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Cleft Lip and Palate

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Cleft Lip and Palate
PROGNOSIS IN CLP
PRESENTED BY: RUTH VICTOR JIJI MATHEW
GUIDED BY: Ms. ANITA REDDY, Ms. GRACE MATHEW

CONTENTS
• • • • • • • Prognosis Counseling Diagnostic Report Focus Cleft Lip and Palate Assessment Protocol in ISH CLP Proforma

• • • • • •

Case Presentation Factors Affecting Prognosis Prognostic Profile Conclusion Acknowledgements References

Once a diagnosis has been made, the most frequently asked questions by the parents (or the clients themselves) are: ―WILL MY CHILD IMPROVE?????????‖

―FOR HOW LONG IS SPEECH THERAPY NECESSARY?‖

• Answers COUNSELLING questions on prognosis

DIAGNOSTIC REPORT

• Supports the above answers

INTRODUCTION

What Is Prognosis?
―…..Prediction of judgment concerning the course, duration, termination and recovery from a disease or disorder….‖
Terminology of communication disorders (4 th Edition) Nicolosi, Harryman, Kresheck.(2004)

―….Prediction of course and end of disease and the estimate of chance for recovery….‖

Taber’s Cyclopedic Medical Dictionary (2001)

What Is Counseling?
―….Counseling is a process through which one person helps another by purposeful conversation in an understanding atmosphere…..‖

Communicating Quality - Royal College of Speech and Language Therapists(2006)

Individual being counseled can express his/her thoughts and feelings in order to clarify the situation ,come to terms with a new situation and be enabled to approach particular aspects of his/her life with less anxiety and tension.

What Should A Diagnostic Report Consist Of ?

As cited by Hutchinson et al. (1979)…..
A report should be limited to verifiable facts and also the opinions of the clinicians.

A diagnostic statement is essential.
Judgments about prognosis should be part of the diagnostic statement.

Nation And Aram(1977) List 3 Diagnostic Goals:

1. Describing the particular speech and language variation, deciding whether it constitutes a disorder and judging its severity.


References: • Cleft Palate and Craniofacial Anomalies – Ann Kummer • Diagnostic Handbook of Speech PathologyBarbara B, Hanson, Mecham •Communicating Quality – Royal College of Speech and Language Therapists •Taber’s Cyclopedic Medical Dictionary •Webster’s Medical Dictionary • Human Communication Disorders ( 5th Edition)— George, Elizabeth and Wayne. • Terminology of Communication Disorders (4th Edition) -Nicolosi, Harryman , Kresheck • Introduction to Communication Disorders – M.N. Hegde • Management of Cleft Lip and Palate— Watson, Sell and Grunwell Contd…. • • www. Pubmed.com www.google.com
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