Speech Screening flashcards |

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Purpose

-To observe/report the patient's receptive and expressive language, articulation, and pragmatic skills.

-To determine if the patient's communication is developmentally age appropriate.

-To determine if the patient needs a full speech-language evaluation.

Clinical Population

Any patient that expresses concern or difficulty with receptive and/or expressive language should receive a speech screening.

Infant/Toddler Screening

-An infant should swallow without coughing.

-By around 8 weeks, the infant should start cooing and making eye contact.

-By around 4 months, the infants should being to babble.

-By around 1 yr., the child should produce his/her 1st word.

-By around 18 months, the child's lexicon should consist of 50-100 words and the child should be able pretend play.

-By around 2 yrs. old, speech intelligibility should be approximately 50%.

-If reports of several ear infection, there will most likely be a speech delay.

Preschool Screening

-By 3 yrs. old, speech intelligibility should be approximately 75%.

-By 4 yrs. old, speech intelligibility should be 100%.

-A preschooler should be able to understanding prepositional phrases, follow two-part commands, and identify body parts.

-A preschooler should be able to tell a story that includes a beginning, middle, and end.

-The child should be able to produce age-appropriate syntax, including: regular and past tense verbs, regular plurals, pronouns, and contractions.

-The child should be able to answer simple personal information question?

Elementary Screening

-At this age, the child should be able to follow complex directions, answer personal information questions, and understand idioms/sarcasm.

-The child should have age-appropriate pragmatic skill, including: appropriate eye contact, initiate conversation and maintain conversation topic.

Adolescent Screening

-Adolescents should be able to answer yes/no questions, understand/maintain a conversation, and categorize items.

-Adolescents should be able to give instructions, list items in the same category, and comprehend abstract ideas.

Adult Screening

-Adults should be able to understand and express all parts of speech and language, including: phonology, pragmatics, semantics, syntax, and morphology.

-Strokes can lead to the patient being diagnosed with Broca's or Wernicke's aphasia, which can affect his/her receptive and expressive language depending on where the lesion is on the brain.

Test Procedure

1. Select an age-appropriate speech screening form (usually a checklist)

2. Give instructions explaining that you are measuring his/her ability to understand and express language.

3. Perform the age-appropriate speech screening by observing the patient accurately complete a task or have the parent report the patient's ability to complete the skill.

4. If the patient is unable to complete 2 or more skills/tasks on the speech screening, the clinician should recommend a full speech-language evaluation.

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