About the Author

Acknowledgements

Preface

Genre 1: Journal Entries

Genre 2: PowerPoint

Genre 3: Referral Letter

Genre 4: Letter to Parent

Genre 5: I Am Poem

Genre 6: Webliography

Reflection

References

I Am Poem
By: client

I am five years old and mad
I wonder why I don't know what you are saying
I hear less than you think
I see your lips move
I want to know what you are saying
I am five years old and mad

I pretend that I know what you say
I feel the pain in my ear again
I touch my ear and rub it
I worry that the pain will never go away
I cry because it hurts
I am five years old and mad

I understand you sometimes, but if I don't...
I say that I do not understand you
I dream that one day I will
I try so hard to tell you
I hope that this therapy will help me
I am five years old and mad

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John Sutton
1049 N. Queen St.
Huntington, WV 25701
(304) 555-6879

April 13, 2002

Laura Kee
555 St. of Dreams
Huntington, WV 25703

RE: Ethan Taylor
DOB: March 17, 1997

Dear Ms. Kee,

Ethan Taylor is five years old and is scheduled to enter kindergarten this coming fall. His hearing was recently evaluated upon the request of his mother, Karen Taylor. Medical records obtained from Ethan's pediatrician, Dr. Edward Arnett, show a history of chronic otitis media. The first occurence was on August 20, 1997. Since then, there has been a reoccurence of three to four middle ear infections each year. The middle ear infections were treated with prescriptions of oral antibiotics, as well as eardrops. Treatments were given by Dr. Edward Arnett, and emergency room physicians, Dr. Nancy Stevens and Dr. Mark Sloan.

Pure-tone and bone conduction tests indicate a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in the left ear. Tympanometry results are Type B, flat.

Ethan has been diagnosed with a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in left ear.

Discussion with Mrs. Taylor and observations made about Ethan during the hearing evaluation raise concerns for Ethan's language. For this reason and because of Ethan's history of chronic otitis media, Ethan is being referred for a speech and language evaluation.

Please contact me with any questions or concerns.

Thank you,
John Sutton

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