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Identifying young children who need referral to a speech/language pathologist is difficult because of possible communication problems. The limited time available to a pediatric nurse or nurse practitioner further complicates referral decisions. Early identification is advisable, yet unnecessary referrals can be costly, both in time and money. Recent… (More)
Early identification of pediatric disfluency and voice disorders is advisable because these disorders may progress to lifelong communicative impairments if left untreated. Especially with disfluency or stuttering, it is critical that an informed differential diagnosis be made to determine whether a speech pattern represents normal disfluency or actual… (More)
Autism is a severe, multifaceted disorder of childhood that affects a large number of young children, causing social and communication disorders. Identification at a young age allows early treatment and the possibility of an improved outcome for these children and their families. This article reviews three screening instruments (Table 1): The Checklist for… (More)