Progress Report. Date: 12/18/ :15 PM Medical Record #: DOB: 10/17/1940 Account #: Patient Information

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1 Visits From SOC: Address: City, State, Zip: Occupation: Gender: Contact Person: 2 Primary Diagnosis: Other Diagnosis: 4614 Winstead Way Franklin, Tennessee Patient Information Healthcare - Medical & Dental Practitioners Male Mary Hester Onset Date 10/7/2008 8/3/2013 Code General Information Description Reason for Visit: ensure competency to practice medicine Subjective Comments: Greater affect demonstrated; occasionally emotional. Physician: Physician #: # of Approved Visits: Medicare #: Megan William, MD CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION MEMORY LOSS Has there been any changes to the patient's medications, allergies, operative procedures or diagnosis? Are you being threatened or hurt by anyone? Patient is making steady progress toward established goals: There has been adequate communication with all health care staff involved in the implementation of the Plan of Care: Patient / Caregiver continues to concur with proposed TX plan: Level of Patient/Caregiver's satisfaction with Therapy: Oral Motor / Speech Diadochokinetic Testing Reveals: Sequential Motion Rates: Slow Oral Motor Comments: Mild dysarthria and right facial droop have resolved. Language Exam Production of Spoken Language Oral Expression Characterized by: Pauses for word-finding; Use of interjections and filler words Improvement noted with: Increased formulation time Speech Language Pathology Page 1 of 5 Clinical Findings 10 B High

2 Production of Written Language Difficulty With: Handwriting; Mechanical aspects; Spelling Improvement noted with: Increased formulation time Language Exam Comments: Efficiency in both verbal and written production have significantly improved without obvious delays. Mechanical aspects of writing remain slightly limited by resolving right hemiparesis. Assessment of high level reading and written formulation skills revealed mild challenges with organization of written material for most efficient means of encoding. Cognitive-Communicative Exam Problems ted In Memory: Recent (hours- few days) Use of Compensatory Strategies: What Strategy? External memory aids (electronic devices) Deficits Significantly Impacted: New learning Cognitive-Communicative Exam Comments: Voice (Perceptual) Exam Oral Motor Voice Exam is normal in all aspects: Pitch: Monopitch Voice Comments: Further high level probes revealed mild challenges with organization of complex written material for efficient encoding. Retrieval of novel material occasionally delayed. Mild executive functioning challenges persist in error identification, though error correction is intact. Family report that vocal characteristics, including monotone speech pattern, are pre-existing. Lack of functional change in the presence of resolved dysarthria suggests this most likely reflects premorbid communication style. Standardized Tests Standardized Test: Boston Naming Test Third Edition 59/60 Standard Score Percentile Rank Age Equivalent Comments: Performance believed to be more commensurate with premorbid abilities. However, mild delays in retrieval persist with most complex stimuli. Standardized Test: Stroop Neuropsychological Screening Test 100 Standard Score Percentile Rank 48th Comments: <.01 probability of brain damage. Speech Language Pathology Page 2 of 5 Age Equivalent

3 Standardized Test: Word Fluency Measrue / FAS Standard Percentile Age 30 Score Rank Equivalent Comments: Initial performance fell SD from mean. Present performance reflects gains yet continues to reflect mild deficiencies in generative naming given expected language facility. (-1.2 SD) Standardized Test: The APT Test Comments: Divided attention performance now commensurate with other subtest scores, falling well within the mean. Impressions / Recommendations Diagnostic Impressions: Paitent exhibits ongoing, albeit improved, mild high level challenges in word retrieval and spelling.. Organization of complex novel written material for encoding is currently inadequate to stay current in professional field. Error identification is occasionally problematic and serves as greatest concern with regard to return to work. Functional Characteristics and Analysis Functional Characteristics and Analysis: Functional Goals; Short Term: Speech Language Pathology Page 3 of 5 Functional Goals Dr. Hester is a 65 year old full time practicing cardiologist with recent left lacunar infarct most likely precipitated by non-compliance with diabetes management. He now appears resolved to strict adherence to diet and medication recommendations and is working towards a goal of return to work. Though identified language and cognitive deficits remain mild in nature, (word retrieval, particularly in speeded generative naming contexts, spelling, new learning of complex written material and written error identification), given the nature of his employment, ensuring competency at a high level of functioning is of the utmost importance. Patient is also responsible for managing the care of adult child with severe disabilities. Given recovery to date and level of awareness and independent effort, progression to return to work is considered very good. Goals Comply with recommended medication regimen, safety restrictions and home programs independently. - Met Eliminate falls due to impulsivity or lack of compliance. - Met Read complex medical texts for one hour periods without perceived decline in performance (efficiency, comprehension). - Partially Met Identify and retain three key points from novel medical literature (auditory or written) following a one week delay without reference to original source with 90% success. - Partially Met Locate desired information from recently reviewed medical material with 95% accuracy and reasonable efficiency. - Met Consolidate multiple information sources (medical education / patient profiles) without interference or confabulation, using self-checking methods when necessary to ensure near 100% accuracy in retrieval. - Partially Met Spell medical terminology to dictation with 95% accuracy. - Met Retrieve medical terms from description and in context with minimal hesitation 90% of the time. - Met Write medical orders / prescriptions with reasonable efficiency and 100% accuracy. - Partially Met Evaluate all aspects of of functioning post-activity completion with 85% agreement with the clinician. - Partially Met Acknowledge potential consequences of errors and identify methods to eliminate in subsequent attempts with minimal clinician guidance. - Partially Met Anticipate the need for compensations based on task analysis prior to completion to minimize opportunity for error. - Met Develop reasonable return to work schedule and identify methods of supervision to ensure competency. - Met Identify 98% of errors in written products using self-imposed safeguards.

4 Functional Goals; Long Term: Use organizational cues to formulate encoding approach for lengthy novel written material given minimal guidance. Demonstrate safety awareness and judgement which promote recovery and minimize risk of injury. - Met Demonstrate the cognitive endurance to return to full time employment (40 hours) without compromise in cognitive functioning. - Partially Met Complete neuropsychological evaluation prior to work return to ensure necessary competencies and to fulfill employer / malpractice requirements. - t Met Exhibit complex memory processes free from confabulation and interference effects. - Met Demonstrate the capacity to comprehend and retrain large volumes of complex novel information with use of strategies. - Partially Met Retrieve and spell pertinent medical terminology (diagnoses,procedures and medications) with minimal hesitation and without error. - Partially Met Demonstrate functional writing skills to fulfill work demands with reasonable work efficiency. - Partially Met Exhibit full awareness of residual limitations, potential consequences and related compensations. - Partially Met Adjust activity level based on accurate self-assessment of functional performance. - Met Patient / Caregiver concurs with established treatment plan and goals: NOMS Functional Communication Measures Memory FCM Levels: LEVEL 5: The individual consistently requires minimal cues to recall or use external memory aids for complex and novel information. The individual consistently requires minimal cues to plan and follow through on complex future events (e.g., menu planning and meal preparation, planning a party, etc.). Spoken Language Expression FCM Levels: LEVEL 6: The individual is successfully able to communicate in most activities, but some limitations in spoken language are still apparent in vocational, avocational, and social activities. The individual rarely requires minimal cueing to frame complex sentences. The individual usually self-cues when encountering difficulty. Functional Limitation Reporting Memory G Memory functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals Current Status: CJ - At least 20 percent but less than 40 percent impaired, limited or restricted G Memory functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy Goal Status: CI - At least 1 percent but less than 20 percent impaired, limited or restricted G Memory functional limitation, discharge status at discharge from therapy/end of reporting on limitation Discharge Status: CI - At least 1 percent but less than 20 percent impaired, limited or restricted Other SLP Functional Limitation G Other speech language pathology functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals Current Status: CJ - At least 20 percent but less than 40 percent impaired, limited or restricted G Other speech language pathology functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy Goal Status: CI - At least 1 percent but less than 20 percent impaired, limited or restricted Functional Limitation Reporting Comments: Speech Language Pathology Page 4 of 5 Initially established Functional Limitation Reporting goal has been met. Secondary goal to address reading comprehension for encoding and error identification are now most relevant given degree of accuracy required for competent medical practice. - Interventions (CPT Code) Eval - Speech/Language/Voice/Communication/Auditory &/or Aural Rehab 92506

5 Speech/Hearing/Voice/Communication Therapy - Individual Cognitive Skill Development - Improve Attention, Memory, Problem Solving - Direct Contact Frequency of SLP: One time weekly Duration of SLP: 4 weeks Speech Language Pathology Page 5 of 5 8/8/2013 2:07:48 PM Wanda Webber, MS, CCC-SLP Date/Time State License #: