Titlebook: Communicative Disorders; An Assessment Manual Kenneth G. Shipley,Julie G. McAfee Book 1992 Springer Science+Business Media Dordrecht 1992 a

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https://doi.org/10.1007/978-3-658-16199-6inician is interested in clients’ hearing abilities since hearing loss directly affects the development or maintenance of optimal communicative skills. Specifically, we are interested in the effects of hearing impairment:

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Evaluating Information from Case Historiesritten case histories, and information from other professionals. Occasionally, clinicians obtain valuable information from one or more of these sources without really understanding the potential clinical implications. The materials in this chapter are provided to help you interpret certain types of case history information.

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Reporting Assessment Findings some cases the telephone may be used to convey information. For example, you may wish to call the client’s physician to report findings to expedite insurance coverage. Information conveyed by telephone is typically a brief, summarized oral report of clinical findings and often followed up by written correspondence.

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Assessment of Articulation and Phonological Processesticulators. These occur simultaneously with precise airstream alteration, initiation or halting of phonation, and velopharyngeal action. It is no wonder that the assessment of articulation is complex, requiring a good deal of skill and knowledge.

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Assessment of Fluencyrs who are normally fluent experience dysfluencies. A speaker is dysfluent when unintentionally repeating a word or phrase, forgetting a word mid-utterance, or interjecting too many “uhs” or “OKs” during speech. It is the speech-language pathologist’s responsibility to differentiate between normal dysfluencies and a fluency disorder.

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Assessment of Voice and Resonanceare those that have a known physical cause (e.g., vocal fold paralysis). Functional disorders, which may result in physical changes, do not have a known physical etiology. Table 8–1 lists 26 voice problems categorized by organic or functional cause.

Foreknowledge

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