FI LOGOPEDIC

DATA INTRRII N GRDINI: _______________________________

DATA NCEPERII CORECTRII: _______________________________
I.DATE GENERALE:
Numele i prenumele____________________________data naterii__________
domiciliul_____________str.__________________nr.___et.____ap.___tel.___________
II.ANAMNEZA FAMILIAL:
TATA_____________________vrsta___________studii_________________________
locul de munc_______________________________funcia_______________________
MAMA____________________vrsta___________studii_________________________
locul de munc_______________________________funcia_______________________
TIPUL DE FAMILIE______________________________________________________
STRUCTURA FAMILIEI_____________________________RANGUL_____________
BOLI___________________________________________________________________
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ATITUDINEA PRINILOR FA DE LIMBAJUL COPIILOR__________________
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STIMULAREA SOCIAL I LINGVISTIC__________________________________
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III.ANAMNEZA PERSONAL
Sarcina____________________natere___________________apgar_____greutate_____
boli____________________________________________________________________
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tratamente_______________________________________________________________
alimentaia_______________________________ridic capul_______merge susinut____
_________merge independent_____________controlul sfincterian__________________
IV.EXAMENE MEDICALE
PEDIATRIE_____________________________________________________________
O.R.L.FONIATRIE_______________________________________________________
OFTALMOLOGIE________________________________________________________
STOMATOLOGIE________________________________________________________
NEURO-PSIHIATRIE_____________________________________________________
ENDOCRINOLOGIE______________________________________________________
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V. EXAMENE PSIHOLOGICE
INTELECT______________________________________________________________
MEMORIA______________________________________________________________
ATENIA_______________________________________________________________
AFECTIVITATEA________________________________________________________
SCHEMA CORPORAL___________________________________________________
ORGANIZAREA SPAIAL_______________________________________________
ORGANIZAREA TEMPORAL____________________________________________
LATERALITATEA:mna___________picior__________ochi_______ureche_________
COMPORTAMENTUL____________________________________________________
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VI. ALTE PARTICULARITI
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VII. EVOLUIA VORBIRII
Gnguritul________lalaiunea__________primul cuvnt___________prima propozitie__
______ritmul vorbirii_________limba matern___________________limba mediului
nconjurtor_________________________________atitudinea copilului fa de voirbire_
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VIII. EXAMEN ANATOMO-FUNCIONAL AL APARATULUI FONOARTICULAR
1.Malformaii____________________________________________________________
2.Sistemul labio-comisural__________________________________________________
3.Maxilar________________________________________________________________
4.Limba_________________________________________________________________
5.Palatul dur_____________________________________________________________
6.Palatul moale___________________________________________________________
7.Uvula_________________________________________________________________
8.Sistemul nazal__________________________________________________________
9.Deglutiia______________________________________________________________
10.Respiraia_____________________________________________________________
11.nelegerea vorbirii interlocutorului-acuitatea auditiv__________________________

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12.Recunoaterea i reproducerea sunetelor perechi______________________________
sunete izolate________________silabe ,cuvinte_________________________________
13.Autocontrolul auditiv_______________________confuzii______________________
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IX. EXAMENUL VORBIRII ARTICULATE

PROFILUL LOGOPEDIC AL VOCALELOR
I.EMISE________________________________________________________________
II.NECONSOLIDATE_____________________________________________________
III.NLOCUITE__________________________________________________________
IV.OMISE_______________________________________________________________
V.DEFORMATE_________________________________________________________
VI.NEEMISE____________________________________________________________
X. EXAMENUL LIMBAJULUI
VRSTA PSIHOLOGIC A LIMBAJULUI-VPL_______________________________
VORBIREA REFLECTAT________________________________________________
VORBIREA INDEPENDENT_____________________________________________
SUNETELE AFECTATE___________________________________________________
STRUCTURA GRAMATICAL____________________________________________
XI. DIAGNOSTIC LOGOPEDIC INIIAL____________________________
ACTUAL___________________________
FINAL_____________________________
XII. PROGNOZA__________________________________________________
XIII.OBIECTIVELE TERAPIEI LOGOPEDICE_______________________
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