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OBJECTIVE 2 AND EVIDENCE

Objective 2:

To learn how to record data and document the progress of the patient.

 

Activities and Resources:

  • Observe the speech pathologist as she documents data and progress

  • Learn different abbreviations used in these write ups

  • Learn different data collection methods

 

Evidence:

  • Include personal notes taken daily to document progress of  specific child

  • Include official data recorded for that child and explain the significance

     

 

EVIDENCE OVERVIEW

      For this objective, my goal was to learn how to document progress of a child receiving speech and/or language therapy. I have learned that it is important to keep track of the progress your patient has made and what activities you have done with them. This is a good thing to reference before planning the next activity, and is especially helpful when talking to the child’s parents. To my surprise, a speech pathologist not only has to take the data for themselves, but also to be entered into an online database (Teaching Strategies Gold) for the school department to see, and for some children, the data is even sent in to Medicaid.

     

      To complete this objective I began by observing the speech pathologist and how she took notes throughout therapy sessions. She would jot notes on scrap paper and then transcribe them onto a neat chart. With this chart she would enter her information onto the Teaching Strategies Gold (TSG) or Medicaid online websites.


     About a week into the internship I chose the child that I would like to focus on. We will call him Michael. I made my own chart to document his progress, which you will see below. At every one of his therapy sessions, individual or group, I would take notes on scrap paper and then neatly rewrite them onto my chart for future reference. In addition to my own documentation, I also documented Michael’s progress on Teaching Strategies Gold and transcribed a Goldman Fristoe articulation test conducted by my supervisor.


      Through completing this objective, I became aware of the fact that there is a lot of paperwork to be done in this field. I also learned that if you keep yourself organized, it makes the documentation process faster and easier. In addition, it was interesting to learn how to officially document data using TSG and how to rate the child and his abilities from 1-9. This whole process of learning how to record and document progress will certainly help me when I am working in the field.


      Also learning how to administer an articulation test was very interesting and will be very useful in graduate school and beyond. Although I was not allowed to administer the articulation test on a child at the school, I was able to take the results of a Goldman Fristoe articulation test that my supervisor administered on Michael and transcribe the data myself.


      It was very exciting that I was able to relate some of my coursework to this learning objective. I took the course Language Development my junior year, where I learned what sounds should be mastered at what ages. This helped me to realize that Michael had not mastered many age appropriate sounds yet. From there, my supervisor and I were able to decide which sounds should be given attention during his therapy sessions and in which order. It is a great feeling to be able to take the information I have learned in class and utilize it in real life situations.


      Located below are screen shots and downloadable documents of each of my pieces of evidence for this objective. These include: data and progress charts, TSG documentations, and a Goldman Fristoe articulation test. You can also find more detailed explanations of each piece of evidence below.

Located above is a screen shot of the calculated results of a Goldman Fristoe Test of Articulation done on Michael. The button labeled "Goldman Fristoe Test of Articulation" will direct you to the entire articulation test. My internship supervisor conducted the articulation test (pg2) on Michael. From there I was able to transcribe and score the test (pgs1&3). From page 3, one can see that he omits (zero with a slash through it) a lot of medial sounds (middle column). With that being said, there are some misarticulations and/or omissions in the inital (first column) and final (third column) positions. Michael needs to master those initial and final sounds before he will be able to master the media ones. After transcribing the data, I scored the test and compared it to the average test results of a child his age. Michael came out in the 4th percentile, meaning that the articulation of his expressive language is very poor. Improving his speech is a slow process, but I believe that he will eventually get to where he needs to be. I believe this not only because he is receiving therapy, but because of how hard he tries.

Located above is a screen shot of some of the progress that I documented over the semester on the child that I chose to focus on (Michael). By clicking the button labeled "Documented Progress of Student" you can access a document containing my daily notes throughout the semester from Michael's therapy sessions. These notes include whether the therapy session was conducted individually or in a group, what activities were done each day, notes about the activity and the child's performance, as well as any progress that was made. This helped me to keep track of where he started at the beginning of the semester, the progress he made throughout the semester and the plans for him after I left based on his progress. Unfortunately, improving Michael's expressive language is a very slow process that has not had too much improvement since I have been there. The supervisor decided that since he is already 5, we would start trying a new strategy to improve his articulation. She is going to try and slowly teach him to read. This will help him become aware of the letters and which sounds they make, with hopes that his improved understanding of these sounds will help improve his speech. I think that this is a great idea. I got to observe his first time being introduced to reading on my last day. I am confident that Michael's expressive language will improve because he has so much to say and such a desire to improve and have people understand him. I am excited to check back in with the preschool in a few months to see how he has progressed. 

Above is a screen shot of a TSG (Teaching Strategies Gold) evaluation on Michael. Periodically, the teachers and therapists, including the speech-language pathologists, are required to document official data on this website. I documented this data on November 18, toward the end of my internship. The numbers indicate where Michael's language abilities are at the moment, at 5 years and 3 months of age.

 

8a: comprehends language (6): Responds appropriately to specific vocabulary and simple statements, questions, and stories

8b: Follows directions (5): can follow 2 step directions and simple requests not accompanied by gestures

9a: Uses an expanding expressive vocabulary (6): describes and tells the use of many familiar items

9b: Speaks clearly (3): Uses words and word-like sounds but is not understood by most people (very unintelligable)

9c: Uses conventional grammar (4): Uses three to four word sentences; may omitt some words or use some words incorrectly 

9d: Tells about another place or time (5) :Tells stories about other times or places that have a logical order 

10a: Engages in conversation (6): engages in conversations of at least three exchanges

10b: Uses social rules of language (6): uses acceptable language and social rules while communicating with others; may need reminders

(Cited from Goldman Fristoe Volume 5: Objectives for Development & Learning pgs 50-56)

 

What this evaluation explains is that his social language (objective 10) and receptive language (objective 8) are where they should be, where his expressive language (objective 9) is significantly behind where it should be at this age. At Michael's age, a score of 6 in any section is good, whereas a 5 is mediocre, and anything below that is poor. The goal for this evaluation is to periodically document progress to hopefully get the child up to a score of 9 in each section before kindergarten.

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