3/5/24, 2:15 PM Transcript
Richard Tapia
Assessment Results
Client Name: Judith- Intervention (SLP)
Examination Date: March 5th, 2024
Mode: learning
Baseline Data 91/100
Collaborators 91/100
Treatment 100/100
Skills Check 100/100
Client Progress 100/100
Summary 100/100
Completion Time 121 Minutes
Your Competency Score 97%
Overall Competency Rating
Mastering Competency
Skills Check
1. Review Last Session's Carryover Assignment 100/100
2. Daily Exercises- Maximum Duration of Sustained Vowel Phonation (Long Ahs) 100/100
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 1/35
,3/5/24, 2:15 PM Transcript
3. Daily Exercises- Maximum Fundamental Frequency Range (High/Low Ahs ) 100/100
4. Daily Exercises- Maximum Functional Speech Loudness (Functional Phrases) 100/100
5. Hierarchy Exercises- Structured Reading at the Sentence Level 100/100
6. Homework and Carryover Exercises 100/100
Completed 6 of 6
Clipboard Contents
Baseline Data
Reflective (+): 11
Acceptable (0): 9
Rejected (-): 1
Chart Review
6 minutes 55 seconds
Review the Evaluation Report completed three weeks ago.
Enter notes in the clipboard after viewing the response.
Session Objectives
12 minutes 50 seconds
The patient will maintain an increase in vocal SPL of 30-40 dB SPL
during spontaneous (“off the cuff”) word, phrase and sentence
level responses with minimal cueing from the clinician for 100% of
spontaneous replies.
Session Objective was entered in the clipboard.
12 minutes 50 seconds
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,3/5/24, 2:15 PM Transcript
Redirect #1
This interview question or objective is not appropriate for the
client.
13 minutes 4 seconds
The patient will produce the High AHs and Low AHs using healthy
vocal loudness and quality with minimal cues for at least 10/15
repetitions for each.
Session Objective was entered in the clipboard.
14 minutes 17 seconds
The patient will produce the long AHs using healthy vocal loudness
and quality with minimal clinician cueing for at least 10/15
repetitions.
Session Objective was entered in the clipboard.
15 minutes 32 seconds
The patient will maintain healthy vocal loudness and quality during
spontaneous (“off the cuff”) word, phrase and sentence level
responses with minimal cueing from the clinician for 80% of
spontaneous replies.
Session Objective was entered in the clipboard.
17 minutes 12 seconds
The patient will produce healthy vocal loudness and quality during
structured reading of sentences for 80% of the hierarchy exercises.
Session Objective was entered in the clipboard.
Client Interview From Previous Evaluation
18 minutes 34 seconds
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 3/35
, 3/5/24, 2:15 PM Transcript
Do the medications have an impact on your voice or speech?
As far as whether or not any of the Parkinsonian meds have an
impact on my speech, it would be a somewhat reverse situation in
that if I don't take my medications regularly, then I can get into
situations where my thinking becomes a little bit foggy and my
speech will follow suit.
19 minutes 20 seconds
Have you noticed any problems with eating, chewing, or
swallowing? If yes, please describe.
I do not have any problems with eating, chewing, or swallowing at
this point.
19 minutes 29 seconds
What were some of the initial symptoms related to voice, speech,
or communication?
I oftentimes use my husband as a sounding board for things that
we talk about and experiences that we want to share with one
another for feedback. Speech was not ever one I could get some
feedback from him. He has some substantial acuity loss himself,
and so this has to be on me solely. When I first became aware of
this, it was in clinic settings, it was in places where I was interacting
with other people. And I've always had a relatively soft voice.
People have told me that since I was a child. Speak up. But never
did I run into challenges with it in a working environment until
probably about 10 years before diagnosis. I became aware that
other people were responding to me in a fashion that suggested
they were not hearing what I was saying much of the time. Where
this really first presented itself to me was during my residency.
When I would do fine when I was outside of a clinic environment,
outside the environment where it's noisy, I could communicate
one-on-one. But what I found was when I was in the clinic setting
or in the hospital setting either one, and you're there all the time
so this is life, lots of people were asking me to repeat things
multiple times. Sometimes I would catch people kind of tilting their
head and quizzical look on the face. And I realized that something
about my presentation was not working. And probably the most
obvious place was when I was working with other residents or with
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 4/35
Richard Tapia
Assessment Results
Client Name: Judith- Intervention (SLP)
Examination Date: March 5th, 2024
Mode: learning
Baseline Data 91/100
Collaborators 91/100
Treatment 100/100
Skills Check 100/100
Client Progress 100/100
Summary 100/100
Completion Time 121 Minutes
Your Competency Score 97%
Overall Competency Rating
Mastering Competency
Skills Check
1. Review Last Session's Carryover Assignment 100/100
2. Daily Exercises- Maximum Duration of Sustained Vowel Phonation (Long Ahs) 100/100
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 1/35
,3/5/24, 2:15 PM Transcript
3. Daily Exercises- Maximum Fundamental Frequency Range (High/Low Ahs ) 100/100
4. Daily Exercises- Maximum Functional Speech Loudness (Functional Phrases) 100/100
5. Hierarchy Exercises- Structured Reading at the Sentence Level 100/100
6. Homework and Carryover Exercises 100/100
Completed 6 of 6
Clipboard Contents
Baseline Data
Reflective (+): 11
Acceptable (0): 9
Rejected (-): 1
Chart Review
6 minutes 55 seconds
Review the Evaluation Report completed three weeks ago.
Enter notes in the clipboard after viewing the response.
Session Objectives
12 minutes 50 seconds
The patient will maintain an increase in vocal SPL of 30-40 dB SPL
during spontaneous (“off the cuff”) word, phrase and sentence
level responses with minimal cueing from the clinician for 100% of
spontaneous replies.
Session Objective was entered in the clipboard.
12 minutes 50 seconds
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 2/35
,3/5/24, 2:15 PM Transcript
Redirect #1
This interview question or objective is not appropriate for the
client.
13 minutes 4 seconds
The patient will produce the High AHs and Low AHs using healthy
vocal loudness and quality with minimal cues for at least 10/15
repetitions for each.
Session Objective was entered in the clipboard.
14 minutes 17 seconds
The patient will produce the long AHs using healthy vocal loudness
and quality with minimal clinician cueing for at least 10/15
repetitions.
Session Objective was entered in the clipboard.
15 minutes 32 seconds
The patient will maintain healthy vocal loudness and quality during
spontaneous (“off the cuff”) word, phrase and sentence level
responses with minimal cueing from the clinician for 80% of
spontaneous replies.
Session Objective was entered in the clipboard.
17 minutes 12 seconds
The patient will produce healthy vocal loudness and quality during
structured reading of sentences for 80% of the hierarchy exercises.
Session Objective was entered in the clipboard.
Client Interview From Previous Evaluation
18 minutes 34 seconds
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 3/35
, 3/5/24, 2:15 PM Transcript
Do the medications have an impact on your voice or speech?
As far as whether or not any of the Parkinsonian meds have an
impact on my speech, it would be a somewhat reverse situation in
that if I don't take my medications regularly, then I can get into
situations where my thinking becomes a little bit foggy and my
speech will follow suit.
19 minutes 20 seconds
Have you noticed any problems with eating, chewing, or
swallowing? If yes, please describe.
I do not have any problems with eating, chewing, or swallowing at
this point.
19 minutes 29 seconds
What were some of the initial symptoms related to voice, speech,
or communication?
I oftentimes use my husband as a sounding board for things that
we talk about and experiences that we want to share with one
another for feedback. Speech was not ever one I could get some
feedback from him. He has some substantial acuity loss himself,
and so this has to be on me solely. When I first became aware of
this, it was in clinic settings, it was in places where I was interacting
with other people. And I've always had a relatively soft voice.
People have told me that since I was a child. Speak up. But never
did I run into challenges with it in a working environment until
probably about 10 years before diagnosis. I became aware that
other people were responding to me in a fashion that suggested
they were not hearing what I was saying much of the time. Where
this really first presented itself to me was during my residency.
When I would do fine when I was outside of a clinic environment,
outside the environment where it's noisy, I could communicate
one-on-one. But what I found was when I was in the clinic setting
or in the hospital setting either one, and you're there all the time
so this is life, lots of people were asking me to repeat things
multiple times. Sometimes I would catch people kind of tilting their
head and quizzical look on the face. And I realized that something
about my presentation was not working. And probably the most
obvious place was when I was working with other residents or with
https://www.simucase.com/simucase/simulation/download_assessment/62cfdfff-b87e-4be3-9fe5-78c338b9a6f2 4/35
