2.08: A.R. for Adults w/ HL, Outcome Measures Flashcards

1
Q

The main goal of AR Programs for Adults

A

Influencing patients to begin living life as a person with a hearing impairment, not as a hearing impaired person.

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2
Q

Adult Audiologic Rehabilitation is, “any (list 5 things) which lessens the communicative and psychosocial consequences of a hearing loss”

A

Device, procedure, information, interaction, therapy

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3
Q

A ________________ only paradigm does not go deep enough in helping patients thrive.

A

Device

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4
Q

In audiologic rehabilitation, sensory management refers to what?

A

HL Assessment and fitting of hearing aids

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5
Q

What are the “roots” of audiologic rehabilitation, or the things that are necessary in helping our patients thrive?

A
ALDs
AR
Communication Training
Psychosocial Counseling
Family Support
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6
Q

What are the steps needed for a patient to achieve their view of living well? (6)

A
Sensory Management
Psychosocial Counseling
Communication Training
Communication with Family
Participating in the Community 
Advocacy
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7
Q

What are the 6 steps to Audiologic Rehabilitation?

A
Assessment
Information Counseling
Development of a Plan
Implementation
Outcome Assessment
Follow Up
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8
Q

In which AR step is hearing loss identified and individual factors determined?

A

Assessment

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9
Q

In which AR step does the AR facilitator provide guidance and evidence-based answers to the patient’s questions?

A

Information Counseling

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10
Q

What should we ask the patient during the Information counseling step?

A

“What questions do you have for me? What do you hope to gain from me?”

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11
Q

In which AR step are goals and objectives set?

A

Development of a Plan

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12
Q

What are the 2 Patient-Centered assessment tools?

A

COSI (Client Oriented Scale of Improvement)

SAC, SOAC (Self-Assessment of Communication, Significant Other Assessment of Communication)

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13
Q

In what step to AR are devices fitted and does the use of ALDs begin?

A

Implementation

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14
Q

In what AR step does follow-up, auditory/speechreading training and counseling happen?

A

Implementation

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15
Q

During what AR step are measurements of performance and benefit taken?

A

Outcome Assessment

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16
Q

What objective measurements are taken during outcome assessment?

A

Real Ear Measurements
Audiogram with HA/CI in use
Hearing in Noise Testing
Patient Questioning

17
Q

What subjective measurements are taken during outcome assessment?

A

SADL (Satisfaction with Amplification in Daily Life)
APHAB (Abbreviated Profile of Hearing Aid Benefit)
COSI (Client Oriented Scale of Improvement)

18
Q

In what AR step are new hearing-related difficulties addressed?

A

Follow Up

19
Q

T/F: The use of hearing aids can affect HRQoL.

A

True.

20
Q

What is HRQoL?

A

Health Related Quality of Life

21
Q

Studies have shown that the use of __________ improves _______________ and can lead to the reduction of __________ , ____________, and ________________ effects of SNHL.

A

Hearing Aids; HRQoL, psychological, social, emotional

22
Q

Quality of life changes won’t happen with a ___________-_________ approach to AR.

A

device-only

23
Q

What percentage of people 70 years and older with a hearing problem wear a hearing aid?

A

34%

24
Q

What are some emotional consequences of untreated hearing loss?

A

Sadness/Depression
Worry/Tension/Anxiety
Paranoia
Insecurity/Irritability/Fearful/Tense

25
Q

What are some social consequences of untreated hearing loss?

A

Reduced participation in social activities

Withdrawal from groups and gatherings

26
Q

What sort of cognitive changes have been theorized to be connected with untreated hearing loss?

A

Changes in attention
Slower processing of speech, poor recall
Reduced working memory

27
Q

Why do Aural Rehabilitation? (6)

A

Reduction in perception of Hearing Handicap
Better use of Communication Strategies
Improved Quality of Life (social, emotional, occupational)
Better benefit from HAs
Increased positive perception of Audiologist effectiveness
Increased awareness and use of assistive technology