Discharge Report Assignment: Patient S
| LTG 1: Goal | The patient effectively identifies the elements of simple sentences such as the verbs and nouns with above 80% accuracy in a variety of settings. |
| Rationale | Identifying the words that make up a sentence is essential in developing the speech of the patient. |
| Met/Not Met | Not met. The General Language Screen (GLS) scoring on accuracy indicated 40% accuracy in identifying verbs and nouns within simple sentences |
| Strength | The patient recognizes nouns that had specific names of people and places. Without any effort, the patient identifies verbs that describe common activities like eating and playing. |
| Areas of Concern | The patient has difficulties identifying verbs in a sentence if they are not specific words of people. The patient struggles to identify the verbs beyond the present tense. |
| Recommendation | The patient should participate in more activities in which they identify and classify words of speech. The patient should explore verbs in all their tenses through conversations. |
| STG 1: Goal
| The patient will effectively express themselves by pronouncing words well with 80% accuracy, across three sessions, in 6 months. |
| Rationale
| Patient S had the unclear pronunciation of words, especially those that needed the movement of the tongue. Upon further analysis, the patient had weaknesses in pronouncing new vocabularies. |
| Met/Not Met
| Not met. The screening indicated 60% accuracy in the effective pronunciation of words during the speech. |
| Strength
| The patient, through repeated pronunciation, would pronounce words more clearly. |
| Areas of Concern
| The patient had a weak pronunciation of words, thus making them unclear during the speech. The patient could not control his tongue to enable him to pronounce the words effectively. |
| Recommendation
| To improve the pronunciation of words, the patient needs more reading and listening to conversations to strengthen his muscles and the tongue. |
| STG 2: Goal | Patient S will increase his grammar skills by using expressive vocabulary and combining words with 80% accuracy, across three sessions, in 6 months |
| Rationale
| Based on the patient’s TASP (test of aided-communication symbol performance), the patient was unable to combine words and express himself through conversation. The patient cannot connect ideas in a logical order to create the right grammar. |
| Met/Not Met
| Not met; the previous screening on April 2ndh 2020 indicated 49% accuracy |
| Strength
| The patient can identify the nouns and the verbs as some of the items that make a sentence. |
| Areas of Concern
| The patient could not combine words to create grammatically correct sentences. |
| Recommendation
| The patient should spend more time writing and reading activities to increase his knowledge of the structure of a sentence and word combination to create sentences. |
Patient S attentively attended 98% of the sessions and was absent under understandable circumstances. He attentively responded to the instruction and gave feedback in terms of questions on unclear tasks. His desire to develop the skills was evident through the effort he put on every activity. His LTG and STG levels generally improved to more than average. Patient S skills were affected by the environment and lack of support from family members. This reduced his conversion skills and failure to delayed speech. The patient enjoyed the sessions, but the family was mostly occupied with programming to become more effective.
Program and sessions future should focus on developing expressive vocabulary by engaging the patient in more complex conversations. More reading on verb tenses should increase his speech development (Berkman et al. 2015). The family should be helpful by encouraging frequent practices to improve the pronunciation of words.
References
Berkman, N. D., Wallace, I., Watson, L., Coyne-Beasley, T., Cullen, K., Wood, C., & Lohr, K. N. (2015). Screening for speech and language delays and disorders in children age five years or younger. https://www.ncbi.nlm.nih.gov/books/NBK305678/table/ch3.t4/