Abstract:
:Proficient clinical reasoning is a critical skill in high-quality, evidence-based management of swallowing impairment (dysphagia). Clinical reasoning in this area of practice is a cognitively complex process, as it requires synthesis of multiple sources of information that are generated during a thorough, evidence-based assessment process and which are moderated by the patient's individual situations, including their social and demographic circumstances, comorbidities, or other health concerns. A growing body of health and medical literature demonstrates that clinical reasoning skills develop with increasing exposure to clinical cases and that the approaches to clinical reasoning differ between novices and experts. It appears that it is not the amount of knowledge held, but the way it is used, that distinguishes a novice from an experienced clinician. In this article, we review the roles of explicit and implicit processing as well as illness scripts in clinical decision making across the continuum of medical expertise and discuss how they relate to the clinical management of swallowing impairment. We also reflect on how this literature may inform educational curricula that support SLP students in developing preclinical reasoning skills that facilitate their transition to early clinical practice. Specifically, we discuss the role of case-based curricula to assist students to develop a meta-cognitive awareness of the different approaches to clinical reasoning, their own capabilities and preferences, and how and when to apply these in dysphagia management practice.
journal_name
Semin Speech Langjournal_title
Seminars in speech and languageauthors
Doeltgen S,Attrill S,Murray Jdoi
10.1055/s-0039-1688814subject
Has Abstractpub_date
2019-06-01 00:00:00pages
151-161issue
3eissn
0734-0478issn
1098-9056journal_volume
40pub_type
杂志文章,评审abstract::Speech-language pathologists play a crucial role in the assessment and treatment of individuals with primary progressive aphasia (PPA). The speech-language evaluation is a critical aspect of the diagnostic and rehabilitative process, informing differential diagnosis as well as intervention planning and monitoring of c...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1660782
更新日期:2018-07-01 00:00:00
abstract::The ideas motivating the use of nonspeech oral motor exercises (NSOMEs) cluster into three memeplexes that reflect the rich history of oral motor and nonspeech activities in speech-language pathology; a bottom-up, discrete skill theory of learning; and common treatment practices. The lack of clinical guidance provided...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0028-1103397
更新日期:2008-11-01 00:00:00
abstract::Forty-five states and four U.S. territories have committed to implementing the new Common Core State Standards, with the goal of graduating students from our K-12 programs who are ready for college and careers. For many, the new standards represent a shift in genre focus, giving much more specific attention to informa...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0032-1310314
更新日期:2012-05-01 00:00:00
abstract::Children with voice problems are encountered by speech-language pathologists working in schools but not with sufficient frequency to yield a great experience in managing them. Their evaluation and treatment now are best handled by a team of specialists in pediatric otolaryngology and speech-language pathology with exp...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1342977
更新日期:2013-05-01 00:00:00
abstract::Behavioral and interactional aspects of feeding problems are considered within a "total" child approach. Basic principles and guidelines for optimal feeding relationships are presented within a developmental framework. Factors that can underlie behavioral components are discussed. Children with limited appetites and f...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2008-1064062
更新日期:1997-02-01 00:00:00
abstract::Children in the United States who are English language learners characteristically do not exhibit the same levels of reading achievement as their peers. The article describes the development of English literacy in English language learners and the relationship between a child's second language (L2) and his or her nati...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2007-967927
更新日期:2007-02-01 00:00:00
abstract::Difficulties in attention or concentration are observed in many clinical syndromes. Cognitive studies of normal attention and neuropsychological studies of brain dysfunction indicate that attention reflects a variety of mechanisms. These processes include the startle response, the orienting response, selective attenti...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2002-24986
更新日期:2002-05-01 00:00:00
abstract::Within the last decade, researchers and clinicians have reported an increase in the incidence and diagnosis of Autism Spectrum Disorder (ASD). Various factors have been proposed for this apparent change including broader diagnostic criteria, greater public awareness, biological and environmental interactions, and earl...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2008-1064033
更新日期:1998-01-01 00:00:00
abstract::The behavioral phenotype of individuals with Down syndrome (DS) offers one avenue for developing speech-language therapy services that are tailored to the individual's characteristics that affect treatment response. Behavioral phenotypes are patterns of behavioral strengths and weaknesses for specific genetic disorder...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0036-1587708
更新日期:2016-11-01 00:00:00
abstract::Respiratory muscle strength training is a paradigm that has been used for numerous years with a variety of populations including but not limited to spinal cord injury, chronic obstructive pulmonary disease, multiple sclerosis, Parkinson's disease, voice disordered, sedentary elderly, and healthy young. The respiratory...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2006-955114
更新日期:2006-11-01 00:00:00
abstract::Speech-language pathologists can serve an important role as members of interdisciplinary treatment teams in the rehabilitation of concussion-related cognitive-communicative changes in the community setting. This article discusses the continuum of care for individuals who have experienced concussion and the importance ...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1384678
更新日期:2014-08-01 00:00:00
abstract::Little is known about the acquisition of English phonology by children adopted from China. Data are summarized from three recent studies with a focus on the phonological skills of children adopted from China as infants or toddlers. Two longitudinal studies (combined n = 8) described early phonological behaviors (e.g.,...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2005-864216
更新日期:2005-02-01 00:00:00
abstract::Conversation skills are an important intervention focus for verbally fluent school-aged children and adolescents with autism spectrum disorder (ASD). Three sets of approaches for supporting conversation skills are reviewed. Pragmatic language approaches focus on teaching the verbal and nonverbal skills needed to initi...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1628367
更新日期:2018-04-01 00:00:00
abstract::In some fields, Big Data has been instrumental in analyzing, predicting, and influencing human behavior. However, Big Data approaches have so far been less central in speech-language pathology. This article introduces the concept of Big Data and provides examples of Big Data initiatives pertaining to adult neurorehabi...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0036-1572385
更新日期:2016-02-01 00:00:00
abstract::This article explores the theoretical and empirical relationships between cognitive factors and residual speech errors (RSEs). Definitions of relevant cognitive domains are provided, as well as examples of formal and informal tasks that may be appropriate in assessment. Although studies to date have been limited in nu...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0035-1562908
更新日期:2015-11-01 00:00:00
abstract::Isolated swallowing difficulties are present in a substantial percentage of elderly adults. Most have no known medical basis, although some may be caused by underlying, but undetected, medical conditions. Others may result from conditions that indirectly affect swallowing. After an overview of the neuroanatomy and neu...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2008-1064072
更新日期:1997-05-01 00:00:00
abstract::The purpose of this article is to differentiate morality, ethics, and law. Morality refers to a set of deeply held, widely shared, and relatively stable values within a community. Ethics as a philosophical enterprise involves the study of values, and the justification for right and good actions, as represented by the ...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2004-815580
更新日期:2003-11-01 00:00:00
abstract::Semantic dementia is a neurodegenerative disease characterized by progressive loss of conceptual and lexical knowledge. Cortical atrophy remains relatively isolated to anterior and inferior portions of the temporal lobe early in semantic dementia, later affecting more extensive regions of temporal cortex. Throughout m...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2008-1061623
更新日期:2008-02-01 00:00:00
abstract::In a writing lab approach, speech-language pathologists (SLPs) work on collaborative teams with general and special educators to foster language growth using inclusive, curriculum-based, computer-supported writing process instruction. By engaging students in authentic writing projects using recursive writing processes...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2001-16148
更新日期:2001-08-01 00:00:00
abstract::This article reviews the existing literature on the diagnostic accuracy of two grammatical accuracy measures for differentiating children with and without language impairment (LI) at preschool and early school age based on language samples. The first measure, the finite verb morphology composite (FVMC), is a narrow gr...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1580740
更新日期:2016-05-01 00:00:00
abstract::Children with speech impairment form a significant part of many speech language pathology caseloads. Traditionally, assessment and intervention with these children has focused on the level of the impairment. However, the World Health Organization's International Classification of Functioning, Disability and Health (IC...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2007-986522
更新日期:2007-11-01 00:00:00
abstract::Words derive their structure not only from the sounds they include but also from the organization of those sounds within the word. This organization is the phonotactic level of the word: roughly, its shape including the sequence of its elements. Often, children with immature or disordered phonologies demonstrate phono...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2002-23510
更新日期:2002-02-01 00:00:00
abstract::Providing effective intervention services for adolescents and adults who struggle with spoken and written language presents a variety of unique challenges. This article discusses the 5S Framework (skills, strategies, school, student buy-in, and stakeholders) for designing and implementing balanced spoken and written l...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0034-1396442
更新日期:2015-02-01 00:00:00
abstract::An estimated 390,000 to 520,000 individuals with severe aphasia (IWSA) currently live in the United States. IWSA experience profound social isolation, which is associated with a wide range of negative health outcomes, including mortality. Treatments for severe aphasia frequently focus on compensatory communication app...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-0039-3400991
更新日期:2020-01-01 00:00:00
abstract::This study sought to describe speech-language interventions for preschool-aged children who required augmentative and alternative communication (AAC) as provided by AAC experts and by general speech-language pathologists who were not AAC experts. The study also examined the types of technology used in AAC intervention...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2008-1080754
更新日期:2008-05-01 00:00:00
abstract::Dynamic assessment represents an alternative approach to traditional language assessments. In dynamic assessment, the examiner attempts to assess the child's potential for language change or modifiability. This article discusses the development of this approach from its early psychological applications to current mode...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2000-13195
更新日期:2000-01-01 00:00:00
abstract::There are many difficult issues facing speech-language pathologists who work with school-age children who stutter; however, the challenges are not insurmountable. Effective treatment for children who stutter is possible, even in school settings. This chapter introduces two issues of Seminars in Speech and Language aim...
journal_title:Seminars in speech and language
pub_type: 杂志文章
doi:10.1055/s-2002-33747
更新日期:2002-08-01 00:00:00
abstract::Cognitive pragmatics is the study of the mental structures and processes involved in the use of language in communicative contexts. Paradigms of cognitive psychology (off-line and on-line) have been applied to the study of the abilities to go beyond the literal (inference) and derive meaning in relation to context (e....
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2007-970569
更新日期:2007-05-01 00:00:00
abstract::Remembering is an intrinsic and awesome aspect of human function. Memory loss, a common sequela of brain damage, has been studied extensively to understand how the brain encodes, stores and retrieves information. Important anatomic structures for memory have been identified from work in surgical therapy for epilepsy a...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2001-13934
更新日期:2001-01-01 00:00:00
abstract::Communication between caregivers and children with moderate to severe motor impairments is a tremendous challenge, and one that deserves attention as a central component of early intervention programs. This article examines a caregiver-training program that explored key elements to creating strong communicative intera...
journal_title:Seminars in speech and language
pub_type: 杂志文章,评审
doi:10.1055/s-2006-948230
更新日期:2006-08-01 00:00:00