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Amplification 2 > Audiologic Rehabilitation > Flashcards

Audiologic Rehabilitation Flashcards

1
Q

What is included in a comprehensive investigative assessment?

A

Review of systems
Diagnose the type and magnitude of hearing loss
Evaluate treatment options

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2
Q

What is a functional and communication needs assessment?

A

Plan of care focusing on biopsychosocial needs of the individual patient
Replaces hearing aid evaluation

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3
Q

Why is it important to do a review of systems?

A

Entire systemic process interacts with the auditory system
Hearing loss and related issues increase with age due to several comorbidities
Used to anticipate the progression of loss

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4
Q

Does a systemic disease result in a progressive loss?

A

Yes

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5
Q

What are gastrointestinal systemic health conditions linked to hearing loss?

A

Inflammatory bowel disease, Crohn’s disease, Ulcerative colitis

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6
Q

What are musculoskeletal systemic health conditions linked to hearing loss?

A

Rheumatoid & Psoriatic arthritis, Gout, Fibromyalgia

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7
Q

What are respiratory systemic health conditions linked to hearing loss?

A

COPD, asthma

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8
Q

What are cardiac systemic health conditions linked to hearing loss?

A

poor circulation, coronary artery disease, Congenital heart disease

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9
Q

What are lymphatic systemic health conditions linked to hearing loss?

A

Hodgkin’s/ non-Hodgkin’s lymphoma, autoimmune disorders

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10
Q

What are hematology systemic health conditions linked to hearing loss?

A

anemia, B12 deficiency, Lyme Disease, Leukemia

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11
Q

What are integumentary systemic health conditions linked to hearing loss?

A

Shingles, Herpes zoster, Ramsay Hunt syndrome

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12
Q

What are nervous system systemic health conditions linked to hearing loss?

A

Parkinson’s disease, Cognition

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13
Q

What are endocrine systemic health conditions linked to hearing loss?

A

Thyroid, Grave’s disease, Diabetes, Pancreatic disorders, Kidney disease

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14
Q

What are some common comorbidities impacting audiologic rehab of patients over 65 years?

A

Visual impairment
Cognitive issues
Depression
Falls
Hypertension and diabetes

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15
Q

Does a patient’s perception of communication abilities always relate to audiometric data?

A

No

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16
Q

What information does an audiogram supply?

A

A measure of an individuals ability to detect quiet tones when using headphones
Not predictive of communication difficulties

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17
Q

Does an over-reliance of the audiogram result in counseling miscommunications?

A

Yes
This overall reduces satisfaction ratings

18
Q

Is pure tone threshold loss a good indicator of activity limitations?

A

No, only moderate

19
Q

Are pure tone thresholds a good indicator of participation restriction?

A

No, poor indicator

20
Q

Do we over-rely on speech audiometry scores?

A

Yes, often leads to inaccurate assumptions of intelligibility and disconnected counseling

21
Q

Does lack of adherence to standard protocols lead to inaccurate diagnostic interpretation?

A

Yes
Only using 25 word list
Need to follow the test instructions for valid results
If you only do 25 words, look for other diagnostic tests to do along with it

22
Q

Can you accurately classify word recognition findings if the presentation level didn’t supply audibility at 2 kHz?

A

No

23
Q

Will a lack in audibility due to severe losses always result in a lower PB word rec score (even when aided)?

A

Yes
May not be able to understand every speech sound due to severity of hearing loss
Not able to amplify all of the sounds enough to be audible

24
Q

Does word rec have predictive value of hearing aid benefit?

A

No

25
Q

What information do PB words presented in quiet does not supply?

A

An individual’s ability to use lip-reading and facial expression cues
An individual’s ability to use contextual cues
An individual’s performance in complex listening environments

26
Q

What can be added to test battery to simulate realistic listening environments?

A

Add binaural speech assessments
Use sentence-based stimuli (provides more information and context)
Assesses performance with and without visual cues
Assess speech intelligibility in the sound field at 50-60 dB HL to simulate normal conversational levels

27
Q

What is a functional limitation?

A

Diagnosis of a disorder
A problem in body function or structure

28
Q

What is an activity limitation?

A

Relates to the difficulties experiences when executing a task or action

29
Q

What is participation restriction?

A

Involvement in activities an individual would like to participate in

30
Q

What is ICF classification?

A

International classification of functioning, disability, and health
Language to focus on health and functioning and get away from the perspective that “disability” is always the result of failing health

31
Q

Can increased participation improve activity limitations?

A

Yes

32
Q

Can degree and configuration of threshold loss predict activity limitations and participation restrictions?

A

No

33
Q

What are backward synergies?

A

Treatment resulting in increased participation supplies communication practice and experiences which may result in neural changes to improve activity limitations

34
Q

What can increased participation result in?

A

Improved auditory processing
Improved lip reading skills
Improved auditory closure skills

35
Q

What are some activity limitations?

A

Detection of sounds
Distinction (discrimination) of sounds (i.e., frequency resolution)
Intelligibility in quiet
Intelligibility in noise
Auditory localization
Temporal resolution abilities
Spatial hearing abilities

36
Q

What is the speech intelligibility index?

A

Calculates the percentage of speech information that is audible and usable to the listener
SII of 0.50 means that 50% of speech cues supporting intelligibility are audible in a quiet setting

37
Q

Are the dots on the SII chart weighted?

A

Yes, more dots in the high frequencies because there is more speech information in those frequencies that supports speech intelligibility

38
Q

Is the SII just a predictive value of speech intelligibility?

A

Yes

39
Q

Do patients need to hear all of the speech signals to understand what is being said?

A

No

40
Q

What are some uses of SII?

A

Reduces counseling mismatch
Helps audiologist determine amplification candidacy (aided benefit vs unaided)
Show objective audibility improvements
Aided SII comparisons allows you to see if one style, or brand of device supplies more audibility

41
Q

What are some diagnostic functional assessments?

A

Comprehensive case history including an assessment of comorbidities (review of systems)
A comprehensive audiometric evaluation, including TEN test

42
Q

What are some communication needs assessments?

A

Objective assessments (SIN assessment, acceptable noise level assessment, pure tone LDL)
Subjective assessments (self-report questionnaires)
Non-auditory needs assessment

Amplification 2 (13 decks)

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