Example Of CAPE-V Reflection

Summary of Interpretation: Given the information provided in Interpretation A, the clinician diagnosed Kara-Lynn with a severe phonological disorder. This diagnosis was made based on evidence provided by testing results, clinician observations, and speech analyses. Kara-Lynn demonstrated phoneme collapses into /d/ in place of stops (/p/, /t/, /k/, /g/), fricatives (/s/, /z/, /θ/, /ð/), and some consonant clusters (/tr/, /gr/) across all word positions. For example, Kara-Lynn produced /diə/ for “seal,” /dædɚ/ for “treasure,” and /dədudɚ/ for “computer.” Kara-Lynn also presented with active phonological processes of final consonant deletion (/fɪ/ for “fish”), cluster reduction (/tul/ for “school”), vocalization (/ɛləkə/ for “helicopter”), and deaffrication (/ʃi/ for “cheese”). She also presented with inconsistent patterns of initial-consonant deletion (/ɑʊps/ for “house”, /ɪʒ/ for “bridge”). In most instances, Kara-Lynn presented with both final consonant deletion and another phonological process, which markedly impacted her speech intelligibility, as when she produced /lɑʊ/ for “clown,” demonstrating both final consonant deletion and cluster reduction. She also expressed a high percentage of CV (27%) and CVC (29%) syllable and word shapes, with little other variation. Analysis of Kara-Lynn’s speech sample revealed similar errors exhibited during formal assessment, including phoneme collapse into /d/, high occurrences of initial and final consonant deletion and cluster

The Sounds in Words subtest of the Goldman Fristoe Test of Articulation – Third Edition (GFTA-3) was administered to assess L.R.’s speech sound inventory. The Sounds-in-Words subtest was used to elicit L.R.’s spontaneous speech production of single words using pictures and/or verbal cues. The subtest also assesses articulation of speech sounds in all word positions at the single word

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

The vocal note produced by the vibrations of the vocal folds is complex and made up of periodic (regular and repetitive) and aperiodic (irregular and non-repetitive) sound waves. The aperiodic waves are random noise introduced into the vocal signal owing to irregular or asymmetric adduction (closing) of the vocal folds. Noise impairs the clarity of the vocal note and too much noise is perceived as hoarseness.

When learning information about important facts, dates, and the influential people who made up U.S. history, I do not remember learning much of anything regarding the Irish, Chinese, or Japanese. Well, except for Pearl Harbor and the U.S. retaliating against Japan by dropping atomic bombs. I definitely learned that people from around the world immigrated by boat across vast amounts of ocean for a chance to thrive in the land of freedom called America. I learned that millions of people entered through Ellis Island in the late nineteenth century, looking upon the Statue of Liberty, in hopes of finding their right to life, liberty, and happiness. I learned that the majority of these people were stricken of their identities and provided new American names that were easier to pronounce. I did not however, learn about the great discrimination and hardship that these people suffered at the hands of white Americans. The major theme presented is labor discrimination, unequal and unfair pay, long hours, and harsh working and living environments in regards to the Mexican Americans, Chinese, and Japanese. Takaki (2008) paints a vivid picture of discrimination and suffering of the people known as the “others” living and working in the multicultural “melting pot” United States, in his book A Different Mirror: A History of Multicultural America.

While implementing Primary Health Care models, identical to those in metropolitan areas, in a rural setting is not practical, I feel there is an obvious need to improve primary health care in remote areas. This is due to the significant health gap between Indigenous and non-Indigenous Australians, in rural and remote areas

CSD 363 is a practicum course that gives students the opportunity to provide schools with free speech and hearing screenings. This class is mutually beneficial, seeing that students have an undergraduate opportunity to start practicing skills typically developed in graduate school, and that families receive valuable services for free. The screenings given are comprised of two parts: the Fluharty Speech and Language test, and an audiology pure tone screening including a look in the ears with an otoscope. Under the supervision of a licensed supervisor, students will be giving these screenings and making recommendations about further evaluations if necessary.

After moving to New York City to pursue an acting career, I continued to work on my singing voice through professional voice lessons. As I learned more about my own voice, I became very interested in the science behind singing and speaking. This led to an independent inquiry for knowledge that quickly took me beyond the scope of singing pedagogy, and I began to rely on vocal anatomy and speech pathology text

X’s vocalizations were subjectively judged as appropriate in regard to vocal volume, pitch, and quality. Breath support appeared to be unremarkable.

Meister, J., Hagen, R., Shehata-Dieler, W., Kuhn, H., Kraus, F., & Kleinsasser, N. (2017). Pitch elevation in male-to-female transgender persons—the Wurzburg approach. Journal of Voice, 31(2), 244.e1-244.e5. doi:10.1016/j.jvoice.2016.07.018

SPLP 635 - Voice Disorders. Voice Disorders is part of the core curriculum in the master’s degree program in speech-language pathology, approved by the American Speech-Language and Hearing Association (ASHA), and the accrediting body for professional training programs in speech-language pathology, CAA-CSD. This graduate level course is designed to provide students with knowledge of normal voice including the vocal parameters of pitch, intensity, quality, resonance and flexibility. Various idiopathic, structural, resonance, neuropathologic, and congenital disorders of voice are addressed in terms of symptomatology, perceptual features, diagnosis, prevention, and intervention. The course provides a survey of voice disorders that students

With healthy ageing, there could be several changes in an older adult’s vocal mechanism, in particular, the larynx. One of the main changes is the increase in the concentration of collagen fibres, causing vocal folds to become more rigid which in turn results in the instability of vocal fold vibrations (Hammond, Gray, & Butler, 2000). Another normal age-related voice change is the degeneration of vocal muscles which could have been a result of programmed cell death (apoptosis) (Malmgren, Jones, & Bookman, 2001; Martins et al., 2015). This is directly associated with presbyphonia which could contribute to a shortness of breath and troubles increasing one’s voice (Martins et al., 2015). Presbyphonia is the biological modification to one’s voice as a result of structural deterioration in the coverage mucosa, muscle and cartilage due to aging (Ford, 2004). The extent of the decline is associated with an individual’s physical and mental well-being, lifestyle, race and genes (Martins et al., 2015)

I would start off the assessment by obtaining a case history from my client’s caregiver through a form. The case history would contain questions that would show etiological factors, perception of the problem, the different environments the client is exposed too, and medical, social, and developmental factors. An oral cavity examination would be given to look at the structure and functions of the mouth for speech production. An oral cavity exam is important to find problems that can affect speech. These can include missing teeth, clefts, submucous clefts, abnormal bite, and the size and movement of the lips and tongue. An audiological screening is important to determine if the client has a loss of hearing. This is conducted with pure tones before the phonological assessment takes place. If the client has a loss of hearing, it could affect their speech perception. Speech sound perception testing could occur to show the relationship between speech sound discrimination and articulation. This consists of screening and the administering of comprehensive

This capstone course has helped me to tie together all the classes I have taken thus far in the program as well as helped me to identify what skills and knowledge I need to continue working on. The capstone presentation, as well as class, helped me to practice strength-based language and be conscious of how I describe my client’s when presenting. It can be a habit to use negative language to describe a problem-saturated story and unintentionally describe a patient’s story in a way that comes off as stigmatizing. This class helped me become conscious and tactful of how I word sensitive circumstances. It was a great experience to present my patient’s case to the class and practice being thoughtful on how I portrayed my patient’s presenting

In Intensive Voice Treatment (LSVT LOUD) for Children With Spastic Cerebral Palsy and Dysarthria by Fox, Cynthia Marie, Boliek and Carol Ann, the participants were five children between the ages of 5 and 7 years with a medical diagnosis of predominantly spastic Cerebral Palsy. A telephone screening questionnaire was first given to the parents and then the children went through a face-to-face screening process to be considered for the study. To be selected for this study participants had to have Dysarthria, hearing that was within normal limits or close enough to normal limits, no vocal fold pathology as determined by an otolaryngologist, the ability to follow directions for the study tasks, and on stable medications if needed.