What Is A Test?

The most recent standardized test administered was The Goldman Fristoe Test of Articulation 2nd Edition (GFTA-2). The results were as followed. The raw score for the patient was 44. This raw score is the total number of articulation errors. The clients standard score was 60. This provides a means to compare one individual to another based on age and gender. The client was in the 3rd percentile which indicates he did 3% better than children of the same age on the same test. The client was at the age equivalent of a 2 year, 2 month old. The client is 5 years old which shows that he is below the typical developing child of his age. His overall score indicates that his articulation skills have progressed since being tested in February of 2016

On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.

• Physical ability - patient may have had a stoke and able to form words and speak normally and may have lost the ability to find the correct words or say the word due to facial muscles failing. Having other illnesses such as dementia and parkinsons, having to repeat the information

appeared her stated age and appeared in good health. She was in no acute distress. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She had normal motor activity, with no unusual gestures or mannerisms. She made eye contact appropriately. her affect was appropriate. Client ambulates with a cane. She was oriented to person, place, time and situation. She denied suicidal or homicidal ideation.

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

MENTAL UPDATE: Client was recently diagnosed by the on-site psychiatrist with Axis 1: Minimal cognitive impairment; 331.83 (primary) rule out and Anxiety about health -300.09 vs. illness anxiety d/o vs. pt seeking secondary gain. No referral or medication was prescribed.

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

His IPE and REED from his last year at Lutz, state that he is a hard worker and is capable of working. While working it states that he may have issues with writing as he has limited fine and gross motor skills, issues with communication when it comes to expressing his needs as well as being understood because of difficulty understanding him, difficulty standing for long periods as he has an unsteady gait

The main medical issues, in this case, are right arm and leg weakness along with speech and word-finding difficulties.

On 8/4/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting. In the meeting client appeared her stated. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She sometimes made eye contact. She appears to have intellectual functioning disorder. She doesn’t grasp information like everyone else. Her conversation is always one side geared towards her son. She blamed everyone including her lawyer, LHMC and Case Planner of doing anything to help her get her son back. She continues to ambulate with a cane as she continues to quote “her leg is broken” but she is refusing medical attention. She appeared depressed but again she is refusing referral.

Per the Disability Determination (07/20/2017), the claimant’s disability began on 01/09/2006. The primary diagnosis was visual disturbances. The secondary diagnosis was not established (no medical evidence in file).

The client reported his mood is a lot better. The client stated he has no thoughts of wanting to hurt self but he continues to have thoughts of hurting others. The client has no plan or intent. The client reported to the therapist that he had good news. The client stated that he has able to have dinner with his aunt and her daughter. The therapist allowed the client to discuss his dinner date with family, then the conversation was redirected back to the client current feelings of wanting to hurt others. The client reported sometimes he feels threaten by any race when they are staring at him for a long period of time. In the session the therapist used a Socratic questioning worksheet, the purpose of the worksheet to challenge irrational or

Simon is a 47 y/o male that was admitted to RGSC on July 22, 2010. Simon is verbal and his primary language is Spanish; he is able to communicate his needs and wants verbally. He is able to perform daily activities independently; however he needs prompting and supervision for completion of task. Simon does not have any mobility conditions and is able to ambulate without difficulty. He did not sustain any falls within the past 11 months; His last documented fall was on 1/21/15 which was presumed to be due to over sedation caused by medications.

Future consideration: As the patient has learning difficulties and intellectual disabilities, he needs more supports for learning. A comprehensive neurophysiologic and developmental evaluation3 can give him a big hand. A developmental evaluation is needed for physical, occupational, speech and behavioural therapies3. This can stimulate the patient to develop his full potential. Psychotropic medications

According to the report received dated on 04/15/2009 the client has a diagnosis of Retinitis Pigmentosa, she is legally blind. She stated that she wears glasses but they don’t help therefore, she does not use them. She also has a cane and has been directed to use it all the time but only does so in dark or new places. Sometimes at school she uses her cane. When she does not uses the cane tends to trip more often. She reported that her visual loss is progressive. The client expressed that she needs to use audio text books and uses JAWS on her computer. In order to type on the computer she needs 18’-24’ fond .When watching TV she has to be seated closed to the screen.