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Soap Speech Pathology Clinic Note Short Note

Completed SOAP note
Course

Introduction To Clinical Practice (CDIS 3233)

11 Documents
Students shared 11 documents in this course
Academic year: 2016/2017
Uploaded by:
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This document has been uploaded by a student, just like you, who decided to remain anonymous.
University of Arkansas

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Speech Pathology Clinic Note Client Name: Abigail Date of Service (DOS): Time of Service (TOS): a. Clinician: Susie S. Subjective: Abigail was seen for an individual, therapy session at Mrs. Private Speech Therapy Clinic. She entered her session excited and ready for the day. Abigail worked diligently and cooperated with the directions. The session took place at a table in a classroom. Abigail had a great session. Objective: 1. Expressive language, use of verbs: accuracy. Abigail told a story about a family trip to Yellowstone. Additional work is needed. Continue to target this objective. 2. Expressive language, use of irregular plural nouns: accuracy. Additional work is needed. Continue to target this objective. 3. Articulation, production of in single syllables with a pause: accuracy. Additional work is needed. Continue to target this objective. 4. Articulation, production of in single syllables without a pause: accuracy. Additional work is needed. Continue to target this objective. 5. Articulation, auditory feedback loop for the production of in single syllables: accuracy. Continue to monitor this objective. 6. Articulation, production of in words: accuracy. The clinician played a board game with the client to target this objective. Additional work is needed. Continue to monitor this objective oral narrative, paper, pen, flashcards, board game made the clinician, timer. Assessment: Abigail had a great session today. She continues to have trouble with verbs, irregular plural nouns, and producing in syllables and words. In order to target the objectives listed, additional work is necessary. Abigail has been diagnosed with a speech and language disorder. Plan: Continue with current plan of care (POC). Return to the clinic in 1 week. 010640164 Undergraduate University of Arkansas

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Soap Speech Pathology Clinic Note Short Note

Course: Introduction To Clinical Practice (CDIS 3233)

11 Documents
Students shared 11 documents in this course

University: University of Arkansas

Was this document helpful?
Speech Pathology Clinic Note
Client Name: Abigail
Date of Service (DOS): 2/1/2016
Time of Service (TOS): 8:35-9:35 a.m.
Clinician: Susie S.
Subjective:
Abigail was seen for an individual, speech-language therapy session at Mrs. Stewart’s
Private Speech Therapy Clinic. She entered her session excited and ready for the day.
Abigail worked diligently and cooperated with the clinician’s directions. The session took
place at a table in a classroom. Abigail had a great session.
Objective:
1. Expressive language, use of past-tense verbs: (2/4) 50% accuracy. Abigail told
a story about a family trip to Yellowstone. Additional work is needed. Continue to
target this objective.
2. Expressive language, use of irregular plural nouns: (1/3) 33% accuracy.
Additional work is needed. Continue to target this objective.
3. Articulation, production of /r/ in single syllables with a pause: (14/20) 70%
accuracy. Additional work is needed. Continue to target this objective.
4. Articulation, production of /r/ in single syllables without a pause: (13/20) 65%
accuracy. Additional work is needed. Continue to target this objective.
5. Articulation, auditory feedback loop for the production of /r/ in single
syllables: (8/8) 100% accuracy. Continue to monitor this objective.
6. Articulation, production of “er” in words: (3/3) 100% accuracy. The clinician
played a board game with the client to target this objective. Additional work is
needed. Continue to monitor this objective
**Materials/Tasks: oral narrative, paper, pen, flashcards, board game made by the
clinician, timer.
Assessment:
Abigail had a great session today. She continues to have trouble with past-tense verbs,
irregular plural nouns, and producing /r/ in syllables and words. In order to target the
objectives listed, additional work is necessary. Abigail has been diagnosed with a speech
and language disorder.
Plan:
Continue with current plan of care (POC). Return to the clinic in 1 week.
010640164
Undergraduate Student-Clinician
University of Arkansas

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