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Speech Therapy Progress Note for Guy

Guy Lindstrom had a 50-minute individual speech therapy appointment via teletherapy with his provider Karen Calvez on August 7, 2023. He practiced following directions and answering questions. Guy was able to follow directions and answer routine questions with visual and verbal cues. His mother reported he has difficulty understanding questions about past meals. The provider suggested using photos to help Guy understand tense differences. Guy made progress generating sentences from pictures and taking turns in conversation. The provider will continue working on directions, questions, and sentence formation.

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0% found this document useful (0 votes)
11 views2 pages

Speech Therapy Progress Note for Guy

Guy Lindstrom had a 50-minute individual speech therapy appointment via teletherapy with his provider Karen Calvez on August 7, 2023. He practiced following directions and answering questions. Guy was able to follow directions and answer routine questions with visual and verbal cues. His mother reported he has difficulty understanding questions about past meals. The provider suggested using photos to help Guy understand tense differences. Guy made progress generating sentences from pictures and taking turns in conversation. The provider will continue working on directions, questions, and sentence formation.

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mlindstrom24
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Client: Guy Lindstrom

Provider: Karen Calvez, M.S CCC-SLP


Provider License: SLP #SLP4357

Appointment: Individual Appointment on August 7, 2023


2:00 pm - 2:50 pm, 50 min
Billing code: 92507 - Treatment of speech,
language, voice, communication, and/or auditory
processing disorder; individual

Progress Note
S: Guy participated exceptionally well in today’s teletherapy session. His mother set him up on the computer at home.
O: Guy practiced following directions using spatial concepts “Put the apple on top of the desk”, “Put the books on the
bookshelf”, etc. He required mod-max cues to follow these directions. Clinician clarified each direction by showing which
items were being discussed as they were within a direction.
Guy answered a functional “when” question at the end of the session (based on routine) without cues. He answered the
routine, functional “what…do” question such as “What did you do?” with “I do stay home” and “watch movie”. He answered
a “where” question within a structured app with mod cues. He used complete, accurate sentences by imitating clinician’s
models.
He asked the functional, routine question “How are you?”, “What did you do?” and “What do you want?” all with with an
expectant look. He read questions given choice of 3 who/what/where within a structured task (given picture stimuli) and
chose the one he wanted to ask. He chose the “who” question - “Who is that?” and “Where is (he)?” based on the routine.
Guy created statements (given familiar pictures) with 80% accuracy - eg. “The boys are playing soccer” - “are” and the “-ing”
were imitated; “The friends are eating pizza” (only “friends” was modeled as an option given picture stimulus). During
conversation Guy used sentences such as “I want ___” with min cues and 1x spontaneously.
Guy took 3-4 turns per topic in conversation with clinician given min-mod cues.
A: Guy followed directions with multiple visual and verbal cues (there were a few elements to the directions that were not
routine). He was able to demonstrate understanding of routine questions. His mother stated that he does not understand
when they ask him “What have you eaten for dinner?”. Clinician provided suggestions to his mother to use a 3 separate
photos with sentence underneath each one - one future tense verb, one present tense and one past tense to help him
understand the difference when the words “eat” and “dinner” are used. She stated that he always answers “yes” as though
they asked if he wanted to eat dinner.
He asked routine questions in conversation with clinician with only just an expectant look. Guy demonstrated excellent
progress with creating sentences given picture stimuli (see “friends” sentence above). He made progress with taking turns
in conversation with clinician. T
P: Continue to work on following familiar 1-2 step directions that are functional and that he can follow at the same time as
the communication partner, use pictures/photos and routine. Continue to practice (at separate times) answering “who”
questions (being a person or character), “where” questions about common items around the house and functional “when”
questions (eg. “when do you leave Achieve? - 3:30 or 5:30?”). Continue to encourage him to ask routine questions in typical,
daily conversations for 2 to 3 turns (including “who is it?” with a knock at the door, “where is ….?”, “where…..going?”, “What
are we doing?”). Provide choice of 2 questions or answers to help him be successful. Continue to ask “where” questions
when out and about. Encourage him to practice saying “I am at ” in real time. Continue to model statements such as “Dad is“,
“Mom is ”, “I like”, “I don’t like __”, “I want __”, “I am __”, “The girl is __”, “The people are __” (with pictures).

Created on Aug 7, 2023 at 3:25 pm. Last updated on Aug 7, 2023 at 3:25 pm. Page 1 of 2
Locked and Signed by Karen Calvez, M.S CCC-SLP on Aug 7, 2023 at 3:25 pm.

Karen Calvez, M.S CCC-SLP - Speech-Language Pathologist


Client: Guy Lindstrom

Provider Parent

Karen Calvez, M.S CCC-SLP Marcia Lindstrom


Signed by Karen Calvez, M.S CCC-SLP Signed by Marcia Lindstrom
SLP Parent
August 7, 2023 at 3:25 pm August 7, 2023 at 3:47 pm
IP address: [Link] IP address: [Link]

Contact Contact

Created on Aug 7, 2023 at 3:25 pm. Last updated on Aug 7, 2023 at 3:25 pm. Page 2 of 2
Locked and Signed by Karen Calvez, M.S CCC-SLP on Aug 7, 2023 at 3:25 pm.

Karen Calvez, M.S CCC-SLP - Speech-Language Pathologist

Common questions

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Guy’s speech therapy incorporated daily life contexts by practicing functional questions and responses, using images of everyday scenarios, modeling typical conversations about routine events, and integrating familiar settings like home and school to improve his practical communication skills .

Turn-taking in conversation contributes to the goals of Guy's speech therapy by promoting interactive communication skills, teaching him to maintain a dialogue, engaging with others effectively, and enhancing social interaction capabilities .

Guy's therapy session structure supports his language skills development by integrating multiple components: practicing following spatial directions with cues, engaging in structured apps for Q&A, creating statements from picture stimuli, and having conversations with turn-taking practice. These methods aim to build foundational listening, comprehension, and expressive skills .

Guy's ability to ask routine questions with minimal cues signifies progress because it demonstrates his growing independence in initiating communication and participating in conversational exchanges without relying heavily on external prompts .

The use of visual and verbal cues helped Guy understand directions in speech therapy by clarifying the elements of non-routine tasks, thus facilitating his comprehension and enabling him to follow complex instructions with enhanced accuracy .

The therapy emphasized practicing "who," "where," "what," and "when" questions in daily conversations. These included questions like "Who is it?" when a door is knocked, "What are we doing?" in routine situations, and "Where is ...?" to develop his understanding and usage of these common question types .

The clinician suggested using three separate photos with a sentence underneath each one representing different tenses – one future tense verb, one present tense, and one past tense – to help Guy understand the difference when the words "eat" and "dinner" are used .

Guy faced challenges understanding questions about his daily routine, such as "What have you eaten for dinner?", often misinterpreting them and responding as though asked if he wanted to eat dinner, indicating difficulty with comprehension of routine questions .

To enhance Guy's ability to distinguish between question types, the therapy involved structured tasks where he chose from different who/what/where questions, read them aloud, and practiced responding to them using picture stimuli for context .

Guy made excellent progress creating sentences with picture stimuli, achieving 80% accuracy in constructing sentences such as "The boys are playing soccer" where "are" and "-ing" were imitated, and "The friends are eating pizza" with minimal modeling .

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