NURS 522 Final Exam

Accelerated phonological learning occurs from __________. - 4-6y, 7-8y Traditional approach - earliest developing, targets one phoneme at a time, good for limited errors System reorganization approach - later developing, less stimulable, good for consistent error patterns phonetic approach - good for motor learning and intelligible speech phonological approach - good for misarticulations, unintelligibility and older children vertical approach - good for fewer errors, targets 1-2 phones at a time, assumes generalization horizontal/cycles approach - good for multiple errors, multiple phonemes in one session minimal pairs approach - words that differ by one feature maximal pairs approach - words that differ by more than one feature contrastive pairs approach - good for sound collapses cycles approach - good for phonological processes, one cycle for a few weeks and then recycle until mastery dynamic temp./tactile cueing - good for motor sequencing, multi-sensory PROMPT approach - uses tactile cues on child, good for oral-motor disorders What to consider when structuring intervention - age, attention span, severity, caseload What to focus on in intervention - phonotactic errors, homonyms, and intelligibility target selection approaches - IDEHNSCM (intellgibility, developmental order, early success, high value, non-developmental errors, stimulability, complexity, and morphophonological) What to do when performance level is too high? - increase complexity, change up phonetic environment, etc. What to do when performance is too low? - Reduce intensity, decrease complexity, simplify phonetic environment What to consider before dismissal? - Has maximum change been attatined? Can they maintain the accuracy? Are they using their skills in conversation? Can they self-monitor? Childhood Apraxia of Speech - neurological speech-sound disorder that affects the ability to plan and program the movement for speech How is CAS therapy different from SSD therapy? - It addresses motor sequencing instead of phoneme production?