2.08: A.R. for Adults w/ HL, Outcome Measures Flashcards
The main goal of AR Programs for Adults
Influencing patients to begin living life as a person with a hearing impairment, not as a hearing impaired person.
Adult Audiologic Rehabilitation is, “any (list 5 things) which lessens the communicative and psychosocial consequences of a hearing loss”
Device, procedure, information, interaction, therapy
A ________________ only paradigm does not go deep enough in helping patients thrive.
Device
In audiologic rehabilitation, sensory management refers to what?
HL Assessment and fitting of hearing aids
What are the “roots” of audiologic rehabilitation, or the things that are necessary in helping our patients thrive?
ALDs AR Communication Training Psychosocial Counseling Family Support
What are the steps needed for a patient to achieve their view of living well? (6)
Sensory Management Psychosocial Counseling Communication Training Communication with Family Participating in the Community Advocacy
What are the 6 steps to Audiologic Rehabilitation?
Assessment Information Counseling Development of a Plan Implementation Outcome Assessment Follow Up
In which AR step is hearing loss identified and individual factors determined?
Assessment
In which AR step does the AR facilitator provide guidance and evidence-based answers to the patient’s questions?
Information Counseling
What should we ask the patient during the Information counseling step?
“What questions do you have for me? What do you hope to gain from me?”
In which AR step are goals and objectives set?
Development of a Plan
What are the 2 Patient-Centered assessment tools?
COSI (Client Oriented Scale of Improvement)
SAC, SOAC (Self-Assessment of Communication, Significant Other Assessment of Communication)
In what step to AR are devices fitted and does the use of ALDs begin?
Implementation
In what AR step does follow-up, auditory/speechreading training and counseling happen?
Implementation
During what AR step are measurements of performance and benefit taken?
Outcome Assessment
What objective measurements are taken during outcome assessment?
Real Ear Measurements
Audiogram with HA/CI in use
Hearing in Noise Testing
Patient Questioning
What subjective measurements are taken during outcome assessment?
SADL (Satisfaction with Amplification in Daily Life)
APHAB (Abbreviated Profile of Hearing Aid Benefit)
COSI (Client Oriented Scale of Improvement)
In what AR step are new hearing-related difficulties addressed?
Follow Up
T/F: The use of hearing aids can affect HRQoL.
True.
What is HRQoL?
Health Related Quality of Life
Studies have shown that the use of __________ improves _______________ and can lead to the reduction of __________ , ____________, and ________________ effects of SNHL.
Hearing Aids; HRQoL, psychological, social, emotional
Quality of life changes won’t happen with a ___________-_________ approach to AR.
device-only
What percentage of people 70 years and older with a hearing problem wear a hearing aid?
34%
What are some emotional consequences of untreated hearing loss?
Sadness/Depression
Worry/Tension/Anxiety
Paranoia
Insecurity/Irritability/Fearful/Tense