Device Trial Baseline Proforma.pdf

Trial of SGD:Name & DOB of Client:Date: / /Summary of Baseline SkillsCommunicativeCompetence AreaObservationsLinguisticCompetencePrompt Questions to think about / record:- Range of language functions e.g. needs/wants, comments,asking/answering questions- Ability to construct messages – words, phrases, sentences?OperationalCompetencePrompt Questions to think about / record:- Ability to turn device on / off- Ability to navigate around the deviceSocial CompetencePrompt Questions to think about / record:- Range of communication partners device is used with- Ability to initiate interactions and independently access device- Ability to take turns using the device and maintain topics ofconversationStrategicCompetencePrompt Questions to think about / record:- Ability to repair mistakes / communication breakdowns- Awareness of- Ability to program the deviceBased on International Classification of Functioning (ICF) & model of ‘Communicative Competence’ by Janice Light 1989.

Activities & Participation for Use of DeviceEnvironment & Personal Factor ConsiderationsPrompt Questions to think about / record:- What opportunities throughout the dayare available for use of the device?- What opportunities does the personhave for interaction with others and howcould the device be used?Prompt Questions to think about / record:- What is the client’s motivation andattitude to the device?- How do significant others feel about thedevice? e.g. family members, carers,teachers, work colleagues etc- What support is available forprogramming of the device?Based on International Classification of Functioning (ICF) & model of ‘Communicative Competence’ by Janice Light 1989.