Wednesday, November 20, 2013

PROFORMA FOR CLEFT PALATE / KUNNAMPALLIL GEJO JOHN




PROFORMA FOR CLEFT PALATE


Name:                                                                                        No:                                                             Date:

Age/Gender:                                                                    Student clinician:                                                 Informant:

Mother tongue:

Chief complaint:

Onset/Nature of the problem:

Cleft type:

Birth History:

Pre-natal:

Peri-natal:

Post-natal:

Family History:

Feeding habits:


Vegetative skills:


Medical history:


Surgical history:
(a)      Repair of lip:

(b)     Repair of palate:

Other management:

(a)      Prosthodontic:

(b)     Orthodontic:

Developmental history:
1. Motor milestones:

                a) Head control:
                b) Turning over:
                c) Crawling:
                                d) Sitting with support:
                                e) Sitting without support:
                                f) Standing with support:
                                g) Standing without support:
                                h) Walking with support:
i) Walking without support:
                j) Bowel & bladder control:







2. Social development:
               a) Social smile:
               b) Recognition of mother:
               c) Discrimination of strangers:
               d) Solo play:
               e) Group play:


3. Sensory development: Hearing/ Sensory


4. Language development:
                a) Babbling:
                b) First word:
                c) Phrases & sentences:

Scholastic performance:


OSME:


Speech skills:
Respiration:

Phonation:

Articulation:

Resonation:                                                            normal/ mild/ moderate/ severe

Test administered:

Findings:

DDK:

Intelligibility rating:                                              3 point scale/ 5 point scale

(a)      Word level:

(b)     Sentence level:

Stimulability:                                                                                       Auditory/Visual/Kinesthetic

Rate of speech:

Prosody:


Language skills:
Speech and language stimulation at home:

Language exposed to:


Comprehension:




Expression:




Language test Results:









Secondary language skills:
Reading:


Writing:


Provisional diagnosis:


Recommendation:





                                                                                                                                                          Signature of staff:

  KUNNAMPALLIL GEJO JOHN

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