Focus on your own competence and practice changes.
May include impact on client/services.

I have been able to confirm that my current practices are consistent with college guidelines and evidence-informed practice. I learned that my ability to diagnose ELL children was not very robust and I have started to make changes to this area of my practice which will see improved funding opportunities for my clients. My understanding of the complexity of assessing and diagnosing children who are ELL has improved.

I gained skills in identifying fluency disorders and I learned specific fluency shaping strategies. I also learned best-practice approaches for a variety of ages. Through these learnings, my confidence and understanding/knowledge have increased significantly. This will directly impact my clients as I will be able to implement better treatment approaches. In turn, this will improve my clients’ outcomes.

By completing jurisprudence, I had the opportunity to learn and review new and familiar information. I have been reminded how important it is to keep the safety of the public in my mind. I am reminded of the need to practice with the best interests of the client in mind, in an ethical manner, and in a competent way. I will strive to provide quality care and conduct myself in a professional respectful manner. My practice has been improved in that I now ensure I include families in the goal setting process. I am also checking in with my families to ensure my communication was clear and that they are able to understand what I have told them.

Through the year I gained a lot more hands-on experience using AAC and have become familiar with several different devices. I have learned specific activities and strategies. In addition, I am working on advocating for my clients by dispelling common myths. I completed a peer feedback this year and my peer’s comments have been extremely helpful in that some of my knowledge has been reinforced while some of her specific recommendations are yet to be incorporated. For example, I will need to focus on core vocabulary development. I will need to also ensure that I’m providing coaching to my assistants re incorporation of AAC into the child’s daily routines.

. . . I feel much more prepared for the possibility of having clients on my caseload who require AAC devices. I now have a basic understanding of AAC assessment, selection and intervention. Through my learnings this year, I am reminded of the importance of making sure children have many opportunities to observe effective use of an AAC system. I also need to change my practice to ensure I am frequently modeling proficient use of their AAC system and using appropriate strategies to support the child to use their device.

My skills and practice have been enhanced and client outcomes have been improved. More specifically, my learning has provided me with new evaluation and progress monitoring tools that will help identify where a child needs support. It has also provided me with new intervention ideas, strategies and materials. I have also learned several strategies to support child development in the classroom, which will foster the communication between myself and teachers.

This goal requires further attention in the coming year. Although some progress was made, it is far from achieved and requires additional thought and development. I have only scratched the surface of understanding the feeding/swallowing needs of this population and have noted that there continue to be gaps in service in some areas and duplications in others. I would like to better understand the nutritional needs of this population and will aim to liaise more with the dietitian when serving these patients.

What I learned this year was that despite the knowledge, resources and assistance I can provide to clients, they must be ready and willing to accept the intervention. One main benefit to my clients is that I understand and I have to maintain client centredness and provide them with options for their treatment that will meet their needs. It’s imperative to work at their pace. Working through the other members of the healthcare team has proved to be a good tactic – even though the client wasn’t ready to talk with me about their future decline (degenerative disorder), they were ready to speak with the nurse. This is important in that I need to remember to work with the full team in a concerted manner.

Before embarking on this learning, my understanding of this disorder area was limited. Although I knew I was on the right track, this learning has helped me refine my knowledge. I am now incorporating more appropriate stimuli in my treatment and am working with my support personnel to do the same. Although I am continuing to learn about this disorder area and appropriate treatments, I am now using more specific and tailored activities for my clients.

I have been able to refine my approach (including which activities and cues I use) and I now feel more confident in my ability to provide effective treatment in this area. Overall, I’ve improved my comfort and the learning I completed has enabled me to find efficiency in my planning. This will have a positive outcome on my clients as I’ll be able to spend less time on planning and more time in treatment and consultation.

My communication skills and my confidence in them have improved. The discussions with my supervisor helped me improve my ability to simplify and prioritize strategies for each patient. Overall, this learning helped me feel confident in discussing safe swallowing strategies with patients and nursing staff.

This learning has made me more confident in introducing and trialing different AAC methods to find the one best suited to the client. I also learned how to appropriately model the use of AAC to caregivers. My practice has changed in that I now look at introducing an AAC option right at the outset for children who are struggling to communicate