This image and set of questions was designed as a tool to target following directions. It was intended to be used in assessing language for preschool and elementary school aged children.
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Previous TC International Trip Blogs
Below are blogs and ASHA features from past international trips:
2015
Colombia and Ecuador
http://edblogs.columbia.edu/leadersproject/2015/05/18/an-unforgettable-experience
Ethiopia
https://slptcethiopia2015.wordpress.com
http://blog.asha.org/2015/01/
Exciting Evaluations
Today we had the opportunity to hear from a surgeon on how cleft lip and palate surgery are completed. We learned about pharyngeal flap surgery and how an orticochea is made. He also talked about how it can be beneficial to use a nasoendscopy to see the client’s velopharyngeal closure and to see if a primary or secondary surgery is needed. Afterwards, Dr. Crowley and the rest of our supervisors led a class on conducting initial evaluations on a patient with cleft palate. Key components to an evaluation include building rapport, incorporating an oral peripheral exam to identify the structures or pathology that may be affecting speech, and identifying the sounds that the client has difficulty producing. Then, each clinician had the chance to practice the technique that they had learned earlier in a case study scenario.
Segunda parte de la misión
We arrived safely in Quito, Ecuador yesterday and spent the afternoon exploring artisan markets and “la mitad del mundo.” We were excited to arrive in Ecuador to share the knowledge we gained in Neiva, Colombia with speech pathologists from Ecuador and Peru.
Passing the Baton
Our time in Neiva passed so quickly! Our last day was truly a memorable one filled with many tearful goodbyes.

An Unforgettable Experience
Being in Colombia has given us the opportunity to witness the impact that parent training has on children with cleft palate speech. We have been providing parents with strategies and techniques to practice with their children at home. Within a few days, we have been able to see great improvements on many of our clients. Their motivation and commitment has been inspiring to us all.
A Lesson About Love
Of all of the things that we have seen, love is by far the most prominent. From parents who travel 4-5 hours one way to come to therapy each day, to parents who are fostering children with extremely involved exceptionalities, to the kids sitting still for, at times, over an hour and working at home later for hours longer, there is the strongest sense of intense love. It would be an understatement to say we love what we do, or to say that it is an honor to be in this place at this time.
Prepping for Palates and Parents
May 16, 2015
After working ten hours yesterday, including collaborating with doctors and other professionals to determine whether the clients needed secondary surgery, we were ready to get started on therapy today. We determined that some of the clients were better candidates for therapy to see if it would improve their speech and others were recommended for speech to improve tongue placement before surgery. We decided on preemptive therapy so the clients would be prepared after their surgery. We saw clients with Velocardialfacial Syndrome and Treacher Collins as well as various degrees clefts and repaired clefts.