What are your reactions to the experience?

Format for Clinical Observation Assignment
Student ID
Client initials or ID
Client Age
Client disorder
Location of observation
Clinical Supervisor
Disorder & Summary
Indicate any known medical diagnosis(es). Include a detailed description of
common sequela (especially those related to speech, language, swallowing, and
cognition). Indicate sources used to obtain this information. Include the citation in
the text and the references at the end of the observation. If you use the course text
book to complete this section, include the page number in the citation. Identify the
speech & language deficit{s) you see in this patient. Where these classic
observations for this disorder? Do they match what you would expect?
Goals
List two goals and an activity for each.
Goal 1:
Activity 1:
Goal 2:
Activity 2:
Compliance/Cooperation
Include a statement of overall compliance during therapy. Give examples to support
your observation(s) .
Reflection
Reflect on the experience. What are your reactions to the experience? What did you
enjoy about this observation? What might you have done differently? ((It is not
sufficient to say that you would not do anything differently.)
References
List any references OTHER THAN the course TEXTBOOK that you used to complete
this observation. It is possible to limit your research to the course textbook. If that is
the case, include the citation and page number in the text, but you do not need to
include the textbook in the reference list.

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