Gabriel - Intervention (SLP)
Gabriel - Intervention (SLP)
Skye Baker
S.Baker3@usa.edu
Assessment Results
Client Name: Gabriel- Intervention (SLP)
Mode: learning
Collaborators 91/100
Treatment 100/100
Summary 100/100
Skills Check
Participating and Requesting during Structured Activities 100/100
Completed 2 of 2
Clipboard Contents
Baseline Data
Reflective (+): 14
Acceptable (0): 2
Rejected (-): 1
Telehealth Requirements
10 seconds
1. Obtain Informed Consent
16 seconds
2. Review Regulatory Guidelines
19 seconds
4. Check Equipment and Technology
21 seconds
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5. Secure Materials
24 seconds
6. Develop Action Plan
3 minutes 12 seconds
3. Determine Reimbursement
Evaluation Reports
31 seconds
Review the Case History Intake Form.
38 seconds
Review the Evaluation Report/Intervention Plan.
Parent Interview
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49 seconds
Tell me about Gabriel's diagnosis and medical history.
54 seconds
Are there any new concerns or changes in Gabriel's medical status?
No.
57 seconds
Please describe the speech-language pathology services that
Gabriel has received.
And there's just like a funny phrase in the special needs parenting
community where "you don't know until you know." Which
basically is just like, you don't know that you're missing out on
something that could be really beneficial for your child until
somebody tells you. And so we were lucky enough that you had
reached out to us and you were aware of his developmental delays
and kind of introduced us to the idea of AAC therapy. And we went,
we started last summer, it's been a year--started last summer. And
after our first meeting, we were hooked because we discovered
and finally had hope that our kid could communicate with us and
we could communicate with him. We kind of, we didn't know
because nobody told us, and so we didn't realize that we had an
option to be able to communicate with him and like talk to him
without like, without communicating in the same way that you
would an average two-year-old and allowed us to see that that was
a possibility. I feel like since discovering that we really have like
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1 minutes 5 seconds
Can you tell me more about Gabriel's progress with
communication?
Yeah, so Gabriel uses the Jellybean Button switch, and it's literally
just a little like red--it comes in different colors--but it's just a little
switch and it clicks and you push it. Yeah, aha. And it's attached
with a Tapio to an iPad. And currently that's what he's using as a
talker. So we've got like a talker app on there where he gets to like
talk and express himself. He's been recently learning how to
harvest for language so he has a lot more language than his talker
provides. And so when there is something he is wanting to say
often times he will pick a different option and it's kind of like our
job to figure out what he could be trying to say. But usually it's
pretty close and it makes sense. So we use his talker to figure out
when he's in pain--what it is that is hurting, what part of his body.
We've used his talker to introduce himself to others. He really likes
to talk about himself and his family. We also use his talker to
decide what he wants to play. And he uses it with all family
members. So, we've been lucky enough to get to bring him to,
bring him to sessions with other family members--so grandmas,
grandpas, aunties, uncles. And they've all been able to see how it
works. And they very kindly and just amazingly have just integrated
it into their daily lives as well. So he's getting the consistency to
communicate with people, and so that's why it's working.
1 minutes 15 seconds
Describe Gabriel's needs that occupational therapy has addressed
in the past.
Session Objectives
1 minutes 24 seconds
Objective 3: Gabriel will participate in preferred activities with
vocalizations, nonverbal communication, and/or switch activation
when he hears the desired auditory cue (from partner or AAC
device) 5 or more times per therapy task over at least 4 tasks per
session with maximal cues provided.
1 minutes 40 seconds
Objective 5: Gabriel’s care team will engage in an interdisciplinary
conference to foster communication and coordinate the client’s
care.
1 minutes 54 seconds
Objective 6: Gabriel will participate in additional assessments to
determine if he is a candidate for a dedicated speech-generating
device.
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2 minutes 42 seconds
Objective 2: Gabriel will use touch screen activation to choose
between items in a field of 4 on his communication application
during 80% of structured tasks with maximal cues.
2 minutes 42 seconds
Redirect #1
Collaborators
Reflective (+): 10
Acceptable (0): 1
Rejected (-): 0
Allied Professions
6 seconds
You contact the Evaluating SLP
Hi, this is the SLP department. Thank you for working with Gabriel
today. Do you have any questions for me before you get started?
12 seconds
Can you tell me more about Gabriel’s current use of his
communication device?
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nonverbal skills like nodding and shaking his head with more
consistency too.
15 seconds
Why was Gabriel scheduled for a cotreatment session with the
occupational therapist?
20 seconds
What do you recommend to keep Gabriel engaged during the
session?
23 seconds
Is Gabriel a candidate for augmentative and alternative
communication?
46 seconds
You contact the Occupational Therapist
Hi, I'm Gabriel's occupational therapist. Thank you for joining our
session today. I look forward to hearing your input about Gabriel's
communication abilities. I sent a copy of his most recent OT
assistive technology evaluation to your clipboard for review.
50 seconds
What current concerns are you addressing with Gabriel's seating
and positioning?
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52 seconds
Can you tell me more about how Gabriel accesses his assistive
technology?
Gabriel uses a round Jelly Bean switch that is about 2.5 inches in
diameter. This type of switch is recommended for users who can
access a small target area. His hands are usually fisted, so the
surface area of the switch works pretty well, but he could use
additional practice. Gabriel uses a tray on his adaptive stroller with
the single Jelly Bean switch. The switch can be moved around if
needed. There has been some concern about switch placement
lately.
2 minutes 49 seconds
You contact the Evaluating SLP
Hi, this is the SLP department. Thank you for working with Gabriel
today. Do you have any questions for me before you get started?
Resource Library
1 minutes 4 seconds
You contact the Telehealth Guidelines
1 minutes 13 seconds
What are the documentation guidelines for this telehealth
encounter?
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1 minutes 15 seconds
How do I bill for this therapy encounter?
Treatment
Language
1 minutes 3 seconds
Participating and Requesting during Structured Activities
Team Conference
22 minutes 57 seconds
Post-Session Care Planning With OT
Client Progress
Objectives
27 seconds
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38 seconds
5. Goal Met: Gabriel’s care team will engage in an interdisciplinary
conference to foster communication and coordinate the client’s
care.
Take-Home Activity
1 minutes 19 seconds
Recommend Gabriel’s mom identify 2 to 3 preferred activities to
add to his About Me page.
Summary
Recommendations
1 minutes 45 seconds
Gabriel met 2 session objectives during today’s cotreatment
session with OT. He demonstrated the ability to respond to
auditory cues presented verbally and within his communication
application with a five-second wait time between each choice by
activating his switch with moderate to maximal cues. His ability to
participate was interrupted by suspected seizure activity but
exhibited quick recovery. He met the session goal of participating
in structured activities with vocalizations, nonverbal
communication, and switch activation access to his communication
application. Gabriel’s OT provided guidance about his seating
system, switch positioning, and tablet placement. These
modifications should improve his ability to activate his switch and
successfully utilize his communication application. Recommend
continuation of plan of care with emphasis on a multimodal
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Skills Check
Participating and Requesting during Structured Activities
Based on what you know so far, how should you set up Gabriel and his environment
for the session? Select all that apply.
B. Seated in his custom chair with the chest harness secured Correct
Images on Gabriel’s communication application include which choices? Select all that
apply.
A. Photographs Correct
C. Makaton vocabulary
What signs of a seizure should you be aware of when treating Gabriel? Select all that
apply.
B. High-pitched talking
D. Singing
Which choice is the most appropriate response when this client has a suspected
seizure during the session?
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A. Verbal Correct
B. Gestural Correct
D. Symbol Correct
E. AAC Correct
D. Switch activation
How does Gabriel attempt to mimic shouting?
By opening up his mouth
Which choice best describes Gabriel's indication he does not want to shout again?
A. He says no.
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D. He says yes.
How many times does Gabriel indicate yes or no to indicate preference for waving or
shouting?
A. 0
B. 3-4 Correct
C. 8-10
D. 10+
What indications do you have that Gabriel wants to choose play? Select all that apply.
C. He says yes.
A. Tickles
B. Kisses
D. Read
Which choice reflects the type of iPad play Gabriel chooses?
A. Playing soccer
C. Matching games
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A. 0
B. 4 Correct
C. 10
D. 15
Count the number of times Gabriel activates his switch to activate and/or replay a
preferred song.
A. 0
B. 4-5 Correct
C. 10-15
D. 15+
Which choice allows Gabriel to see his iPad better?
A. 0
B. 5 Correct
C. 10
D. 15
Count the number of times Gabriel responds yes or no when provided a question or
choice.
A. 0
B. 4-6 Correct
C. 10-15
D. 15+
Gabriel’s mom mentions his hearing might be better in one ear. Provide an appropriate
response.
B. Prompt her for more detail, including prior history of hearing screens. Correct
A. 0-1
B. 5-6
C. 8-9 Correct
D. 15-20
Count the number of times Gabriel responds yes or no when provided a question or
choice during this task.
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A. 0-1
B. 4-5 Correct
C. 10-15
D. 20+
What does Gabriel communicate about himself? Select all that apply.
A. The weather.
B. A clinical trial.
D. Improved posture.
Recommend an appropriate addition to Gabriel’s About Me page.
B. A counting song
C. Articulation prompts
Gabriel is able to make selections quickly now using his switch. Adjusting what setting
may improve the match between his assistive technology and current abilities?
A. Type of switch
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A. Yes Correct
B. No
What modification could you make to Gabriel’s communication application to match
his increasing vocabulary?
A. Accent modification
B. Harvesting Correct
C. Degeneration
D. Expansion
Describe how you could prompt Gabriel to find a new item on his communication page.
To prompt Gabriel to find a new item on his communication page, I would use a
combination of visual, verbal, and physical cues to guide him without directly
giving him the answer.
What are some potential advantages of transitioning Gabriel to a dedicated
communication device? Select all that apply.
A. Using a row column configuration will allow for faster scanning. Correct
B. Using a diagonal line configuration will allow for an additional scanning option.
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A. Yes Correct
B. No
Gabriel’s mom talks about switch-activated adapted toys. She receives a
recommendation for which adapted toy?
A. Car
B. Teddy bear
D. Monster
Gabriel demonstrates emerging ability to participate in counting tasks using eye blinks.
What is the highest number he counts to?
A. 0
B. 2
C. 4 Correct
D. 8
Does Gabriel actively participate in this task by responding with switch activation
and/or counting five or more times during this task?
A. Yes Correct
B. No
Gabriel uses scanning in his current communication application. How could scanning in
the general iOS environment on his tablet help Gabriel?
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B. Ask for more information about secretion management, including any recent
changes. Correct
A. Yes Correct
B. No
Which choices summarize next steps discussed during this session recap? Select all
that apply.
A. Insurance approval
D. Articulation goals
C. Individual goals
A. SLP and MD
C. SLP and PT
D. SLP and OT
When collaborating with healthcare providers of two or more professions, you are
engaging in:
A. Advanced certification.
B. Intraprofessional collaboration.
C. Higher education.
A. He should use the tablet at home and the light-tech book in the community.
D. He should use both the tablet and the light-tech book, depending on the
circumstances. Correct
You anticipate a speech-generating device could help Gabriel expand his vocabulary
for which of these tasks? Select all that apply.
A. Requesting Correct
B. Directing Correct
E. Walking
What information do you discover about Gabriel’s positioning during the therapy
sessions? Select all that apply.
What modifications does the OT offer to improve Gabriel’s switch access? Select all that
apply.
Provide two reasons the OT feels Gabriel’s hands are his best switch access site at this
time.
Gabriel demonstrates more consistent and controlled movement with his hands
compared to other body parts.
What plans may help with Gabriel’s transition to preschool?
A. Plan a trip for the SLP and OT to train staff about Gabriel’s communication
abilities and positioning needs. Correct
A. Behavior management
B. Sensory regulation
C. He should change positions at least five times during the school day.
Which type of orthoses does the OT recommend for Gabriel? Select all that apply.
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A. Use auditory language cues to label objects in his visual field. Correct
B. Avoid reinforcing visual skills since they are not in the SLP scope of practice.
C. Verbal language
B. Uses left hand to activate a switch-adapted toy and right hand to activate his
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Why is it important for you to know about the plans for Gabriel’s mobility?
A. Plans for new equipment such as a power wheelchair may affect how his
communication devices and switches are mounted. Correct
D. As his SLP, you will train Gabriel how to use his power wheelchair.
What three reasons does the OT give for considering a new seating and mobility
system for Gabriel?
He is outgrowing his seating system. The seat his broken many times, When they
open the chair it's hard to get it to lock in postion.
Which communication-related item is likely to integrate into Gabriel’s new seating
system?
A. Custom-molded seat
B. Trunk support
D. Rear-facing base
Which core competencies of interprofessional collaborative practice should you note
during Gabriel’s care planning conference? Select all that apply.
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A. Individual Correct
B. Team Correct
C. Federal regulations
D. Organizational Correct
E. Systemic Correct
B. Goal attainment
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