The purpose of the online quiz is to consolidate and challenge your knowledge of content covered in the first 4 weeks of the unit. This content focuses on the nature of feeding and swallowing conditions, bolus modifications, and clinical assessment of these conditions. The online quiz will include a range of question types, such as single choice, multiple choice, matching, short answer, true/false, etc. The online quiz accounts for 20% of the overall unit mark. This is a must-pass assessment task.

Quiz questions will include closed-type questions (e.g., multiple choice, matching) and short answer questions. Points assigned are identified for each question. You will attain points for questions answered correctly.

This written assessment task is based on a case study of a child with swallowing and feeding needs. The profile will include a case history, assessment results, and other pertinent clinical and personal information. As a speech pathologist working in a community private practice setting, you will need to review all of the information, analyse the assessment results, and complete the following three parts. Please note that the case study child you have been allocated will be provided on Moodle under the Assessment Tile.

Part A

• Write two long-term goals and four short-term goals using the SMART goal format. All goals must address the pertinent aspects of the case information and assessment results, demonstrating a clear understanding of child and family needs, and consideration of the child’s swallowing and feeding needs that impact on safety, nutrition, and hydration. 

Part B

• Choose two short-term goals from Part A and justify why your goals are appropriate for your allocated case study. Your justification should reference the case information, the assessment results, and evidence-based practice. 

Part C

• Addressing the two short-term goals that you did not choose in Part B, create one parent handout per short-term goal (two parent handouts in total). The purpose of each handout is to provide an informative resource to the parent/caregiver to support their child in achieving the identified short-term goal. The handouts should clearly outline the intervention procedure (i.e., positioning, environment, equipment, diet modification, exercises, parent education) that the parent/caregiver will utilise in the home environment. The handouts must use parent-friendly language and images and must be tailored to the specific needs of the case child, whilst also reflecting evidence-based practice.  

1. The first criterion focuses on your analysis and interpretation of case information to inform the development of appropriate and effective goals that align with evidence-based practice and client needs. This criterion is worth 20% of the case study grade.
2. The second criterion focuses on your clinical reasoning and justification of your chosen short-term goals, which connect the identified needs in the case information, assessment results, evidence-based practice, ethical considerations, and a holistic view of child and family needs. This criterion is worth 30% of the case study grade.
3. The third criterion focuses on your development of informative therapy resources that directly contribute to the achievement of the corresponding short-term goal, integrate evidence-based practice, and are customised to the family’s needs. This criterion is worth 35% of the case study grade.
4. The fourth criterion focuses on the quality of your writing including your use of appropriate writing style and conventions and use of APA-7 referencing. This criterion is worth 15% of the case study grade.

For this assessment task, you will be required to complete an objective structured clinical examination (OSCE) based on a clinical scenario of an adult with swallowing needs. This assessment task requires you to complete the OSCE in the role of a clinician. This OSCE includes preparatory time followed by 2 stations. Station 1 will include working with a simulated adult with swallowing needs. Each station of your OSCE is timed. A brief outline is provided below with additional details provided on Moodle.

The case information will be released in Moodle 24 hours prior to your OSCE start time. The case will provide assessment results and other clinical and personal information for an adult with swallowing needs. Prior to the start of the OSCE, you must analyse the provided information, and use clinical reasoning to:

• Choose 1 evidence-based rehabilitative intervention to help improve the strength/coordination/speed of the individual’s swallowing function,
• Choose 1 evidence-based compensatory intervention to help improve the safety and/or efficiency of the individual’s current swallowing function,
• Choose 1 alteration to food texture or liquid viscosity to help improve the safety and/or efficiency of the individual’s current swallowing function, and
• Create and print out a clinical record template that is maximum 2 pages long, which you will use in Station 1 to document by hand all procedures implemented and all outcomes achieved by the simulated individual.

STATION 1

Station 1 of the OSCE will be completed on campus at an assigned time that will be provided to you on Moodle two weeks prior. You should aim to arrive at least 15 minutes prior to the official assessment commencement time. In the extraordinary circumstance you are late, you will be permitted late entry to your assessment of up to 5 minutes after the official commencement time. The period of lateness will be deducted from your overall assessment time. If you are denied access to the assessment due to lateness (i.e., arriving beyond the permitted late entry period), you should make an online application for deferred assessment (which may or may not be granted in line with CQU policy). If your application for deferred assessment is denied, you will receive a score of zero percent (0%) for this assessment task but may be eligible for a supplementary assessment in line with CQU policy.

In Station 1, you will meet with a simulated adult with swallowing needs and will be required to:

• Effectively explain and demonstrate your chosen rehabilitative intervention,
• Effectively explain and demonstrate your chosen compensatory intervention,
• Effectively explain the rationale for the food texture or liquid viscosity modification* and clearly and accurately address any questions or concerns raised by the individual, and
• Document the individual's performance on the clinical record form you developed and printed. You do not need to complete all session documentation in Station 1 as you will have additional time in Station 2 for this purpose. However, you will find it helpful to at least partially document the individual's performance as it happens in Station 1.

* You are not required to demonstrate or explain methods to alter diet textures (e.g., how to thicken liquids, how to test IDDSI levels). You are only required to explain the rationale for changing the texture/viscosity.

You will have 20 minutes to complete Station 1, including time to address the individual's questions/concerns – be sure to allocate time to respond to questions and concerns when you are planning prior to the OSCE.  You do not need to use the full 20 minutes if you have effectively demonstrated all requirements in less time. You will be alerted when there are 5 minutes remaining. Station 1 will be stopped at the 20-minute mark, whether or not you have completed your teaching. You will only be marked on performance demonstrated up until the 20-minute mark. 

STATION 2

Station 2 of the OSCE will be completed immediately after Station 1. You will be required to:

• Use the clinical record form you developed to finish accurately and concisely documenting the procedures implemented and the outcomes achieved.

Station 2 will provide you with 5 minutes to finish filling in your clinical record form. You do not need to use the full 5 minutes if you have effectively documented all procedures and outcomes in less time. Station 2 of the OSCE will be stopped at the 5-minute mark, whether or not you have completed filling in your form. 

The only items you may bring into the OSCE room are:

• Any tools/materials/handouts required to support your demonstration and/or explanations (NOTE: If you require an item from the storage room, you must book it in advance by contacting the Unit Coordinator),
• The printed clinical record template you created (on which you will document the procedures and outcomes of the session), and
• A pen or pencil to document on the clinical record template.

The completed clinical record form and any handouts utilised during the OSCE must be handed in at the end of Station 2 of the OSCE. These form part of the marking criteria for this assessment.

There are 4 marking criteria that will be used to assess Assessment 3 for SPCH13010:

1. The first criterion focuses on how well your choices of rehabilitative and compensatory interventions and food/fluid modification are supported in the evidence and how well they map to the individual’s needs. This criterion is worth 25% of the OSCE grade.

2. The second criterion focuses on the accuracy of the rehabilitation and intervention procedures you teach and the person-centredness of your explanations/instructions/demonstrations. This criterion is worth 30% of the OSCE grade.

3. The third criterion focuses on the person-centredness of your explanation of the food/drink modification recommendation and how accurately and ethically you respond to the individual’s questions/concerns. This criterion is 30% of the OSCE grade. 

4. The fourth criterion focuses on the clarity and organization of the headings/sections in your clinical record template and the accuracy of the procedures and outcomes you documented within the template. This criterion is worth 15% of the OSCE grade.