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Lena Taddeo

10/7/14
Client: Bob
Long Term Goal:
The client will improve his expressive language skills to enhance his communication
abilities during conversation skills in adult daily living.
Short Term Goals:
1. The client will correctly complete sentence completion and word retrieval at 90%
accuracy with maximum cueing.
2. The client will correctly complete reading comprehension for understanding
written sentences at 70% accuracy with moderate to maximum cueing.
3. The client will correctly follow two-step directions, with decreased level of
complexity at 50% accuracy with maximum cueing.
4. The client will correctly spell words when given five letter tiles and a description
of an object, at 80% accuracy with maximum cueing.
5. The client will correctly complete word retrieval by verbally communicating
wants and needs at sentence level with 90% accuracy with maximum cueing.
Materials:
-Word tiles
-Tools
-Note cards
-PROMPT (Prompt, Restructuring, Oral, Muscular, Phonetic, Targets)
Procedures:
1. The clinician will ask the client to correctly spell words out of the five letter tiles
that are placed in front of him, while a description of the word is given.
2. The client will silently read the sentence that is on the notecard, and then point to
the object/tool that the notecard matches.
3. The clinician will read cues to have the patient perform a two-step direction to
point to one object and pick another one up.
4. The clinician will the use the tactile cueing system PROMPT, as a technique to
retrain the motor speech skills.

S: The client started out being pretty quite but ready to start the therapy session. The
client seemed to have the most trouble communicating, when it came to what he wanted
to say, but couldnt find the words to say it. He did pretty well with all of his goals, with
the help of maximum cueing.
O: The client correctly completed sentence completion and word retrieval. Current data
with maximum cueing 8/10=80% accuracy. No previous data
The client correctly completed reading comprehension for understanding written
sentences. Current data with moderate to maximum cueing 6/10=60% accuracy. No
previous data
The client correctly followed two-step directions, with decreased level of complexity.
Current data with maximum cueing 2/5=40% accuracy. No previous data
The client has correctly spelled words when given five letter tiles and a description of an
object. Current data with maximum cueing 3/6=50% accuracy. No previous data
The client correctly complete word retrieval by verbally communicating wants and needs
at sentence level. Current data with maximum cueing 8/10=80% accuracy. No previous
data
A: The client is showing that he can produce all the Short Term Goals correctly, but with
the help of maximum cueing given by the clinician. The client also seems to be doing
exceptionally well with identifying the tools and objects. He was once a farmer and
worked in a factory, so his former occupations seem to be very helpful with the tools he
was naming.
P: During the next session, the client will continue to work on the same goals. Some
cueing may be decreased on which goals have the higher accuracy rates. The materials
will still be used, and the clinician will decrease the two-step goals to more simple
directions. The clinician may also add a couple more words into the spelling of the words
with the tiles.