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Saturday, April 30, 2022

SPEECH-LANGUAGE GOALS AND OBJECTIVES FOR FLUENCY



SPEECH-LANGUAGE GOALS AND OBJECTIVES FOR 

FLUENCY 

Student’s Name:       

Medicaid Number:       

Speech-Language Therapist:       

Testing Date:       

IEP Meeting Date:       

Type of Speech-Language Service: 

Location of Speech-Language Service:


FLUENCY

Diagnosis Code:  307.0

 Initial Evaluation             Annual Reevaluation                Three-Year Reevaluation  [Next 3-Year Reeval Date:        ]  

     (see attached SP6b)              (see description below)                  (see description below)


LONG TERM GOAL:  The student will utilize appropriate fluency shaping, stuttering modification, and/or other techniques and strategies to increase verbal fluency and to communicate effectively in educational and social settings with   prompting, modifications, and/or assistance by completing _____ of _____ short-term objectives.

 

EVAL. METHOD(S)

A = Response Evaluation

B = Criterion Testing

C = Checklist/Rating Scale

D = Observation

E = Self-Report

F = Other

 

SHORT TERM OBJECTIVES

The student will . . .

CRITERION

CORRELATIONS WITH LANGUAGE ARTS STANDARDS

 6.01 increase fluent speech in all contexts.

80%

Communication I PK-2, 4-5, 6-8; 9-12Communication III 3-5

 6.02 reduce secondary symptoms of stuttering.

80%

 

 6.03 modify the form of stuttering so that easy, effortless dysfluencies replace

           struggle behavior.

80%

Communication I PK-2, 3-5, 6-8

 6.04 modify the following inappropriate speech habits:

               abnormal respiration

               rapid speaking

               excessive tension

               prosodic disturbances

               other:      

80%

Communication I PK-2, 4-5, 6-8; 9-12Communication III 3-5

 6.05 modify feelings of fear, anxiety, and/or avoidance associated with speaking.

80%

 

 6.06 self-monitor stuttering behaviors.

80%

Communication I 9-12

 6.07 display confidence in engaging in appropriate communicative interactions in

            a variety of educational and social settings.

80%

Communication I 6-8, Communication III 9-12

 6.08 Other:      

80%

 

Form No. SP 06c6 (Rev. 03-00)

 

 

 

Friday, April 1, 2022

Visit Medellin, Columbia For Spanish Classes and All-Year-Long Spring Fun


Carrera 37 #8-05, calle Vía Primavera, Medellín, Antioquia, Colombia

WhatsApp +57 (320) 530 47 22

Tel +57 (4) 589 84 73


Real City Tours
, a Free Walking Tour of Medellin’s downtown (El Centro) with a local guide. Explore the historic districts. 3,5 hours long.

https://realcitytours.com/free-walking-tour/?book 

Public transport: metro, cable car, bus are clean, convenient, and safe, just crowded.


Arví Park
https://www.parquearvi.org/AcercadelParque/Paginas/Que-es-el-parque-arvi.aspx

Ecotourism Arvi Regional Park is located 30 km from the center of Medellin (Colombia) in the village of Santa Elena and the municipality of Guarne. The park covers several other municipalities of Antioquia, including Envigado, Bello, and Copacabana.

Free entrance to the park,

Take Cable Car, 11K pesos one way, Stay in the car if you do not want to pay a return ticket. Worth every penny.

 

Castle Museum (Museo El Castillo) – house with tour https://www.museoelcastillo.org/

Highly recommended!

Monday to Friday 9 am to 6 pm; Saturday & Sunday 10 am till 5 pm 

Jardín Botánico Joaquín Antonio Uribe de Medellín

https://www.botanicomedellin.org/

Entrance Free. It is small, with turtles and lizards.

MUUA - Museo Universitario Universidad de Antioquia

University of Antioquia Museum is located within the campus of the university.

You will need a photo ID to enter the campus.

Free entrance. Very interesting

Tuesday to Friday 8 am to 6 pm (last entry at 5 pm)

Saturdays  9 am to 4 pm (last entry at 3 pm)

https://www.udea.edu.co/wps/portal/udea/web/inicio/cultura/museo-universitario

Walking distance from Botanical Garden

Pueblito Paisa is located on the top of Cerro Nutibara in Medellín. This replica of a typical turn of the century Antioquia town comes complete with its traditional stone fountain in the middle of the town square and is surrounded by a church and rectory, the mayor’s office, a barbershop, and a one-room schoolhouse. Very small, good view of the city, few diners.

With the Museum of the City, Entrance 5K pesos, not much to see.

https://thecolombianway.com/en/magazine/pueblito-paisa/

Antioquia Museum (Museo de Antioquia)

https://museodeantioquia.co/sitio/

By the Plaza Botero (with Botero sculptures)

Medellin Modern Art Museum

https://www.elmamm.org/

Guatapé is a small and colorful town in Antioquia, about 90kms from Medellín. It is a trading post for the small farms in the area and is increasingly a popular destination for tourism. It is particularly noted for the bright and elaborate decorations that adorn its houses. The decorations currently celebrate the bicentenary of the Republic of Colombia.

https://youtu.be/d_dmEp02s9k

El Peñón de Guatapé, often mistakenly called El Peñol is a giant monolith reaching a peak of 2135m above sea level. The rock was formed some 70 million years ago. In one of the rock breaks, a stairway of 740 steps has been built to reach the rock’s peak. Once at the peak the visitor is afforded spectacular views across the former valley. The valley was flooded to form a hydroelectric dam and the result is a half natural, half man-made site that has the appearance of islets in a lake with a 500km shoreline.

You need to buy a ticket to climb it + ID & vaccination card

Tuesday, March 29, 2022

Instructional History for Treatment Plan


Instructional history pertains to what has worked, what has not, what should be carried over, and what should be left behind. Understanding where a student has been and what approaches have been tried will help guide our treatment plan.

Instructional Design “ADDIE”

The ADDIE model of instructional design is a five-step process to developing iterative learning and training activities.

All five phases:

Analysis

Design

Development

Implementation

Evaluation

All five phases are equally important, but in practice, most effort is often put into the Design and Development stages, while the Analysis, Implementation, and Evaluation phases are often less well done.

Originally it was developed in 1975 by Florida State University for the U.S. Army. ADDIE remains the default instructional design process for many organizations.

https://www.watershedlrs.com/blog/learning-evaluation/addie-instructional-design-model/

https://getsynapse.com/instructional-design-everything-you-need-to-know/

Monday, March 28, 2022

Theory of Multiple Intelligences​ - Dr. Howard Gardner


“Intelligence is the capacity to do something useful in the society in which we live.

Intelligence is the ability to respond successfully to new situations and

the capacity to learn from one’s past experiences.”

- Dr. Howard Gardner,

Author of “Frames of Mind and Multiple Intelligences: The Theory in Practice,” 1983

Introduction https://www.literacynet.org/mi/intro/index.html

Theory of Multiple Intelligences, developed by Howard Gardner, suggests that the traditional notion of intelligence, based on I.Q. testing is far too limited. It proposes teachers to be trained to present their lessons in a wide variety of ways using music, cooperative learning, art activities, role play, multimedia, field trips, and inner reflection. Gardner maintains that his theory of multiple intelligences should "empower learners," not restrict them to one modality of learning.


There are 9 intelligences, and we each rank highly on some and lower on others.

The theory outlines nine types of “smart”:

  1. = Linguistic intelligence (“word smart”)
  2. = Logical-mathematical intelligence (“number/reasoning smart”)
  3. = Spatial intelligence (“picture smart”)
  4. = Bodily-Kinesthetic intelligence (“body smart”)
  5. = Musical intelligence (“music smart”)
  6. = Interpersonal intelligence (“people smart”)
  7. = Intrapersonal intelligence (“self-smart”)
  8. = Existential intelligence (“life smart”), and
  9. = Naturalist intelligence (“nature smart”) 

Find out which ones are best matched for your future career!

Assessment: Find Your Strength

https://www.literacynet.org/mi/assessment/findyourstrengths.html

Table 1 Multiple Intelligences development adapted by Nuña del Salvador

http://www.scielo.org.mx/img/revistas/ijcopi/v6n1//2007-1558-ijcopi-6-01-00020-gt1.jpg

Sunday, March 13, 2022

Assessments and Interventions for Youth With Brain Injury

Assessment and Treatment of Children with Traumatic Brain Injury 

by Karen McCord, PT

Powerpoint Presentation

https://www.scripps.org/assets/documents/26a_assessment_and_tx_of_children_mccord.pdf

Traumatic Brain Injury Evaluation Guidance PDF

https://www.tn.gov/content/dam/tn/education/special-education/eligibility/se_traumatic_brain_injury_evaluation_guidance.pdf

See Appendix E with Assessment Instruments

This list includes a lot but not all acceptable available measures. The determination of which measure is used in an evaluation is at the discretion of the assessment specialist.

Cognitive

  • Wechsler Preschool and Primary Scale of Intelligence- IV
  • Wechsler Intelligence Scale for Children-V
  • Wechsler Adult Intelligence Scale-IV
  • Wechsler Nonverbal Scale of Ability
  • Woodcock Johnson Tests of Cognitive Ability – IV
  • Kaufman Assessment Battery for Children-2
  • Differential Ability Scales-2
  • Stanford Binet Intelligence Scales-V
  • Wide-Range Assessment of Memory and Learning-2
  • NEPSY-II
  • Delis-Kaplan Executive Functioning System
  • Behavior Rating Inventory of Executive Function: Second Edition

Communication/Language

  • Preschool Language Scale-5[JS7]
  • Clinical Evaluation of Language Fundamentals-Preschool: 2
  • Clinical Evaluation of Language Fundamentals-5
  • Oral and Written Language Scales-II

Articulation/Phonology

  • Arizona Articulation Proficiency Scale-3
  • Clinical Assessment of Articulation and Phonology-2
  • Diagnostic Evaluation of Articulation and Phonology
  • Fisher Logemann Test of Articulation Competence
  • Goldman-Fristoe Test of Articulation-3
  • Hodson Assessment of Phonological Patterns-3
  • Kaufman Speech Praxis Test for Children

Behavior/Emotional/Social

  • Behavior Assessment System for Children-3
  • Conners-3
  • Conners Comprehensive Behavior Rating Scales
  • Social Skills Improvement Rating Scales
  • Adaptive Behavior
  • Adaptive Behavior Assessment System-3
  • Vineland Adaptive Behavior Scales: Third Edition

Check a book 

Traumatic Brain Injury in Children and Adolescents, Assessment and Intervention by Margaret Semrud-Clikeman To buy it: https://www.guilford.com/view-cart

Webinar by ASHA 

Assessments and Interventions in the Schools for Youth With Brain Injury

Friday, March 11, 2022

Functional Independence Measure FIM (adults) and WEE FIM (children) Ratings

With my students
Since I’ve been working with kids on wheelchairs I was curious to learn how the Functional Independence Measure is used with those students. Below is the link I used to make self-notes in case I need the reference. What’s more, I love the clarity and explanation I found there.

Thank you Physiopedia!

https://www.physio-pedia.com/home/

 The FIM  https://www.physio-pedia.com/Functional_Independence_Measure_(FIM)

The FIM uses the level of assistance an individual needs to grade functional status

  • from total independence
  • to total assistance.

FIM™ is comprised of 18 items, grouped into 2 subscales - motor and cognition.

The MOTOR Subscale includes:

  • Eating
  • Grooming
  • Bathing
  • Dressing, upper body
  • Dressing, lower body
  • Toileting
  • Bladder management
  • Bowel management
  • Transfers - bed/chair/wheelchair
  • Transfers - toilet
  • Transfers - bath/shower
  • Walk/wheelchair
  • Stairs

The COGNITION Subscale includes:

  • Comprehension
  • Expression
  • Social interaction
  • Problem-solving
  • Memory


FIM scores range from 1 to 7.

  • 1 = "total assistance with helper” to
  • 7 = "complete independence with no helper".
  • Scores falling below 6 require another person for supervision or assistance.

Tasks that are evaluated using the FIM include:

  • bowel and bladder control,
  • transfers,
  • locomotion,
  • communication,
  • social cognition as well as the

following six self-care activities:

  • Feeding
  • Grooming
  • Bathing
  • Upper Body Dressing
  • Lower Body Dressing
  • Toileting

The FIM measures what an individual can perform and not what that person could do under certain circumstances.

FIM Levels:

No Helper

  • 7. Complete Independence  (Timely, Safety)
  • 6. Modified Independence (Device)
Helper - Modified Dependence
  • 5. Supervision (Subject = 100%)
  • 4. Minimal Assistance (Subject = 75% or more)
  • 3. Moderate Assistance (Subject = 50% or more)
Helper - Complete Dependence
  • 2. Maximal Assistance (Subject = 25% or more)
  • Total Assistance or not Testable (Subject less than 25%)

The WeeFIM II® System, a pediatric version of the Functional Independence Measure™ (FIM) System; also provides a method to evaluate outcomes for pediatric rehabilitation programs.

The WeeFIM II System measures several metrics of functional ability including 

  • Self-care refers to how well a child can feed, groom, bathe, dress, and complete toileting tasks including the management of bowel and bladder.
  • Mobility refers to how well a child can transfer in/out of a chair or wheelchair, on/off a toilet, or in/out of a tub or shower. Mobility also includes a child's ability to walk, crawl, or use a wheelchair, and to go up/downstairs.
  • Cognition refers to how well a child understands information, expresses themselves, interacts with peers, solves daily problems, and recalls information.

With my students

Monday, March 7, 2022

March - Brain Injury Awareness Month


Brain injuries are unseen and unpredictable in their consequences. Their effects might be very traumatic.

Brain injury affects who the person is and the way the injured person thinks acts and feels. It can change everything about him in a matter of seconds.

Damage to the brain following a traumatic brain injury is permanent because damaged brain cells cannot regenerate or repair themselves however there is hope for functional recovery. This is because functions affected by TBI may be rewired and improved by healthy brain cells.

Things to remember about a person with BI:

  • A person with a brain injury is a person first.
  • No two brain injuries are exactly the same.
  • The effects of a brain injury are complex and vary significantly from person to person.
  • The effects of a brain injury depend on different factors such as cause, location, and severity.

Four types of brain injuries:

  • Concussions
  • Contusions
  • Penetrating injuries
  • Anoxic brain injuries.

Physical symptoms of brain damage include:

  • Persistent headaches.
  • Extreme mental fatigue.
  • Extreme physical fatigue.
  • Paralysis.
  • Weakness.
  • Tremors.
  • Seizures.
  • Sensitivity to light.

The Brain Injury Association of America https://www.biausa.org/