THERAPY SESSION PLAN Date: 03/07/2014 Supervisor: Dr. Knollman-Porter

Clinicians: Skylar & Cassandra Client Initials: RF Knolls of Oxford

Short-Term Goal #1: Client will independently name high to low frequency words and provide descriptions

for words he cannot name with 90% accuracy, given min verbal cueing by the clinicians. Script to introduce objective: "Today we are going to work on naming and describing pictures. First, we will have you name the pictures presented to you. If you have difficulty finding the name of the picture, you can use the strategy sheet we've given you to aid you in the description of the picture." Rationale: RF exhibited a moderate case of anomia during his initial assessment. Clinicians would like to assess the effectiveness of the strategies given to the patient. Activity to elicit targets: Clinicians will present client with several pictures and have his describe the ones he is unable to name. Teaching Strategies: Visual cues list of questions, minimum verbal semantic cues if needed. Step-Up: Have client describe object from memory Step-Down: Clinicians will provide more semantic cues. Comments: 20 minutes

Short-Term Goal #2

Client will write phone messages, in a mock conversation, given moderate cueing with 80% accuracy.

Script to introduce objective: For this activity, one of us will call the other clinician's cell phone and have you answer it as you normally would at home. We will have you ask who is calling and write down their name. The clinician will say she is meaning to call for your wife and would like to leave her number so your wife can call her back. Write down the number she dictates to you and remember to ask her to repeat the number to make sure it is correct. Rationale: RF stated that he has a difficult time talking on the phone and he typically avoids answering the phone because he is afraid he will not be able to communicate. Activity to elicit targets: Mock phone conversation and list of cues to help client take messages. Teaching Strategies: Verbal prompts, convey that asking for repetition from the caller is acceptable.

Step-Up: Dictating the caller’s name. Step-Down: Dictating single numbers Comments: 20 minutes

Short-Term Goal #3: Client will use a conversational web chart to simulate possible conversations when given

mod cueing from the clinicians, in 9 out of 10 trials. Script to introduce objective: First we would like to review the flow charts we assigned you for homework. We would like you to describe the given topics using the flow chart. Depending on how well you used and understood this strategy, we will then create a new chart on a topic of your choice. Rationale: Pt is concerned with limited conversation speech and desires to be functional with communication partners. Activity to elicit targets: Clinicians will review patient's level of understanding of the flow charts and assign a a new one for homework. Clinicians will ask if the strategy was beneficial for the facilitation of conversational s speech. Teaching Strategies: Verbal and topic cueing and visual flow chart. Comments: 20 minutes

Short-Term Goal #4 & 5 for homework Pt will generatively name high frequency words with mod cues and 85% accuracy.

Pt will write the names of high frequency words with mod cues and 85% accuracy. Script to introduce objective: I am going to have you name as many restaurants as you can in one minute. I will write the restaurant that you say. We are then going to go back and spell out the words that you said. Rationale: Improve generative naming ability Activity to elicit targets: Have client name and write different names of restaurants Teaching Strategies: Verbal prompts, prompt RF to spell out loud to check his work Comments: 20 minutes

Homework: Words that start with "L"