- Username
- Password
forgot?

iRubric: Diagnostic Paper - ADULT CLIENT rubric

edit print share Copy to my rubrics Bookmark test run assess... delete Do more...
Diagnostic Paper - ADULT CLIENT Diagnostic Paper - ADULT CLIENT Rubric for grading a diagnostic paper assignment for a graduate level course in speech-language pathology Rubric Code: TXAAB3X By Elviramaddy Ready to use Public Rubric Subject: Medical Type: Writing Grade Levels: Graduate

Diagnostic Paper - PEDIATRIC CLIENT
	Description (N/A)	Comments (N/A)	Total Points (N/A)
Demographics 13 pts If some of this information does not pertain to your client reference this in your document, e.g., "Client is not currently employed at this time."	Description __Name __Address __Telephone Number __Birthdate __Sex __Age __Employment Status __Occupation __Work Place __Referral Source __Date of Examination __Examiners __Clinical Supervisor	Comments	Total Points
Background
State of the Problem 10 pts Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case.	Description __Client's name __Referral source __Reason for referral __Time of onset __Progression of disorder __Prior treatment __Results of treatment __Informant's estimate of etiology __Informant's estimate of intelligibility __Informant's estimate of the client's and other's attitude toward the problem	Comments	Total Points
Medical History - General 4 pts Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case. If the "Other" option does not pertain to your client, write "No other medical complications reported."	Description __Major medical diagnoses __Secondary medical diagnoses __Previous CNS involvement (type and date of onset; e.g., previous TIAs, CVAs, diseases) __Other (e.g., medications)	Comments	Total Points
Medical History - Recent 7 pts History that pertains to the current etiology underlying the communication or swallowing impairment. Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case. REMEMBER: this section details how the client's impairment is CURRENTLY impairing his/her communication.	Description __Date of onset __Localization of brain damage __Source of data (e.g., MRI, CT) __Limb involvement __Vision involvement/deficits __Hearing involvement/deficits __Cognitive involvement/deficits	Comments	Total Points
Family/Environment 4 pts	Description __Marital Status __Children __Description of caregivers/family __Description of hereditary or familial problems	Comments	Total Points
Language Assessment If a single standardized test (covering BOTH receptive and expressive language) is administered, make sure to indicate this. It will count for BOTH areas listed below. You do not need to list it twice in your report.
Receptive Language 6 pts If tests are not administered AND you note this = you will receive full points for this section	Description __Note whether or not testing was initiated __Administered tests are stated and underlined __Test description __Scores and interpretation of the test are detailed and easy to understand (strengths/weaknesses) __Informal observations are noted, described, and interpreted. These include compensatory strategies used by the client. __Modalities tested	Comments	Total Points
Expressive Language 7 pts If tests are not administered AND you note this = you will receive full points for this section	Description __Note wether or not testing was initiated __Administered tests are stated and underlined __Test description __Scores and interpretation of the test are detailed and easy to understand (strengths/weaknesses) __Language Sample (or observations of conversational speech in regards to language) are detailed __Other informal observations are noted, described, and interpreted. These include compensatory strategies used by the client. __Modalities tested	Comments	Total Points
Speech System Assessment
Articulation 7 pts If tests or informal analyses are not administered AND you note this = you will receive full points for this section	Description __Note whether or not testing was initiated __Administered tests are stated and underlined __Test description __Scores and interpretation of the test present and easy to understand (strengths/weaknesses) __Speech Analysis (or observations of conversational speech in regards to articulation errors) are detailed __Intelligibility Score __Other informal observations are noted, described, and interpreted (e.g., stimuliability)	Comments	Total Points
Voice/Resonance 6 pts If tests or informal analyses are not administered AND you note this = you will receive full points for this section	Description __Note whether or not testing was initiated __Administered Quality of Life Scales are stated and underlined __Test/scale description __Scores and interpretation of the test/scale present and easy to understand (strengths/weaknesses) __Evaluation of vocally abusive behaviors if warranted (either by SLP or client) __Informal observations are noted, described, and interpreted for voice, resonance, and respiratory support (both acoustic and perceptual)	Comments	Total Points
Fluency 8 pts If tests or informal analyses are not administered AND you note this = you will receive full points for this section	Description __Note whether or not testing was initiated __Administered tests are stated and underlined __Test description __Scores and interpretation of the test present and easy to understand (strengths/weaknesses) __Disfluency Index __Presence/absence of secondary behaviors __Client's attitude/emotions regarding dysfluencies __Informal observations are noted, described, and interpreted	Comments	Total Points
OFSME 4 pts If issues with weakness/strength are noted on your client's OFSME report please address strength in your report. Otherwise report this as "within functional limits" for the structures examined.	Description __Description regarding normality/disordered nature of structures __ROM is detailed for each structure __Strength is detailed for each structure __DDK Rates	Comments	Total Points
Audition
Hearing Screening/Status 4 pts If "None" is relevant to your client, make sure to note this to receive full credit.	Description __Adaptive hearing equipment present during evaluation (e.g., hearing aid) __Hearing screening results (pass/fail) __dB and Hz values used during screening __None - need to detail WHY screening was not completed	Comments	Total Points
Behavioral Observations
Cognitive Status 6 pts If tests or informal analyses are not administered AND you note this = you will receive full points for this section. Please note that is it fairly easy to "observe" orientation and problem solving via informal conversation with someone, so it is likely you will be able to report on something for this section.	Description __Note whether or not testing was initiated __Administered tests are stated and underlined (this includes standardized screening measures) __Test description __Scores and interpretation of the test present and easy to understand (strengths/weaknesses) __Informal observations regarding orientation, memory, and problem solving are noted, described, and interpreted __Informal observations regarding visual perception are noted, described, and interpreted	Comments	Total Points
Clinical Impressions The "summary of findings" and "severity and prognosis" section may be integrated into 1-3 sentences. They have been outlined separately here to ensure you report on them.
Summary of Findings 3 pts These statements must be CONCISE! You have already detailed them above - SUMMARIZE	Description __State problem areas (weakness) __State strengths __State diagnosis	Comments	Total Points
Severity and Prognosis 4 pts The evidence for these variables may be the strengths and weaknesses noted in the "Summary of Findings."	Description __State severity of the problem __Provide evidence for severity ratings __State prognosis __Provide evidence for prognosis rating	Comments	Total Points
Recommendations Only one of these categories will be applicable - write about ONLY ONE!
Recommendation NO TX 6 pts Note: each point is worth 3 points	Description __Recommendations for NO treatment are clearly stated __Other recommendations listed (e.g., follow up; other referrals) appointment	Comments	Total Points
Recommendation TX 6 pts	Description __Recommendations for TX are clearly stated __Type of therapy is stated __Location where therapy will take place __Frequency of occurrence of treatment __Therapy goals listed __Other recommendations listed (e.g., follow up; other referrals)	Comments	Total Points
Signature 1 pts	Description __Appropriate signatures included (graduate student as well as supervisor)	Comments	Total Points

Subjects:

Medical

Types:

Writing

Discuss this rubric