SLP10420: SLP Head and Neck Pathologies
2022-2023
Patient Name: K.F.
Medical Diagnosis: Unilateral Complete Left Cleft Lip and Palate
Working Speech/Language Diagnosis:
SESSION GOAL
SG 1: At the end of the session. K.F. will be able to
auditorily discriminate between phonemes /p/ and
/b/ in 5/5 opportunities given moderate
multimodal cues.
A.Y.
SESSION PLAN
Session Date: Mar 23, 2023
Age/Sex: 4:4/M
Student Clinicians-in-Charge: David, Maxinne; Miranda, Jonaleen Trixia;
Puzon, Mariana; Santos, Gabrielle Anne; San Pablo, Noah Emanuel Jesu;
Serrano, Michaela Samuelle
RATIONALE ACTIVITIES
Needs: Listen to Teacher!
The patient’s ability to discriminate will be The clinician will auditorily present the phonemes
assessed to determine or rule out if the patient has /p/ and /b/ in a random order. He will then be
hearing or auditory processing difficulties that may asked to choose the letter that he heard.
affect his ability to articulate different phonemes.
Readiness:
The patient is able to attend to the clinician when
presented with different sounds. He also knows
the letters in the alphabet.
SG 2: At the end of the session, K.F. will be able to
approximate phoneme /p/ in isolation in ⅘
opportunities given moderate multimodal cues.
SG 3: At the end of the session, K.F. will be able to
approximate phoneme /b/ in isolation in ⅘
opportunities given moderate multimodal cues.
Needs: Blippi!
K.F. exhibited articulation errors due to placement The clinician will prompt the child to produce the
errors. It was also observed that the child would /p/ phoneme through shaping. He will be asked to
exhibit glottalization and would display incorrect produce /m/ first then slowly transition to /p/
placement of the articulators. For example, during phoneme.
the production of /pa/, the patient would
inconsistently produce /ha/ instead. Nasal Air ● Use Px’s ability to produce /m/ to teach
Emission was also observed through the mirror /p, b/
test and the presence of nasal grimace.
Teaching Phase
Readiness: A. Teach mmm-P
a. Verbal cues
K.F is stimulable when the word is being modeled. i. Listen to teacher
Additionally, the patient exhibits no behavioral b. Visual cues
concerns and shows interest in our activities. i. Look at my lips, look at
the mirror
c. Tactile cues
i. Hold and release the
finger
Testing Phase
Complete the star
1. Produce /p/ in isolation in ⅘ trials
Needs: Blippi!
K.F. exhibited articulation errors due to placement The clinician will prompt the child to produce the
errors. It was also observed that the child would /p/ phoneme through shaping. He will be asked to
exhibit glottalization and would display incorrect produce /m/ first then slowly transition to /b/
placement of the articulators. For example, during phoneme.
the production of /ba/, the patient would
inconsistently produce /ha/ instead. Nasal Air ● Use Px’s ability to produce /m/ to teach
Emission was also observed through the mirror /p, b/
test and the presence of nasal grimace.
Teaching Phase
Readiness: A. Teach mmm-B
d. Verbal cues
 K.F is stimulable when the word is being modeled. i. Listen to teacher
Additionally, the patient exhibits no behavioral e. Visual cues
concerns and shows interest in our activities. i. Look at my lips, look at
the mirror
f. Tactile cues
i. Hold and release the
finger
Testing Phase
Complete the star
A. Produce /b/ in isolation in ⅘ trials

Recommendations:
1. Use placement strategies in targeting /p/ and /b/ phonemes

Prepared by:

MAXINNE CATRISHA DAVID JONALEEN TRIXIA MIRANDA MARIANA PUZON

Student Clinician Student Clinician Student Clinician
NOAH EMANUEL SAN PABLO GABRIELLE ANNE SANTOS MICHAELA SAMUELLE SERRANO
Student Clinician Student Clinician Student Clinician

Noted by:

John Arden Romanillos, RSLP

Faculty-In-Charge
Speech-Language Pathologist