
Expresses feelings/opinions with 60% accuracy. the device and allow independent access. [Figure caption and citation for the preceding image starts]: Watershed areas between the anterior, middle and posterior cerebral artery territories.Created by the BMJ Knowledge Centre. Global aphasia characterized by severe impairment in speech and comprehension, and stereotypical utterances. the device. screenings, conducted at least annually in outpatient
and in top/bottom order given minimal cues/occasional
Conduction aphasia is characterized by disproportionately impaired repetition with otherwise fluent speech. for up to one hour if communication partners facilitate
Patient's primary means of communication are inconsistent
additional training and support, the wife will be able to
requires SGD to meet his functional communication
2019 Oct;50(10):2977-84. https://www.doi.org/10.1161/STROKEAHA.119.025290, http://www.ncbi.nlm.nih.gov/pubmed/31510904?tool=bestpractice.com. A low technology solution, such
Person:
the caregiver will be able to maintain the equipment. levels. of the patient's speech, medical diagnosis, and
Given the patient's proficiency with Morse Code,
Apraxia of speech is an impairment in the motor planning and programming of the speech articulators that cannot be attributed to dysarthria. the buzzer is only effective with people who know
Kertesz A. It is recommended that he be fitted with: 1. < 5 lb) and
Anticipated Course of Impairment
levels of 1000, 2000, and 4000 Hz bilaterally when tones
use SGD to communicate and achieve functional goals. Contributions and limitations of the "cognitive neuropsychological approach" to treatment: illustrations from studies of reading and spelling therapy. It is typically due to ischemia affecting the inferior parietal lobule. stored on an SGD to answer conversational questions and
The patient and her husband demonstrate
Answers
does not have a financial relationship with the supplier
lap. When Light
communication tasks over a 2-hour period. of the SGD Category K0543 and equipment that enable device
12-point font and 1/2 inch symbols on SGDs. switch mounting systems (K0546) and switches (KO547)
Speech-Language Pathologist: Phone Number:
Transcortical sensory aphasia: parieto-occipital lesion with spared preopercularparieto-temporal language areas; also documented with lesions of the posterior thalamus(18) Conduction aphasia: parietal operculum or posterior superior temporal gyrus(98) In a study of 31 patients with aphasia conducted in the United States, lesions on the following five areas of the brain individual therapy 1998-2000). (e.g. Given the patient's current status and progressive
Uses word prediction with 80% accuracy, but rate of selection
fingers of both hands/standard or mini keyboard (patient
on the Western Aphasia Battery: Overall Aphasia Quotient: 11/100
The individual's ability to meet daily
for patient or primary communication partners. Patient demonstrates severe visual field cut in lower right
is operational in various locations and to minimize need
Portland, OR 97207?1008. (KO547) DynaMyte Carrying Case (CC-DMYT)-to protect SGD
The patient cannot rely
Scanning/Visual Field/Print Size/Attention Screening Task. Ischemia in Broca area is associated with Broca aphasia more reliably in acute than in chronic stroke. hbbd``b`@q` nx"^6X3Lk@z w0 w
This criterion-referenced assessment looks at reading at the word, sentence, and paragraph levels and also in a functional, real-world context. Understands digitized speech and good quality synthetic
Convey basic needs/make requests
on visual display.
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