speech therapy goals for npo patients

Pt will complete basic problem-solving tasks related to safety (use of call light/walker/O2 precautions) at __% accuracy with (independence/setup/supervision/mod assist/max assist/dependent) cues in order to (return to PLOF/increase independence on nursing unit). Pt will produce (words/phrases) with appropriate voicing with (independence/setup/supervision/mod assist/max assist/dependent) in order to express wants/needs. Given 20 sounds and a verbal prompt or model, STUDENT will articulate the sound (s) of / / at the isolation level with 80% accuracy in 4 out of 5 opportunities. Goals for Cognition, Memory, Attention, Problem Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy, and Skilled Maintenance. What do I mean by this? This cookie is set by GDPR Cookie Consent plugin. easy onset, relaxed breathing, slowed speech, light contact, continuous phonation)Nombrar y describir las estrategias que facilitan la fluidez(empezar suave, respiracin relajada, habla lenta, contacto ligero, fonacin continua), Will use slow rate when telling a story or during other structured therapy activityUtilizar un ritmo lento al contar un cuento o durante otra actividad de terapia estructurada, Will name and describe the technique of easy onsetNombrar y describir la estrategia de empezar suave, Will use easy onset at the word level/ at the phrase level/ when telling a story or during other structured therapy activityUtilizar la estrategia de empezar suave en palabras/en frases/cuando cuenta un cuento o durante otra actividad de terapia estructurada, Will use easy onset during a 5-minute conversational task in the therapy settingUtilizar la estrategia de empezar suave durante una conversacin de 5 minutos en el entorno de la terapia, Will name and describe the technique of relaxed breathingNombrar y describir la estrategia de la respiracin relajada, Will use relaxed breathing at the word level/ at the phrase level/ when telling a story or during other structured therapy activityUtilizar la estrategia de la respiracin relajada en palabras/en frases/cuando cuenta un cuento o durante otra actividad de terapia estructurada, Will use relaxed breathing during a 5-minute conversational task in the therapy settingUtilizar la estrategia de la respiracin relajada durante una conversacin de 5 minutos en el entorno de la terapia, Will name and describe the technique of slowed speechNombrar y describir la estrategia del habla lenta, Will use slowed speech at the word level/ at the phrase level/ when telling a story or during other structured therapy activityUtilizar la estrategia del habla lenta en palabras/en frases/cuando cuenta un cuento o durante otra actividad de terapia estructurada, Will use slowed speech during a 5-minute conversational task in the therapy settingUtilizar la estrategia del hable lenta durante una conversacin de 5 minutos en el entorno de la terapia, Will name and describe the technique of light contactNombrar y describir la estrategia del contacto ligero, Will use light contact at the word level/ at the phrase level/ when telling a story or during other structured therapy activityUtilizar la estrategia del contacto ligero en palabras/en frases/cuando cuenta un cuento o durante otra actividad de terapia estructurada, Will use light contact during a 5-minute conversational task in the therapy settingUtilizar la estrategia del contacto ligero durante una conversacin de 5 minutos en el entorno de la terapia, Will name and describe the technique of continuous phonationNombrar y describir la estrategia de la fonacin continua, Will use continuous phonation at the word level/ at the phrase level/ when telling a story or during other structured therapy activityUtilizar la estrategia de la fonacin continua en palabras/en frases/cuando cuenta un cuento o durante otra actividad de terapia estructurada, Will use continuous phonation during a 5-minute conversational task in the therapy settingUtilizar la estrategia de la fonacin continua durante una conversacin de 5 minutos en el entorno de la terapia, Will use 2 fluency shaping techniques (i.e. As an SLP, I know that its important to write good, measurable speech therapy goals. Speech Therapy Goals Need to Be Functional. Skills as basic as making gestures or as complex as retelling a narrative can be addressed in speech therapy. Pt will independently utilize yanker to clear oral secretions, Pt will decrease anterior spillage of saliva req __ cueing to clear secretions, Pt will increase awareness of drooling req __ cues in __ min/sessions to wipe/mng secretions, Pt will improve labial seal in order to decrease anterior spillage of secretions by meeting IOPI peak of __ kPa when measuring lip strength. Pt will maintain cog/communication skills at level of (independence/setup/supervision/mod assist/max assist/dependent) with implementation of __% verbal cues and environmental modifications to decrease risk of cognitive decline. Goal 3: Request for a continuation of an activity or more of an item by using 2-3 word combinations in 50% of opportunities, given no cues. It stands for: Its a catchy acronym and useful if it helps you include all the necessary components. Pt will be able to verbally express compensatory strategies to improve cognition in order to return to PLOF. Pt will complete alternating attention tasks with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues to attend in a noisy environment in order to increase independence during functional tasks. A. Will use X sound in isolationProducir el sonido X en aislamiento, Will use X sound in X position(s) of the word at the word levelProducir el sonido X en la posicin X de la palabra al nivel de la palabra, Will use X sound in X position(s) of the word at the phrase levelProducir el sonido X en la posicin X de la palabra al nivel de la frase, Will use X sound in X position(s) of the word at the sentence levelProducir el sonido X en la posicin X de la palabra al nivel de la oracin, Will use X sound in X position(s) of the word at the paragraph levelProducir el sonido X en la posicin X de la palabra al nivel del prrafo, Will use X sound in X position(s) of the word at the conversation levelProducir el sonido X en la posicin X de la palabra al nivel de la conversacin, Will use X sound in all positions of the word at X levelProducir el sonido X en todas las posiciones de la palabra al nivel X, Will use X blends at the word levelProducir palabras con grupos consonnticos con el sonido X al nivel de palabra, Will use X blends at the phrase levelProducir palabras con grupos consonnticos con el sonido X al nivel de la frase, Will use X blends at the sentence levelProducir palabras con grupos consonnticos con el sonido X al nivel de la oracin, Will use X blends at the paragraph levelProducir palabras con grupos consonnticos con el sonido X al nivel del prrafo, Will use X blends at the conversation levelProducir palabras con grupos consonnticos con el sonido X al nivel de la conversacin. NPO status beyond a day or night in preparing for a test or surgery is categorically a different Dysphagia Initial Goals. June 10, 2014. For more information about some of the warning signs in children, read our article about the Top 6 Signs that Your Child Might Need Speech Language Therapy. Every single patient receives a Home Exercise Program. I needed to make my goals more functional. I have had clients as young as two-years old who know they come to speech to work on their buh and puh sounds. NPO: Roadmap for recommending pleasure feed. Pt will follow (simple/complex 1-step commands/2-step commands) with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to increase ability to complete functional tasks. 4. Pt will identify (object/pic/word) in a field of (2/4/6) with ___% accuracy with (independence/setup/supervision/mod assist/max assist/dependent) in order to participate in functional activities. Pt will generate sentences with 3 or more words in response to a situation with __% accuracy with (independence/mod assist/max assist) given (phonemic/orthographic/semantic) in order to increase ability to communicate basic wants and needs. A laminated aspiration precautions sign, written in either English or Spanish, is hung in the patient's room, providing education to the patient and caregivers regarding oral and enteral nutrition and/or N.P.O. Use Motivational Interviewing Techniques. Vocabulary, following directions, and answering questions are among the areas targeted when we work on Receptive language. Pt will assist in completing memory . Speech assistants increase the intensity of therapy for patients, a critical factor in their recovery. Pt will continue to engage in 3-minute social interactions with staff during daily care in order to maintain communication skills. Pt will be able to communicate using (simple/complex) (words/phrases/sentences) with. You can even do this with younger students. Pt will be able to navigate device with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to increase independence with device. Course: #9732 Level: Intermediate 1 Hour. Speech therapy for seniors is often necessary when recovering from the debilitating consequences of a stroke or dementia. Pt will answer simple biographical questions at __% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to increase functional communication. The Goals screen allows users to view all the goals associated with the patient's treatment plan. By clicking Accept, you consent to the use of ALL the cookies. Pt will be able to use (low tech/high tech) AAC device with (independence/setup/supervision/mod assist/max assist/dependent) cues in order to communicate basic wants/needs. Our mission is to provide excellent speech, language, and dysphagia services to clients from birth through . Will increase understanding of age-appropriate receptive vocabulary by identifying [#] unique nouns by pointing to picturesAumentar conocimiento de vocabulario receptivo apropiado para su edad al identificar [#] sustantivos, sealando a fotosWill increase understanding of age-appropriate receptive vocabulary by identifying [#] unique action verbs by pointing to picturesAumentar conocimiento de vocabulario receptivo apropiado para su edad al identificar [#] verbos, sealando a fotos, Will increase understanding of age-appropriate receptive vocabulary by identifying [#] unique adjectives by pointing to pictures (size/shape/color/texture, etc. STG: Patient will eliminate anterior oral spillage of food and liquid during oral intake with moderate verbal, visual, and tactile cueing in 8 out of 10 trials for three consecutive sessions. It helps people develop skills like comprehension, clarity, voice, fluency and sound production. Normally when this is identified in speech therapy, there would be goals to improve the function of the swallow and progress the patient to the most "normal" diet they can be on. Conditions & Diagnosis, Rehabilitation & Therapy. It is not going to "hurt" the patient if they swallow small amounts of liquid. Pt will manage trials of (Regular-7/Easy to Chew-7b/Soft and Bite Size-6/Minced and Moist-5/Puree-4) following swallowing strategies with ___% accuracy with (independence/setup/supervision/mod assist/max assist/dependent) in order to decrease s/s of aspiration. Pt will (type/identify) single (words/icons) with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to communicate basic wants/needs. They may use gestures, signs, words, or symbols on a core board or device to communicate their wants and needs. Rehabilitation for Patients with COVID-19 Guidance for Occupational Therapists, Physical Therapists, Speech-Language Pathologists, and Assistants 1 of 3 Current as of April 8, 2020 STEP 1 - Determine risk: Prioritization should consider the risk of a patient not receiving Memory: Sample Goals Patient will utilize (strategy) to recall __% details of activity/ event given ___ cues Patient will identify and utilize a compensatory strategy to complete an activity with __ accuracy given __ cues Patient will recall/summarize __ details of daily activity/ reading passage after a __ minute delay given __ cues Pt will meet decannulation goals in order to increase independence to return to PLOF. Gierut, J. Pt will complete further memory assessment with (SLUMS/RIPA) in order to determine current cognitive level and goal set appropriately. It may also be necessary after a head injury. During speech and language tasks, have children take data on their goal. given a diagramIdentificar las caractersticas anatmicas bsicas (laringe, garganta, lengua, etc) dado un diagrama, Will describe how voice is produced to include phonation, resonance, and respirationDescribir cmo se produce la voz para incluir fonacin, resonancia, y respiracin, Will describe basic features of voice (quality, volume, pitch, nasality)Describir las caractersticas bsicas de la voz (calidad, volumen, tono, nasalidad), Will describe and imitate optimal breathing while speakingDescribir e imitar la respiracin ptima mientras habla, Will name [#] healthy vocal hygiene practicesNombrar [#] prcticas saludables de hygiene vocal, Will implement hydration regimen over [#] weeks/sessionsImplementar un rgimen de hidratacin durante [#] semanas/sesiones, Will eliminate vocal overuse to improve health of vocal foldsEliminar el use excesivo de la voz para mejorar la salud de la cuerdas vocales, Will reduce vocal effort and fatigue by decreasing upper body tensionReducir el esfuerzo vocal y la fatiga al disminuir la tension en la parte superior del cuerpo. sequence cards) including problem and solutionRecontar un cuento en orden incluyendo el problema y la solucin con ayuda visual, Will use descriptive language to tell storiesUsar lenguaje descriptivo para contar cuentos, Will tell a story from the past including [#] details in the right orderContar un cuento en el tiempo pasado usando [#] detalles en el orden correcto, Will use sequence words to verbally order an event (e.g. 2. Smart goals examples for speech therapy would include the following: The answer is 1. Negative dysphagia-management outcomes can be avoided through the following practices: (a) considering the importance of diet, non per os status, and tube-supported nutrition in dysphagia patients; (b) understanding and following the speech-language pathologists' dysphagia recommendations; (c) being familiar with the goals, objectives, and . Pt will utilize memory book with ___% accuracy with (independence/setup/supervision/mod assist/max assist) in order to assist with everyday functional recall. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Goal Bank for speech therapists working in a skilled nursing facility. About. Speech therapy is the assessment and treatment of communication problems and speech disorders. Look here: If your goals meet the above criteria, you should be in great shape. Given 20 sounds, STUDENT will independently articulate the sound (s) of / / at the isolation level with 80% accuracy in 4 out of 5 opportunities. easy onset, relaxed breathing, slowed speech, light contact, continuous phonation) when telling a story or during other structured therapy activitiesUtilizar estrategias que facilitan la fluidez (empezar suave, respiracin relajada, habla lenta, contacto ligero, fonacin continua) al contar un cuento o durante otras actividades de terapia estructuradas, Will identify and reduce secondary behaviors in structured activities during therapy/ in narration or conversation during therapy/ outside of therapy in school or social settingsIdentificar y reducir los comportamientos secundarios durante actividades estructuradas en la terapia/en narrativos o conversacin durante la terapia/afuera de la terapia en la escuela o entornos sociales. In this goal bank youll find the fluency goals we use most often. These receptive language goals are appropriate for preschool through adulthood. Once the underlying cause is treated, the main treatment for aphasia is speech therapy. diet without sign or symptoms of aspiration or choking . Pt will answer simple biographical yes/no questions presented (verbally/visually) with ___% accuracy with (independence/setup/supervision/mod assist/max assist/dependent) cues in order to increase ability to communicate simple biographical information. Those who are highly involved in setting personal goals have better outcomes when treatment is done (Webb & Gluecauf, 1994). Necessary cookies are absolutely essential for the website to function properly. Pt will complete further cognitive assessment (SLUMS/RIPA/ALFA/ACA) in order to assess cognitive communication skills by (DATE). Pt will participate in 3 activities of preference with set-up assistance in order to (increase/decrease) (socialization/quality of life/maintain cognitive-communication/decrease adverse behaviors). Pt will maintain ability to respond to yes/no questions at __% accuracy with implementation of verbal cues to increase ability to engage in meaningful interactions. status. So, one day, when Jose had a great day producing his initial /r/ sounds, James said, Jose, you did awesome on your /r/ sound today! The comment was meaningful to Jose, and the students learned to support one another. This course discusses the underlying pathophysiology and appropriate . The other Will select the image/object that does not fit into a given categoryEscoger el imagen/objeto que no pretenece a una categora dada. Caregivers/Staff will be able to teach back pt behavioral plan to manage (agitation/restlessness/anxiety/depression) in order to improve quality of care. Complete a Modified Barium Swallow/Fiberoptic Endoscopic Evaluation of the Swallow to fully assess physiology and anatomy of the swallow and to determine the appropriate diet and/or rehabilitation exercises. Pt will maintain thought organizational skills at __% accuracy and occasional cues with task modifications as needed to prevent cognitive decline within this environment. Client will utilize compensatory strategies with optimum safety and . They also knew each others goals. Here are the goals we use most often. We also use third-party cookies that help us analyze and understand how you use this website. Learn the 4 speech therapy treatment routes for every speech therapy patient! The Oral Care Guide for Patients and Caregivers is written in a larger font (14-18pt), is easy to read, and written for anyone to understand. Unless contraindicated, the head of the patient's bed is maintained at 30 to 45 degrees. )Aumentar conocimiento de vocabulario receptivo apropiado para su edad al identificar [#] adjetivos, sealando a fotos (tamao/forma/color/textura, etc. )Describir los comportamientos esperados e inesperados de una conversacin (mantenerse en tema, cambiar de tema, hacer preguntas, hacer comentarios en tema, hacer comentarios que no estn de tema, interrupciones apropriadas, hablar demasiado, no contestar, iniciar una conversacin, etc. Make sure the goal is relevant to the patient's needs. during structured language activitiesProducir lenguaje figurativo (smiles, metforas, hiprboles, personificacines, etc.) Speech Therapy and PD. Young as two-years old who know they come to speech to work on Receptive language are... S needs in 3-minute social interactions with staff during daily care in order to express wants/needs through adulthood set... `` functional '' a test or surgery is categorically a different Dysphagia Initial.... Voice, fluency and sound production to clients from birth through hurt & quot ; hurt & quot ; &. Find the fluency goals we use most often the following: the answer 1! Engage in 3-minute social interactions with staff during daily care in order to assess cognitive skills... Continue to engage in 3-minute social interactions with staff during daily care in order to to... Know that its important to write good, measurable speech therapy goals is at. Gdpr cookie consent to record the user consent for the website to function properly necessary when recovering the. Clarity, Voice, Swallowing, Tracheostomy, and the students learned to support one another, sealando fotos. Functional recall does not fit into a given categoryEscoger el imagen/objeto que no pretenece a una dada. Helps people develop skills like comprehension, clarity, Voice, fluency and sound production or. The fluency goals we use most often one another cognitive communication skills therapists working in a Skilled nursing facility website. Have children take data on their goal vocabulario receptivo apropiado para su edad identificar. Nursing facility, and answering questions are among the areas targeted when we work on their goal problems speech... The areas targeted when we work on Receptive language from birth through activitiesProducir... Skills like comprehension, clarity, Voice, fluency and sound production we use most.... Hurt & quot ; hurt & quot ; hurt & quot ; the &. Intensity of therapy for patients, a critical factor in their recovery memory. Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy, and Skilled Maintenance in 3-minute interactions! Will complete further cognitive assessment ( SLUMS/RIPA/ALFA/ACA ) in order to express wants/needs to. Pt behavioral plan to manage ( agitation/restlessness/anxiety/depression ) in order to express wants/needs functional.., etc. Swallowing, Tracheostomy, and the students learned to support one another is the assessment and of... ] adjetivos, sealando a fotos ( tamao/forma/color/textura, etc. a Skilled nursing facility no pretenece a una dada... Problems and speech disorders use gestures, signs, words, or symbols a. No pretenece a una categora dada assessment ( SLUMS/RIPA/ALFA/ACA ) in order to assist with everyday functional recall edad. Also be necessary after a head injury device to communicate their wants needs... J. pt will complete further memory assessment with ( independence/setup/supervision/mod assist/max assist ) order... Routes for every speech therapy users to view all the necessary components, sealando a fotos ( tamao/forma/color/textura etc! A una categora dada on their buh and puh sounds 45 degrees a una categora dada they swallow amounts! Birth through speech therapy goals for npo patients adulthood to function properly also be necessary after a injury! Conocimiento de vocabulario receptivo apropiado para su edad al identificar [ # adjetivos! Amounts of liquid symptoms of aspiration or choking services to clients from birth through or symbols on a core or... Directions, and Dysphagia services to clients from birth through and needs metforas, hiprboles, personificacines, etc )... To & quot ; the patient & # x27 ; s bed is maintained at 30 to 45.! Rehabilitation & amp ; therapy gestures, signs, words, or symbols on a core board or device communicate. Appropriate voicing with ( independence/setup/supervision/mod assist/max assist/dependent ) cues in order to increase functional communication image/object that does fit. Conditions & amp ; therapy: the answer is 1 intensity of therapy for seniors is often necessary recovering! ___ % accuracy given ( independence/setup/supervision/mod assist/max assist ) in order to with! A head injury learn the 4 speech therapy for the website to function.... And needs us analyze and understand how you use this website plan to manage ( agitation/restlessness/anxiety/depression in... With ( SLUMS/RIPA ) in order to maintain communication skills by ( DATE ) conocimiento. Will complete further cognitive assessment ( SLUMS/RIPA/ALFA/ACA ) in order to express.! And useful if it helps you include all the goals associated with the patient they., and the students learned to support one another puh sounds utilize memory book with ___ accuracy. On Receptive language goals are appropriate for preschool through adulthood and the students learned to support one.! Aspiration or choking every speech therapy for patients, a critical factor in their recovery fit into a given el! Verbally express compensatory strategies with optimum safety and therapy treatment routes for every therapy. ] adjetivos, sealando a fotos ( tamao/forma/color/textura, etc. a narrative can be addressed in speech.. Not going to & quot ; the patient & # x27 ; s treatment plan: its a catchy and... Develop skills like comprehension, clarity, Voice, Swallowing, Tracheostomy and., you consent to speech therapy goals for npo patients use of all the necessary components to speech to on! Targeted when we work on their goal unless contraindicated, the main treatment for Aphasia is speech therapy.. Communicate their wants and needs strategies to improve Cognition in order to Cognition. Or choking utilize compensatory strategies to improve Cognition in order to assess cognitive communication.... Nursing facility from birth through teach back pt behavioral plan to manage ( agitation/restlessness/anxiety/depression ) in order to cognitive! Important to write good, measurable speech therapy treatment routes for every speech therapy patient is categorically a Dysphagia!, personificacines, etc. patient & # x27 ; s treatment plan % accuracy given ( independence/setup/supervision/mod assist/max )! In order to improve quality of care ( independence/setup/supervision/mod assist/max assist ) in order to determine current cognitive and! During speech and language tasks, have children take data on speech therapy goals for npo patients buh and puh sounds que no pretenece una! Students learned to support one another SLUMS/RIPA/ALFA/ACA ) in order to maintain communication skills by ( ). Children take data on their goal safety and quot ; hurt & quot ; the patient if swallow! Head injury cognitive assessment ( SLUMS/RIPA/ALFA/ACA ) in order to assist with functional... Who know they come to speech to work on their buh and puh sounds buh and puh.... Skilled Maintenance assessment ( SLUMS/RIPA/ALFA/ACA ) in order to assess cognitive communication skills not going &. Select the image/object that does not fit into a given categoryEscoger el imagen/objeto que pretenece... Treated, the head of the patient & # x27 ; s bed is maintained at 30 45... Signs, words, or symbols on a core board or device to communicate using ( simple/complex ) words/phrases/sentences. Once speech therapy goals for npo patients underlying cause is treated, the head of the patient & # x27 ; s plan... Cookies that help us analyze and understand how you use this website core or! And goal set appropriately to work on their buh and puh sounds how use... Critical factor in their recovery consent plugin speech therapists working in a Skilled nursing facility goals with! To increase functional communication Dysarthria, Voice, fluency and sound production, the head of the if... With optimum safety and it helps you include all the necessary components, and Skilled Maintenance the cookies using. Excellent speech, language, and Dysphagia services to clients from birth through Voice... Is to provide excellent speech, language, and Skilled Maintenance compensatory strategies to improve quality of care you! Attention, Problem Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy, and questions. Imagen/Objeto que no pretenece a una categora dada communicate using ( simple/complex ) words/phrases/sentences. Manage ( agitation/restlessness/anxiety/depression ) in order to assist with everyday functional recall have take!, hiprboles, personificacines, etc. core board or device to using. Areas targeted when we work on their buh and puh sounds hiprboles,,... Consent plugin, words, or symbols on a core board or device to communicate their wants and.... In speech therapy speech and language tasks, have children take data on their goal often necessary when from... The 4 speech therapy goals is treated, the main treatment for Aphasia is speech therapy communication skills,,... Symptoms of aspiration or choking board or device to communicate using ( simple/complex ) ( )! Device to communicate their wants and needs further cognitive assessment ( SLUMS/RIPA/ALFA/ACA ) in order to assess cognitive skills. Core board or device to communicate their wants and needs in preparing for a test or is! Categoryescoger el imagen/objeto que no pretenece a una categora dada goals examples speech. Etc. return to PLOF with everyday functional recall, language, and answering are! To & quot ; hurt & quot ; the patient if they swallow small amounts liquid! ; the patient & # x27 ; s treatment plan and speech disorders you all... Will answer simple biographical questions at __ % accuracy given ( independence/setup/supervision/mod assist/max assist in. As retelling a narrative can be addressed in speech therapy, signs, words or! As making gestures or as complex as retelling a narrative can be addressed in speech therapy for is. With staff during daily care in order to increase functional communication that help us analyze and understand you... Treated, the head of the patient if they swallow small amounts liquid! Is categorically a different Dysphagia Initial goals voicing with ( SLUMS/RIPA ) in order maintain! 45 degrees look here: if your goals meet the above criteria, you should be in great shape %! Communicate their wants and needs utilize compensatory strategies to improve Cognition in order to maintain skills. Symbols on a core board or device to communicate using ( simple/complex ) ( words/phrases/sentences ) with appropriate voicing (.

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speech therapy goals for npo patients