Scope of Practice; Specific Goal Areas

AUGMENTATIVE ALTERNATIVE COMMUNICATION

Response to yes/no questions
Expression of basic needs/desires
Social, interpersonal exchanges
Expression of complex ideational concepts
Creation of low tech device
Programming of high tech device
Training pt/communication partners in use of device

AUDITORY COMPREHENSION
Identification of objects given single words
Identification of objects by function
Comprehension of yes/no questions
simple
moderately complex
complex
Comprehension of commands
one-step
two-step
complex
Comprehension of wh questions
Comprehension of open-ended questions
biographical
contextually-bound
simple
complex
Comprehension of phrases/sentences
simple
complex
Comprehension of concrete/basic conversation
Comprehension of abstract/complex conversation

COGNITION
Attention
alertness / wakefulness / arousal / responsivity
attention to full visual field also vis-perception
sustained attention
simple
complex
selective attention (attention to task in the presence of
competing stimuli)
divided attention
alternating attention
Memory
Non declarative (procedural) memory
Declarative memory
semantic memory (general information)
episodic memory (time, place, content)
orientation (person, place, time, situation)
remote
immediate recall
recent recall
delayed recall

prospective recall

working memory (field of 3, 4, 5, etc)

Executive Functions
self-determination skills
goal setting / self-efficacy
self-realization skills
awareness/insight
intellectual (ability to verbalize deficit)
emerging (identification and correction of errors
online)
anticipatory (identification of potential obstacles to
success)
self regulation skills
initiation and drive
inhibition
task persistence
organization / planning
rule acquisition
sequencing
timing
pacing
modulating behavior
generative thinking
creativity
mental flexibility
cause and effect
executing problem solving

Problem Solving
situational problems
general safety awareness
functional problems
deductive reasoning
simple
moderately complex
complex
inductive reasoning
simple
moderately complex
complex
sequencing
ADLs
everyday routines
visual
verbal
complex activities
temporal problem solving
clock drawing/clock reading
functional time problems
mathematical problem solving
general arithmetic
word problems
financial management
money management
checkbook management
budgeting

shopping
medication management

scheduling
mapping
in facility
in community
verbal reasoning
simple
moderately complex
complex

Visual Perceptual Skills

visual attention
visual scanning
linear scanning
non-linear scanning
pattern recognition
visual memory
visual cognition

MOTOR SPEECH
oromotor strength, ROM, coordination
intelligibility
imitation
single words
short phrases/sentences
automatic speech sequences
highly structured output
single words
short phrases/sentences
low structured output
single words
short phrases/sentences
conversation

PRAGMATICS
initiation also executive functions
social routines
formality
thought organization also executive functions
eye gaze / eye contact
turn taking
humor
completeness
meshing (timing of responses)
assertive routines
discourse comprehension also language comp
topic maintenance
use of words appropriate to social context
prosody
stress patterning
intonation
rate-rhythm
appropriate interpretation of body language, facial expression,
and gesture
appropriate use of body language, facial expression, and
gesture
self-regulation of behaviors also executive functions

READING COMPREHENSION
matching symbols/symbols
matching words to pictures
matching phrases/sentences to pictures
sentence comprehension
simple
complex

vocal loudness
vocal pitch
resonance balance
vocal functionality
low vocal demand situations
high vocal demand situations

paragraph comprehension
simple

VOICE AFTER TRACHEOSTOMY

voice production with trach occluded

complex
functional reading (signs, instructions, menus, forms)
avocational reading (books, magazines, newspapers)

tolerance to speaking valve

vocal functionality
low vocal demand situations
high vocal demand situations

SWALLOWING
oromotor strength, ROM, coordination
posture/positioning
oral function
velopharyngeal competence
bolus manipulation
removal of food from utensil
oral containment
oral control
mastication
bolus formation
A>P propulsion
pharyngeal function
timeliness of swallow trigger
phayngeal propulsion
hyolaryngeal excursion
laryngeal elevation
laryngeal protraction
airway protection
diet texture analysis
feeding behaviors
endurance for meals
self-feeding status
efficiency of PO intake
adequacy of PO intake
education/training in swallow strategies

VERBAL EXPRESSION
automatic speech
imitative speech
word retrieval
phrase/sentence completion
confrontation naming
responsive naming
categories / generative naming
phrase / sentence production
conversation
low-structured
non-structured

VOICE
respiratory support for phonation
vocal quality

WRITTEN EXPRESSION
mechanics of writing
tracing
drawing
simple shapes
complex shapes
copying (imitation)
automatic/rote sequences
single word production
phrase/sentence production
paragraph formulation
functional correspondence
note taking to dictation
personal
business

Goal-directed persistenceThe capacity to have a goal,

follow through to the completion of the goal, and not be put off
by or distracted by competing interests.
MetacognitionThe ability to observe how you problem solve.
It includes self-monitoring and self-evaluative skills.
Self-MonitoringRecognizing what is going on inside your
own mind, body, environment, and relationships.
Self-evaluative skillsThe capacity to evaluate how well you
did and to make good decisions about how to proceed.
Working Memory; mental manipulation:The ability to hold
information in memory while performing complex tasks. It
incorporates the ability to draw on past learning or experience
to apply to the situation at hand or to project into the future.
Disorganized Thinking - Measured by verbal expression; an
inability to concentrate on one thought for very long; easily
distracted and unable to focus attention. The person may be
unable to connect thoughts into logical sequences, with
thoughts becoming disorganized and fragmented.
Deductive Reasoning - A logical process in which a conclusion
is based on the concordance of multiple premises that are
generally assumed to be true.
Inductive Reasoning - Reasoning in which the premises seek
to supply strong evidence for (not absolute proof of) the truth of
the conclusion.
Errors of Omission - An error that occurs when action has not
been taken or when something has been left out.
Errors of Commission - a mistake that consists of doing
something wrong; providing an incorrect response

Pertinent definitions:
Planning/prioritizationThe ability to manage future-oriented
tasks.
Time managementThe ability to estimate how much time
you have, how to allocate it, and how to stay within time limits
and deadlines.
FlexibilityThe ability to create alternatives and to revise
plans in the face of obstacles, setbacks, new information, or
mistakes. It relates to an adaptability to changing conditions.
ShiftingThe ability to move freely from one situation, activity,
or aspect of a problem to another, in reaction to internal or
external cues.
Response InhibitionThe capacity to think before you act, to
resist the urge to say or do something to allow the time to
evaluate a situation and the impact of the what is said or done.
Emotional controlThe ability to manage emotions to achieve
goals, complete tasks, or control and direct behavior.
Balancing - The ability to appropriately weigh the relative
benefits of speed vs accuracy.
Task initiationThe ability to begin a task or activity and to
independently generate ideas, responses, or problem solving
strategies.
OrganizationThe ability to create and maintain systems to
keep track of information or materials.

Anne T Sirovatka/2014