Topic: Voice disorders

Paper details: Page | 1 Assessment Guidelines for Students Module Name/Code: SL2005 – Speech, Communication and Swallowing Disabilities Assessment Title: Voice Coursework Type of Assessment: Individual coursework (case studies) Word Count: 1500 words Lecturer/Marker: Emma Fitzpatrick Submission Deadline: 2pm on Friday 27 November 2015 This coursework is to be submitted via Moodle Assessment Specification You are working as a speech and language therapist (SLT) in an NHS outpatients clinic. You have received the following referrals from an ENT Surgeon: REFERRAL 1 Dear Speech and Language Therapist, Re: Mrs Irene Jones (02.03.1952) I saw this lady in clinic today. She reported that she has had a problem with her voice for at least three years. This started gradually but she says that her voice has been getting progressively worse. She has had multiple ENT consultations and a number of episodes of voice therapy. I carried out flexible nasendoscopy, which revealed no structural abnormalities of the larynx and full abduction and adduction of the vocal folds was observed during breathing and coughing. There was some spasm of the vocal folds and squeezing of the false vocal folds observed during phonation. I believe that this lady has adductor laryngeal dystonia. Please would you see her for voice therapy. Yours sincerely, Mr I Smith Consultant ENT Surgeon Page | 2 REFERRAL 2 Dear Speech and Language Therapist, Re: Miss Jennifer Smart (02.03.1993) I saw this lady in clinic today. She complains of a husky voice, which began gradually and has been present for the past four months. She started working as a primary school teacher six months ago. I carried out flexible nasendoscopy today, which revealed small, soft vocal nodules. Please would you see this lady for voice therapy at your earliest convenience. Yours sincerely, Mr I Smith Consultant ENT Surgeon In this piece of work, you need to compare and contrast the nature of the two voice disorders described in these referrals and outline appropriate clinical management for each client. You are expected to: • Compare and contrast the anatomical and physiological changes underpinning each voice disorder (approximately 300 words). • Describe how you will carry out further information gathering and assessment for each client and outline the expected case histories and vocal profiles for each client, describing how they might differ from each other, based on your knowledge of each voice disorder and referring to relevant literature (approximately 450 words). • Provide treatment recommendations for each client, with rationale. You should consider a range of treatment options, including speech and language therapy and medical/surgical management. Compare and contrast approaches that may be used with each client and outline your clinical decision-making, demonstrating how you are using theory to inform your practice (approximately 450 words). • Indicate the likely prognosis for each client, making reference to the underlying aetiologies of their voice disorders and relevant literature (approximately 150 words). • Describe how you will involve each client in decisions about their treatment and liaise with other relevant professionals (approximately 150 words). Pass Mark The pass mark for this coursework is 40%. Assessment Criteria Please find the assessment criteria below. They are descriptions, based on the module’s learning outcomes, of the skills, knowledge or attributes you need to demonstrate in order to complete this assessment successfully. Your work will be marked with respect to these criteria and your feedback will be based on them. Your work will also be marked with respect to the grade related criteria for undergraduate programmes, which can be found below. Page | 3 Content (80%) • Demonstrate a detailed knowledge of the critical features of each voice disorder described, including the anatomical and physiological underpinnings of each disorder. • Analyse the information provided and formulate accurate expected case histories, vocal profiles and prognoses for each client. • Identify and select assessment tools as appropriate for each client’s expected voice history and vocal profile. • Identify and select intervention and management strategies as appropriate for each client’s diagnosis, voice history and vocal profile. • Demonstrate awareness of consent issues and the importance of negotiation in clinical practice. • Use referenced theory to support your clinical decision-making. Style (20%) • Adopt a clear ‘compare and contrast’ approach to describing the critical features and clinical management of each voice disorder. • Use a standard academic referencing system. • Access a variety of resources. • Present your work in a professional and organised manner. Page | 4 Grade Related Criteria for Undergraduate Programmes Class – Degree % Literary Description 1 Distinction 85- 100 Outstanding Work that demonstrates a comprehensive knowledge of the subject area and addresses the learning outcomes/assessment criteria in full. Where relevant, it will show evidence of independent reading, thinking and analysis. It will be well-constructed and demonstrate a professional approach to academic practice. It will be of a professional standard. 75- 84 Excellent Work that demonstrates strong knowledge of the subject area and addresses the learning outcomes/assessment criteria well. Where relevant, it will show evidence of wide and comprehensive reading. It will be clearly written and adhere 70 to the principles of good academic practice. - 74 Very good 2:1 Merit 67- 69 Good Work that demonstrates a sound level of knowledge of the subject area and makes a good attempt to address the learning outcomes/assessment criteria, realising all to some extent and most well. Where relevant, there will be evidence of thorough research of the topic(s). It will be well-structured and logically written and will demonstrate good academic practice. 64- 66 60- 63 2:2 Pass 57- 59 Fair Work that demonstrates knowledge of the subject area and attempts to address the learning outcomes/assessment criteria, realising all to some extent and some well but perhaps also including irrelevant or underdeveloped material. Where relevant, answers will provide some evidence of analysis but may be largely descriptive. It will have structure but this may not always be clear. Attempts to demonstrate academic practice will be evident. 54- 56 50- 53 3 Pass 47- 49 Satisfactory Work that demonstrates basic knowledge of the subject area and provides some level of response to the learning outcomes/assessment criteria but only realises these outcomes and criteria to some extent and may not include important elements or information that is completely accurate. Where relevant, development of ideas is limited. Expression and structure will lack clarity and evidence of academic practice will be limited. 44- 46 40- 43 Fail 37- 39 Poor Unsatisfactory work that demonstrates very limited knowledge of the subject area and does not succeed in grasping the key issues. Learning outcomes/assessment criteria will not be realised. There will be no real development of ideas and few sources will be used or used correctly. Presentation is confused or lacks coherence. 34- 36 30- 33 Very poor Work that demonstrates no real knowledge of the subject area and which demonstrates a totally inadequate attempt to address the learning outcomes/assessment criteria. No 15- critical ability will be displayed. 30 0-15 Page | 5