Dylan engaged well in his speech therapy session, though needed some redirection. He made progress on his four goals of following directions, labeling pictures, oral motor exercises, and producing /f/ sounds. For the oral motor exercises, he met the criteria but needed reminders to take deep breaths. His progress indicates the goals are appropriate. The plan is for Dylan to continue practicing his goals, making the oral motor exercises louder and progressing the direction goal to a field of two.
Dylan engaged well in his speech therapy session, though needed some redirection. He made progress on his four goals of following directions, labeling pictures, oral motor exercises, and producing /f/ sounds. For the oral motor exercises, he met the criteria but needed reminders to take deep breaths. His progress indicates the goals are appropriate. The plan is for Dylan to continue practicing his goals, making the oral motor exercises louder and progressing the direction goal to a field of two.
Dylan engaged well in his speech therapy session, though needed some redirection. He made progress on his four goals of following directions, labeling pictures, oral motor exercises, and producing /f/ sounds. For the oral motor exercises, he met the criteria but needed reminders to take deep breaths. His progress indicates the goals are appropriate. The plan is for Dylan to continue practicing his goals, making the oral motor exercises louder and progressing the direction goal to a field of two.
Dylan engaged well in his speech therapy session, though needed some redirection. He made progress on his four goals of following directions, labeling pictures, oral motor exercises, and producing /f/ sounds. For the oral motor exercises, he met the criteria but needed reminders to take deep breaths. His progress indicates the goals are appropriate. The plan is for Dylan to continue practicing his goals, making the oral motor exercises louder and progressing the direction goal to a field of two.
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Mary Salama
Feedback & Training Protocol Phase 3
SOAP Note S: Dylan entered the speech therapy room and was happy and motivated to start the session. At times during the session, Dylan started to engage in task avoidance, but the clinician was able to redirect him and keep him engaged and motivated for the rest of the session. O: Dylan is making good progress to meet and master his goals. Goal 1: Dylan will follow directions with the preposition next to in a field of 1 over 3 consecutive sessions with 80% accuracy. He was able to perform the directions with 75% accuracy with verbal prompts and intermittent models. Goal 2: Dylan will label pictures of vowel-consonant-vowels words for previously taught productions for at least 10 pictures over 3 consecutive sessions with 80% accuracy. He was able to label the 10 pictures with 60% accuracy with faded verbal prompts. Goal 3: Dylan will perform 25 trials of oral motor exercises for lip closure using horn #4 with audible sound given when providing jaw stability. He performed the 25 trials and started to produce louder sound productions, and therefore met the criteria for the goal. Goal 4: Dylan will produce /f/ in initial position for phrase approximations given visual cue of the clinicians face with 80% accuracy. He was able to produce the /f/ initial phrase approximations with 87.5% accuracy, and therefore met the criteria for the goal. A: Dylan is making good progress with these goals. For the oral motor exercises, he was able to perform the 25 trials and met the criteria for the goal, but required prompting to take a deep breath before each trial. When he was prompted to make the sound louder so others across the room could hear it, he was more motivated to produce a stronger sound production and was able to do it more often than during past sessions. For the goal concerning following directions with the preposition next to, the student needed verbal cues and his progress indicates that he is learning this new preposition and that the goal is appropriate for him. For the goal concerning the VCV words, he was able to complete this task with minimal prompting and his progress suggests that this skill is emerging. For the goal of producing /f/ initial phrase approximations, he was able to meet the criteria for this goal with minimal to moderate visual cue to look at the clinicians face. P: For the next session, the plan is to have Dylan continue to practice his oral motor exercises to address his lip closure until he is able to produce loud productions more consistently. He will continue working on following directions with the preposition next to in a field of 1 until he masters that goal. Upon completion of that goal, the context will be changed to a field of 2. He will also continue to work on the VCV word picture labeling and /f/ initial phrase approximations until these goals are mastered.
Effectiveness of Deep Pharyngeal Neuromuscular Stimulation Versus Thermal Gustatory Stimulation in Decreasing Length of Swallow Initiation and Improving Lingual Movements - Maria H Willis