(N/A)
If some of this information does not pertain to your client reference this in your document, e.g., "Client is not currently employed at this time."
Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case.
Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case. If the "Other" option does not pertain to your client, write "No other medical complications reported."
History that pertains to the current etiology underlying the communication or swallowing impairment. Report as much as you can based on the case history form. Not all clients will have information on all of these areas. Full points will be given based on your individual case. REMEMBER: this section details how the client's impairment is CURRENTLY impairing his/her communication.
If tests are not administered AND you note this = you will receive full points for this section
If tests or informal analyses are not administered AND you note this = you will receive full points for this section
If issues with weakness/strength are noted on your client's OFSME report please address strength in your report. Otherwise report this as "within functional limits" for the structures examined.
If "None" is relevant to your client, make sure to note this to receive full credit.
If tests or informal analyses are not administered AND you note this = you will receive full points for this section. Please note that is it fairly easy to "observe" orientation and problem solving via informal conversation with someone, so it is likely you will be able to report on something for this section.
These statements must be CONCISE! You have already detailed them above - SUMMARIZE
The evidence for these variables may be the strengths and weaknesses noted in the "Summary of Findings."
Note: each point is worth 3 points