So, earlier today I posted a blog about the Speech and language assessment… Well, about an hour ago I received the report… I have edited names and deleted any personal information for anonymity purposes. of all children assessed were more than 12 months delayed for expressive language (information and grammar scores combined). (21% post) MethodsThe databases of PubMed, Web of Sciences, Cochrane Library, and Pedro were searched for English studies on RAPT prediction capacity. Only original prospective or retrospective articles that analyze specifically the use of RAPT were included, whereas those concerned with other preoperative prediction tools or those only considering other aspects of recovery after joint replacements were excluded. One child made 26 months progress in comprehension. He started Spirals 14 months delayed and, 8 months later, was scoring more highly than expected for his age. A case study of this child is included as appendix 1.

The CELF (Clinical Evaluation of Language Fundamentals) assessment was used to assess the comprehension level of each child pre and post intervention. Only two subtests were used as the assessment is very long. The subtests used were ‘sentence structures’ and ‘basic concepts’ as these were deemed areas that may have been improved following Spirals input. These scores were also calculated as an age-equivalent with the lowest score being 3:0. Dinky displays a good ability to concentrate upon her own agenda. Attention to adult directed tasks is similarly well focused.Subjects with a RAPT score of more than 9 had a low risk of complications, whereas patients with a RAPT score less than 6 had a high risk, confirming that hospitalization is justified for patients in this category. In 2013, Tan et al used RAPT for predicting the destination discharge for a group of 569 patients undergoing TKR. If parents get involved with their child’s learning in Spirals, they could help to make the impact much greater, therefore, Laura will endeavour to build relationships with parents sooner by being around at drop-off and collection times, giving out home sheets to parents, putting on a workshop before the end of the school year and writing to parents more often to say how their child is getting on in Spirals. moving loads without wheels, which might involve actions such as dragging/sliding, churning (pivoting and rolling) and rolling.

For expressive language, 21% made more than 18 months progress and 27% made more than 12 months progress. This is considerably greater progress than is expected over an 8 month period. One parent suggested that there should be sheets to send home so that the parent can continue to teach the concept that was learnt in Spirals at home. This idea will be implemented for next year as there is a published book of Spirals sheets exactly for this purpose, which is a supplement to the Spirals programme. The Advance Care Planning (ACP) Specialist Program (B) is a nursing home intervention that involves providing standardized staff education and strengthening facilities’ procedures, to enable systematic advance care planning facilitation by existing staff [ 11, 12]. The interventionists are currently implementing a PCT applying the intervention to nursing home residents with ADRD [ 13]. Because it aims to strengthen a process that is already occurring as part of standard practice, the ACP Specialist Program is low risk and scores high on that domain. It also scores high for alignment, because nursing home staff widely recognize advance care planning as valuable, but challenging, and welcome assistance improving the process. In contrast, medium scores for several domains, such as feasibility and measurement, reflect the fact that the intervention requires nursing home leaders to review and revise existing policies, explicitly commit staff time (which may require shifting commitments), and modify electronic documentation to capture advance care planning. I got to know his Mum through Stay and Play and she talked to me about how the Children’s Centre had supported her at the time of Tom’s diagnosis and after. She had taken Tom to the Sparklers group for children with disabilities and was a regular attender at Stay and Play. When she received reports about Tom, we looked through them together and I explained any jargon or terms she was unsure about. Tom’s Speech Therapist came to see him in Spirals and made recommendations. Participation in Spirals may not have enabled every child to have done well enough to fall within normal limits for their age on the post-intervention assessment, but this does not mean that they haven’t made progress. The figures below are for children who managed to make some headway into reducing their language delay.While working with school children she began developing norm-referenced speech and language tests to find out whether children who experienced difficulty with spoken language development made more progress resulting from speech therapy than expected from maturation. The Articulation Attainment Test was first published in 1963, the Action Picture Test in 1966, the Word Finding Vocabulary Scale in 1968, and the Auditory Discrimination Test in 1973.

Intended for use in educational settings and/or therapy contexts under the supervision of an adult. This is not a toy. A theme that came out of the parent workshop evaluation and figures was that parents like to be involved and included as much as possible in their child’s learning. The parents who attended the workshops generally either had a good relationship with Laura, or with the child’s Teacher or both. Only those really confident or really well-supported parents came to the workshop having not met Laura before. One parent wrote on the evaluation that she would have liked homework sheets; another said that she would have liked a workshop earlier in the year. Parents were given the opportunity to comment on their child’s abilities during the parent workshops. The Assessment of Comprehension and Expression assesses children’s understanding of verbal language, their ability to express their thoughts effectively, grammar, semantic skills and pragmatics. These skills are assessed through the 5 main subtests:

Multi-site organisations

The Spirals project aimed to provide Children’s Centre input to a greater number of families in a wider variety of settings. Jutkowitz E, Brasure M, Fuchs E, Shippee T, Kane RA, Fink HA, Butler M, Sylvanus T, Kane RL. Care-delivery interventions to manage agitation and aggression in dementia nursing home and assisted living residents: a systematic review and meta-analysis. J Am Geriatr Soc. 2016;64:477–88. Since its first publication in 1967, the Renfrew Action Picture Test has been a reach-for assessment used by a range of professionals dedicated to the speech and language development of children between 3.0-8.5 years of age. This 5th edition has been fully updated, including revision of scoring guidelines, modernisation of images and, through an extensive nation-wide programme, fully re-standardised against a modern school population, making RAPT a trusted first-line tool in speech and language assessment. This Summer (August 2011) there will be four sessions for parents and children to attend. The principles of the sessions will be based on Spirals and other general Speech and Language Therapy advice. Children who have attended Spirals throughout the year will be invited to attend with their parents. The idea of these sessions is to build on parent’s skills in facilitating their child’s language and communication development and for children to continue to practice their skills during the six week break so that do not regress while they are away from their setting.