This take-home exam is open-book and open-note, but must be completed
independently. Please submit the completed exam in hard copy or via
email by December 13, 8:00 pm.
1. Assessment of motor speech disorders involves several steps and observations at many levels. Discuss the levels/methods of assessment that should be included in a complete motor speech evaluation and identify how the various information obtained will be used. (10 points)
2. You receive a referral for a patient who has been discharged from inpatient rehabilitation and now needs outpatient follow-up. The records you receive from the discharging speech pathologist indicate the patient's diagnosis is "dysarthria." Discuss the usefulness of this diagnostic category for therapy planning. (5 points)
3. Your CFY (Cash Finally Yours) position is in a brand spanking new facility and you are responsible for ordering materials and equipment. Make two wish lists of materials and equipment needed for the assessment and treatment of motor speech disorders: one indicating the absolute minimum necessary and one indicating your ideal. (10 points).
4. Imagine a world where you follow a patient through the entire continuum of care. For the following two cases, indicate the nature of your services from the point of referral/identification to ultimate discharge. Include information about all the services you provide (assessment, treatment, education, etc.).
Case One: 57 year old female admitted to the emergency room with garbled speech. CT shows left frontal intracerebral hemorrhage. [For the sake of this case, you can assume that she does NOT have aphasia--address only the most likely motor speech disorder(s)]. (15 points).
Case Two: 42 year old male with recent diagnosis of multiple sclerosis. (15 points).
Suggestion: One way to respond to this item would be to make a table that lists the different settings the patient would receive care and then to indicate the services provided in each setting. A narrative response will work, too.
5. Based on what you've learned this and previous semesters, what neurogenic communication disorder (consider both speech and language) do you think would be the hardest for you personally to experience? Why? (5 points).