1.2.R Assessment Case Report evaluation (Year 2).

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Clinical Speech & Language Studies, Trinity College, Dublin
Form 1.2.R: Assessment Case Report evaluation FEDS (Year 2)
Word count Max 1000
Student declaration
I have read and I understand the plagiarism provisions in the General Regulations of the University Calendar for the current
year, found at http://www.tcd.ie/calendar. I have also completed the Online Tutorial on avoiding plagiarism ‘Ready Steady
Write’, located at http://tcd-ie.libguides.com/plagiarism/ready-steady-write
Student signature:
Inaccurate/
incomplete
0
Accurate but with
gaps 2
Accurate,
concise &
complete 5
Identifying information
Anonymity must be maintained on reports submitted to college but a marker should indicate space for Name, Address
Telephone number. Date of birth, Date of report and chronological age should be shown. Reports which breach
confidentiality guidelines or which are not dated and signed appropriately will be graded as a fail and must be
resubmitted ( marks capped at 40).
Referral source and reason
1.
Summary relevant case history factors
2.
Overview and brief evaluation of previous assessments and
3.
therapy
Pre assessment FEDS and nutritional status as reported or as in
4.
case notes
Client / carer description of current communication & FEDS status
5.
Consent / assent recorded
6.
Assessment session and findings: quantitative results and evaluations
Over view of the assessment session
7.
Current medical status
Hearing, listening, attention, fatigue, etc.
Positioning and supports for functioning
Observed comprehension and use of language during session.
8.
Oral structure and functioning
9.
Respiration, phonation and cough
Speech intelligibility, resonance, voice
10.
Swallowing evaluation including assessment and evaluation of
11.

Oral preparatory phase

Oral phase

Pharyngeal phase
Evaluation of fluid and food trials
12.
Impact of current FEDs status on nutrition and daily living.
13.
Concise summary of assessment findings
14.
Diagnostic hypotheses and rationale
15.
Recommendations for further assessment by SLT or other team
16.
members as appropriate
Recommendations for case management including onward referral
17.
(if appropriate) linked to strengths and needs identified in
assessment findings and background information.
Management plan evidence based and includes appropriate
18.
rehabilitative, compensatory techniques and outline of
appropriate support materials.
Layout Order, paragraphs, headings Signed and dated
19.
Clarity appropriate Vocabulary Syntax Spellings,
20.
Total possible 100
Total achieved
Clinical educator
Grade
Clinical Speech & Language Studies, Trinity College, Dublin
1.2.R Assessment Case Report evaluation (Year 2)
(Word count Max 1000)
Student declaration
I have read and I understand the plagiarism provisions in the General Regulations of the University Calendar for the
current year, found at http://www.tcd.ie/calendar. I have also completed the Online Tutorial on avoiding plagiarism
‘Ready Steady Write’, located at http://tcd-ie.libguides.com/plagiarism/ready-steady-write
Student signature:
Inaccurate /
Accurate but with Accurate,
incomplete
gaps 2
concise &
0
complete 5
Identifying information
Anonymity must be maintained on reports submitted to college but a marker should indicate space for Name, Address
Telephone number. Date of birth, Date of report and chronological age should be shown. Reports which breach
confidentiality guidelines or which are not dated and signed appropriately will be graded as a fail and must be
resubmitted
Referral source and reason
Summary relevant case history factors Overview and brief
evaluation of previous assessments and therapy
Current assessment session and findings: Quantitative results and evaluations
Client as communicator
Client/carer statement of current problem
Over view assessment session location, participants,
activities including play where appropriate
Hearing, listening, attention
Oral examination
Feeding, eating, drinking, swallowing
Receptive language
Vocabulary
Morphology and syntax
Language use, conversational speech, discourse and
narrative
Expressive language
Vocabulary
Morphology and syntax
Speech (intelligibility, articulation, phonology)
Voice
Fluency
Language use, conversational speech, discourse and
narrative
Concise summary of assessment findings and impact on
activities of daily living
Diagnostic hypotheses and rationale
Recommendations for case management including onward
referral (if appropriate)
Layout Order, paragraphs, headings
Clarity Vocabulary Syntax spellings,
Total possible 100 Total achieved
Clinical educator
Date
Grade
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