SLP 491 Hadley – Assessment -Complete Document & Transcript-Simucase Clinical Simulation - 2026;2027

Transcript

7/14/26, 1:18 PM

christina mejia c.mejia@usa.edu

Assessment Results Client Name:

Hadley- Assessment (SLP)

Examination Date:

July 14th, 2026

Mode:

learning

Case History

100/100

Collaborators

100/100

Hypothesis

✓

Assessments

100/100

Skills Check

100/100

Diagnosis

100/100

Recommendations

100/100

Completion Time

3 Minutes

Your Competency Score

100%

Overall Competency Rating Mastering Competency 2026

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Skills Check Goldman-Fristoe Test of Articulation 3 (GFTA-3): Sounds-In-Words (Ages 2:06:11)

100/100

Speech Intelligibility

100/100

Oral Mech-Pediatric

100/100

Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Receptive Language Index

100/100

Clinical Evaluation of Language Fundamentals- Preschool 2nd Ed. Expressive Language Index

100/100

Completed 5 of 5

Clipboard Contents Case History Reflective (+):

29

Acceptable (0):

0

Rejected (-):

0

Identifying / Family Information 24 seconds

Review the Case History Intake Form Hadley's mother completed.

Enter notes in the clipboard after viewing the response.

29 seconds

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Review the initial evaluation report and IEP from Hadley's entrance to Early Childhood.

Enter notes in the clipboard after viewing the response.

34 seconds

I saw in the Case History Intake Form that Hadley has been diagnosed with a genetic condition. Please tell me about that.

Yes, Hadley has something called Co!n-Siris syndrome. When she was very young, she wasn't growing as well as Jack, so because I have Hashimoto's disease, I asked for a referral to a pediatric endocrinologist. That doctor diagnosed her with a growth deficiency and thyroid issues but also referred us for genetic testing. She was diagnosed with CSS, which helps to explain her delays in growth and speech.

Areas of Concern 39 seconds

In the Case History Intake Form, you reported speech and language concerns; are those still your main concerns?

I have two major areas of concern right now. I want to make sure that Hadley continues to grow, which I feel is being well-addressed and that we are making progress in that area. I also want to make sure that she is ready to start kindergarten. My main concern about that is her speech. If her speech doesn't get better, then her teacher won't be able to understand her and neither will the other kids. We can't have a situation where Hadley is dependent on Jack for her communication with others, either. That won't be good for either one of them.

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Are you concerned about her learning or academic skills?

No, I'm not. Her preschool teacher and the speech therapist at school tell me she is learning all the things she needs to know before kindergarten. And the only goals they have on her IEP are speech goals.

43 seconds

You reported di!culty with specific sounds. Can you please elaborate?

She has a lot of trouble with a lot of sounds. It seems like she can't get the consonants at the beginning or ends of words. She tries really hard but is just not able to make most sounds correctly.

47 seconds

You noted your concerns began when other kids started babbling.

Please tell me more about that.

Well, very early, she had the feeding issues with the tongue clipping and her growth. We addressed that, then we found out about the ear wax and she had tubes put in. She didn't babble like other kids did. Then as she started talking, it was obvious she needed speech. So really it has been one thing after another since Hadley was a few months old.

49 seconds

What are your goals for Hadley?

I want her to grow, and learn, and play, and have friends just like all of the other kids. We have been working so hard with therapy, and doctors, and early services to try to get her ready for kindergarten so she can do all of those things. So far she is a happy little girl, and I want her experiences to stay positive so that it stays 2026

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that way.

Developmental 56 seconds

You reported on some of Hadley’s developmental milestones in the written case history. Please elaborate on whether or not she met the others on time.

She was in the typical range for many milestones, but obviously not growth at first, and not speech.

Hearing / Vision 1 minutes 1 seconds

You indicated that Hadley has tubes in her ears. Please tell me more.

Hadley has tubes in her ears. At one point she had some major wax buildup, but the ENT removed it and she was fine. With the wax removed, he was able to see that she had fluid in her ears and recommended the tubes, which she still has. He continues to monitor her for wax and keeps having her hearing tested in his o!ce.

1 minutes 3 seconds

On the form, you report information regarding Hadley's hearing testing. What was the date of her last hearing test?

I don't remember exactly, but she has had hearing screenings at school and at the ENT's o!ce. She has passed each screening, so they don't go further with testing.

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Medical 1 minutes 8 seconds

You reported extensively about Hadley’s health history on the Case History Intake Form. How is Hadley's present health?

For all that she has going on, Hadley is pretty healthy. She is closely monitored by her pediatrician, as well as several specialists.

1 minutes 11 seconds

Does Hadley have any ongoing medical conditions?

Yes, she does, all stemming from the genetic disorder she has been diagnosed with, Co!n-Siris syndrome. She has several diagnoses related to her thyroid and growth, she has recurring ear wax and ear fluid, and she has a few food allergies.

Speech, Fluency, and Voice 1 minutes 19 seconds

When did she begin saying words that you could understand?

I know it was later than it should have been--maybe around two?

That is why she was receiving early intervention services.

1 minutes 21 seconds

Tell me more about your concerns with Hadley's speech.

Well, she is really hard to understand, especially for strangers. I want to make sure that her new teacher and classmates will be able to understand her. And they will be learning letters and phonics soon enough. I don't want her speech to impact learning to read.

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1 minutes 23 seconds

You indicated that others have di!culty understanding Hadley’s speech. Please elaborate.

Most people have trouble understanding her. Jack and I probably actually do the best with knowing what she is saying, then other close family. Strangers are sometimes at a loss, and I have to translate for her. Other children her age sometimes have di!culty understanding her speech, but so far, she has been with children who are kind and do not get frustrated with her or leave her out because of her speech.

Language / Literacy 1 minutes 28 seconds

When did Hadley begin communicating in complete sentences?

After she was in therapy for sure, maybe when she was in early childhood? I think I remember that being a goal on her first IEP, putting words into short sentences. She definitely speaks in sentences now!

1 minutes 30 seconds

How does Hadley communicate with you?

She has conversations with us, although sometimes it is a challenge to understand what she means. She is happy most of the time and is always trying to tell jokes and trick us. She has lots of stories to tell.

1 minutes 32 seconds

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What would you like to see Hadley communicate?

I would like to see her able to communicate anything she wants to, independently, without Jack or me having to be there to tell others what she is saying.

1 minutes 34 seconds

Is Hadley able to follow basic directions?

Yes, she is a good listener most of the time.

1 minutes 36 seconds

Have you noticed any types of directions or concepts she has di!culty with?

No, not really, she seems to be on track. And at our meeting her teacher said Hadley's understanding of things are good for her age, so I'm not worried.

1 minutes 38 seconds

Does Hadley like books? Please explain.

Hadley loves night-time reading. She will listen to just about any kind of book and is liking the silliness of something like Junie B. Jones or Amelia Bedelia. She has a great attention span and can almost always listen for a longer time than I am willing to read!

Social / Behavioral 1 minutes 44 seconds

Describe a typical day for Hadley.

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Well, it depends on the day. If it is a school day the kids are up early, on the bus by eight o'clock. When she gets home, she has plenty to share about school and her teacher. The kids play in the afternoon, we have dinner as a family. After dinner there may be some more play, a bath, then reading and bedtime. If it is not a school day, it is not as structured, and we may do things like grocery shop or run errands. If I am working, the kids are with a sitter or their aunt. On weekends sometimes we have family fun things, like the zoo or something like that, or a cousin's birthday party, stu" like that.

1 minutes 46 seconds

What are Hadley's strengths?

She is happy most of the time, she understands and learns what she is exposed to, she gets along well with others, she is social.

Even when she has trouble with something, like speech, she works hard to try to do what the speech therapist is teaching her.

1 minutes 47 seconds

What are some weaknesses or challenges that you see in Hadley?

Obviously her speech is her biggest challenge. Sometimes she does get frustrated when others can't understand her. We know that due to the growth challenges, she will always be small for her age. That doesn't bother her now; in fact, she doesn't even realize it, but maybe when she is older it will? We will have to see what the future brings. Right now, I see Hadley as a smart little girl who has some troubles with speech.

1 minutes 51 seconds

You indicated on the written case history that Hadley interacts well with others. Does she play well with other children?

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