Msd Case Studies

Using the given case study of the patient Jenny, this essay will describe the characteristics of a motor speech disorder (MSD), provide an educated hypothesis based on the existing case information, outline the importance for differential diagnosis and devise an appropriate evidence-based assessment plan with a detailed rationale. Furthermore, the assessment plan has been developed in accordance with the World Health Organisation’s International Classification of Functioning, Disability and Health (known as ‘WHO-ICF domains’).

As Jenny is presenting with ‘slowed and slurred speech’, it is likely that she is exhibiting signs of a MSD. Duffy (2013) states that MSDs are a group of speech disorders that can alter the body’s ability to speak naturally.

In doing so, this differential diagnosis will allow for more accurate documentation of the exact signs and symptoms being experienced. By extension, this differential diagnosis becomes equally crucial in influencing additional treatment options (Yorkston, Beukelman, Strand, & Bell, 1999). It should be noted, however, that the importance of a differential diagnosis lies mostly in the initial consultation and clinical examination as it allows for a more accurate evaluation towards further testing and assessment (Duffy, 2013).

Based on the case information provided, the following assessments will be conducted then accompanied with further rationalisation. Initial assessments should include obtaining a detailed case history from the patient, conducting an Oral-Motor Facial examination (OMAx), conducting the Frenchay Dysarthria Assessment (FDA-2), and gauging the patient’s place on the American Speech and Hearing Association Quality of Communication Life scale

This includes an analysis of the patient’s communication abilities, relationships, social interactions, and participation in social, occupational, educational, and leisure activities, as well as an evaluation of their overall quality of life (Paul et al., 2004). This assessment is especially useful as the client’s personal insight into their communicative abilities is afforded some weight. In this way, their perceptions of their condition become key features of the ASHA-QCL, and in being so, fulfil the WHO-ICF framework of classification domains. In turn, this will be a useful tool for the clinician, as there have been numerous communication difficulties reported by Jenny such as her slurred speech and unpredictable