Sample Communication Case Studies on phonology and articulation disorder

1.Brief synopsis of the case study including client history if applicable

The client is a fourth grader who has a problem of substituting /w/ for /r/ sounds. The student is named Geraldo and he goes to a small rural school. Wendy, who is a speech-language pathologist visits him every Monday, Wednesday and Friday and Geraldo is making good progress with his pronunciations. Wendy has consistently taught him to identify the phenomes from lists of words and then having him repeat them. the exercises have proved successful.

2.What you’ve learned specifically from the case study and how it relates to what you’ve read and learned from the Owens book

In this case, due to the phonology and articulation disorder, Geraldo was not able to identify the difference words with /w/ and /r/ phenomes. Since his liquid gliding problem was well isolated, the traditional approach was used to correct his speech. Reading from word lists and playing games with specific words helped Geraldo get his pronunciation right over time.

3.Things you like most/least regarding the case study or the approaches of the clinician and other professionals

The case study details the techniques used in the therapy sessions which is what I like most about it. Wendy, the speech pathologist uses techniques which are easy for Geraldo such as clapping his hands or tapping the table when he hears his phenome sound. The sessions are interactive and enjoyable for both the client and the clinician which could be attributed to Geraldo’s improvement.

4.Any additional information that you would have liked to have read about in the case study or that you felt would have been beneficial

It would have been good to read about Geraldo continued progress on his speech. In addition, since the clinician found Geraldo’s experiences at school exciting, it would have been great to hear if he sorted his confused feelings about Trudy.

Case study 4.3

1.Brief synopsis of the case study including client history if applicable – 2 points

The case study is on a 23 years old preacher named Joseph who developed vocal nodules due to several voice abusive patterns. Joseph was a gifted preacher with the ability to capture large audiences to his sermons which were often delivered in booming, low-pitched and resonating voice. Joseph developed voice disorders and sought the services of a laryngologist although he saw the disorder as an attack on his faith. The clinician helped Joseph with voice therapy after his first surgery where the nodules had been removed. The therapy was in phases and Joseph learnt to avoid the voice abusive behaviors and they reached a compromise that would help him eliminate chronic voice problems

2.What you’ve learned specifically from the case study and how it relates to what you’ve read and learned from the Owens book- 2 points

From the case, one learns about the causes of vocal nodules which include straining the vocal cords by speaking loudly or shouting, frequent clearing of the throat and lack of adequate rest for the voice. In the case study, Joseph is brought to the realization that his speech and voice is affected by his mode of sermon delivery at his church. Most people do not recognize the contributing factors to voice disorders and thus suffer long from them.

3.Things you like most/least regarding the case study or the approaches of the clinician and other professionals – 2 points

The thing that I did not like is how Joseph viewed the voice disorder as a spiritual attack while disregarding that fact that he strained it thus resulting in the nodules. However, he was willing to come to a compromise to avoid chronic disorder which was good. The clinicians approach was focused on finding the root cause of the problem which was achieved by listening to audio recording to identify the abusive voice behaviors. At the end of it, Joseph was helped to maintain his good voice and continue with his ministry.

4.Any additional information that you would have liked to have read about in the case study or that you felt would have been beneficial – 2 points

From the case study it would have been beneficial to know if there was any medication which Joseph used for the throat soreness. In addition, understanding how the change in behaviors such as reducing the intonation of words helped should have been expounded.

Case Study 6.6

1.Brief synopsis of the case study including client history if applicable – 2 points

The case study is about a 38 years old woman named Barbara with Amyotrophic Lateral Sclerosis (ALS) which is a disease that attacks and eats away at muscles in a person. She has a busy lifestyle taking care of her family and thus dismissed the early signs of the disease by attributing them to fatigue. After the doctor gave her the diagnosis, she tried to deny the fact that she was sick but still sought support services from a social worker. The disease progressed fast and her speech began to slur. In the later stages of the disease she lost all ability to speak despite efforts by therapists to slow the process.

2.What you’ve learned specifically from the case study and how it relates to what you’ve read and learned from the Owens book- 2 points

The case study contains details of the prognosis of ALS and how it affects speech. Barbara suffered from muscular degeneration which impaired many of her bodily functions. Her consonants become slurry then when she really wanted to communicate her ability to speak was completely lost. The case shows how diseases affect phonation and articulation of words as well as the importance of social support for people with speech disorders.

3.Things you like most/least regarding the case study or the approaches of the clinician and other professionals – 2 points

What I like most from this case study is how the social worker and people from the support group helped Barbara to accept the reality of her disease. They also helped the family to understand the various stages of her grief as she prepared to be separated from the people and things she loved.

4.Any additional information that you would have liked to have read about in the case study or that you felt would have been beneficial – 2 points

The case study mentioned the survival rate of ALS as three years but did not indicate how long Barbara lived. It might have been important to know whether other strategies such as using speech enhancing devices were used by Barbara in her efforts to communicate intelligently.

Case Study 7.1

1.Brief synopsis of the case study including client history if applicable – 2 points

The case study is about a 78 years old man named Mr. Albert Anderson who died in a nursing home after misdiagnosis for dysphagia. The patient had had a bypass surgery and was in the nursing home for postsurgical care. The doctors, nurses, aides and speech-language pathologist neglected the patient and missed the symptoms of dysphagia which he was experiencing such as a gurgle in the chest, high body temperature and drastic weight loss. The patient spent two weeks in their care before his untimely demise which led to a court case as the family wanted compensation for the negligence.

2.What you’ve learned specifically from the case study and how it relates to what you’ve read and learned from the Owens book- 2 points

From the case, I learnt of dysphagia, its symptoms and how it affects speech. The case mentions the standards of evaluation for dysphagia expected by the American Speech-Language-Hearing Association. It shows how silent symptoms of dysphagia can be assumed but prove to be fatal.

3.Things you like most/least regarding the case study or the approaches of the clinician and other professionals – 2 points

The professionals in charge of Mr. Anderson’s care were negligent which is the thing I like the least in this case study. The surgery he underwent was successful but the postoperative care was below standard. The nursing home was also at fault by putting profit before patient care which is evident in the cutbacks whereby one clinician was doing the work of three.

4.Any additional information that you would have liked to have read about in the case study or that you felt would have been beneficial – 2 points

I would have liked to know the verdict of the litigation case especially on the nurses who even ignored Mr. Anderson’s milk allergy when feeding him. It would also have been good to know whether the hospital put in measures to improve communication among clinicians and nurses and if the number of trained professionals was increased. These efforts would enhance patient care since the clinician-patient ratio would be ideal.

Case study 8.3

1.Brief synopsis of the case study including client history if applicable – 2 points

The case study is about a closed head injury which a journeyman electrician named Ben Lawton suffered in an industrial accident. He suffered traumatic brain injury and took three years to recover. His speech was affected where he confused word order and often forgot the right words for items he knew before.

2.What you’ve learned specifically from the case study and how it relates to what you’ve read and learned from the Owens book- 2 points

From the case I have learnt of language disorders that can occur after head injury. Ben’s memory was scanty in the early stages of his recovery but through aphasia therapy he was able to regain his knowledge of language. The disorder is also associated with anxiety when talking out of fear of saying the wrong thing.

3.Things you like most/least regarding the case study or the approaches of the clinician and other professionals – 2 points

What I liked most from the case study is the way Ben would confuse his words and still admit that it was funny. He was willing to re-learn language and made effort to practice his speech even when words come out in the wrong order.

4.Any additional information that you would have liked to have read about in the case study or that you felt would have been beneficial – 2 points

The case would have contained information on how Ben faired if he went back to his profession. In addition, it would have been good to know the input from the family towards helping Ben with his speech therapy apart from laughing at his wrong word order.