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Word Count: 890
SUBJECTIVE TB was attentive and cooperative throughout the session indicated by providing contingent and quick responses and maintaining conversation with the clinician by frequently asking questions The client demonstrated difficulty with retrieving words and initiating production of the target words phrases and sentences however TB incorporated compensatory strategies American Sign Language ASL alphabets counting numbers with fingers and writing when he was confronted with a communication breakdown Semantic paraphasia ie tissue for napkin and the misuse of verb tense ie sleeping for sleep were noted during structured tasks Time concepts such as hours and minutes were difficult to understand which should be targeted in the future sessions The client reported using the speech output application on his smartphone to facilitate word reading on a crossword puzzle which was an assignment for the group speech therapy OBJECTIVEShort-Term Goal 1 TB will accurately read contractions in short sentencesObjective 1 TB will produce the contractions wont in a short sentence when presented with a visual representation of the sentence and given moderate phonemic cueing with 80 accuracy Data This goal was achieved TB accurately produced wont in a short sentence in 1415 opportunities 93 accuracy with visual supports and moderate phonemic cues Short-Term Goal 2 TB will accurately express function words ie in the on and an in sentencesObjective 2 TB will accurately read the function word my in a short sentence using object supports with 80 accuracy given moderate clinician modelingData This goal was achieved TB accurately produced the function word my in a sentence with 100 55 trials given moderate clinician modeling Short-Term Goal 3 TB will express numbers using units of meaning days years weeksObjective 3 TB will express numbers with the unit days in a short sentence to express time concepts ie I go to speech two days a week given perceptual support and moderate clinician modeling with 80 accuracy Data This goal was not addressed in the session due to the limited session
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