Download Terminology and Concepts in Speech-Language Pathology: Diagnosis and Assessment and more Quizzes Speech-Language Pathology in PDF only on Docsity!
Diagnosis
Greek: "to set apart." Identification of disease, abnormality or disorder based on symptoms analysis. Comprised of the label, characteristics, or condition. TERM 2
Appraisal
DEFINITION 2 (Latin) Statement of value, quality, or condition TERM 3
Label
DEFINITION 3 A descriptive term TERM 4
Evaluation
DEFINITION 4 Global appraisal of the significance and implications of a diagnostic assessment; includes formal and informal procedures (synonym: assessment). Diagnosis and appraisal are products of this. TERM 5
How are labels and diagnostic different?
DEFINITION 5 Labels don't include all of the detail and diagnosis is an ongoing process.
Goals for Diagnosing a New Patient
Arrive at a good understanding of the client's communication problem. This is sometimes accomplished in the initial diagnostic session. Other times diagnostic therapy is needed. TERM 7
Goals for Diagnosing a Previously Seen
Patient
DEFINITION 7 Document treatment progress and alter the course of treatment. TERM 8
Standardized Tests
DEFINITION 8 Designed to categorize clients according to behaviors they exhibit. The numeric scores in the appraisal piece and the fact that this should set patient apart is the diagnostic piece. TERM 9
Nonstandardized Tests
DEFINITION 9 Designed to both gain insight into specific abilities and gauge progress resulting from treatment. TERM 10
Three Main Functions of Assessment
DEFINITION 10
- Is there a handicapping condition? 2) What is the etiology?
- What will be the clinical focus?
In terms of etiology: what are the historical
events we should be concerned with
Prenatal (problems during pregnancy; 9 months), Peri-natal (couple of hours when mother is in labor/birth; strep b? water break early?), Postnatal (couple of days after birth, still in hospital), Infancy, Developmental (after one month - notice problems as they start to grow and explore) and Adventitious (when child is rapidly growing) TERM 17
Predisposing
Etiology
DEFINITION 17 Genetic (internally) or environmental (pollution; lead paint) TERM 18
Precipitating
Etiology
DEFINITION 18 Contributed but no longer operational (e.g., trauma) TERM 19
Perpetuating
Etiology
DEFINITION 19 Maintain the disorder; can and must be removed TERM 20
Results of Evaluation
DEFINITION 20 To determine clinical focus the diagnosis must include the label with supporting evidence. This results from the results of the interview, formal/informal test results, intelligibility rating, hearing screening, oral-facial exam and clinical intuition.
Prognosis
Statement of professional opinion based on evidence; addresses likelihood of progress with or without treatment. TERM 22
Prognostic Indicators
DEFINITION 22 age, motivation, stimulability, concomitant disabilities, room for improvement, behavior/reactions of significant others, family support and other types of support, length the impairment has existed, and history with treatment/attendance/progress. TERM 23
Prognostic Statement May Be Dangerously
Inaccurate If:
DEFINITION 23 The statement is not based on sufficient clinical evidence. The statement is viewed as an actual prediction of the future. The statement serves as a catalyst for self-fulfilling prophesy. TERM 24
Static Assessment
DEFINITION 24 Like a snapshot. Limited to test results. No attempt to discover how the person responds to clinical teaching. TERM 25
Dynamic Assessment
DEFINITION 25 Insight into the client's response to specific treatment variables. Insight into the client's tendencies and preferences. Determines range of performance. The goal of this is to identify appropriate treatment goals and strategies. Advantages: meaningful recommendations and reasonable starting point for treatment.
