Audiologic Rehabilitation Flashcards
What is included in a comprehensive investigative assessment?
Review of systems
Diagnose the type and magnitude of hearing loss
Evaluate treatment options
What is a functional and communication needs assessment?
Plan of care focusing on biopsychosocial needs of the individual patient
Replaces hearing aid evaluation
Why is it important to do a review of systems?
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
Does a systemic disease result in a progressive loss?
Yes
What are gastrointestinal systemic health conditions linked to hearing loss?
Inflammatory bowel disease, Crohn’s disease, Ulcerative colitis
What are musculoskeletal systemic health conditions linked to hearing loss?
Rheumatoid & Psoriatic arthritis, Gout, Fibromyalgia
What are respiratory systemic health conditions linked to hearing loss?
COPD, asthma
What are cardiac systemic health conditions linked to hearing loss?
poor circulation, coronary artery disease, Congenital heart disease
What are lymphatic systemic health conditions linked to hearing loss?
Hodgkin’s/ non-Hodgkin’s lymphoma, autoimmune disorders
What are hematology systemic health conditions linked to hearing loss?
anemia, B12 deficiency, Lyme Disease, Leukemia
What are integumentary systemic health conditions linked to hearing loss?
Shingles, Herpes zoster, Ramsay Hunt syndrome
What are nervous system systemic health conditions linked to hearing loss?
Parkinson’s disease, Cognition
What are endocrine systemic health conditions linked to hearing loss?
Thyroid, Grave’s disease, Diabetes, Pancreatic disorders, Kidney disease
What are some common comorbidities impacting audiologic rehab of patients over 65 years?
Visual impairment
Cognitive issues
Depression
Falls
Hypertension and diabetes
Does a patient’s perception of communication abilities always relate to audiometric data?
No
What information does an audiogram supply?
A measure of an individuals ability to detect quiet tones when using headphones
Not predictive of communication difficulties
Does an over-reliance of the audiogram result in counseling miscommunications?
Yes
This overall reduces satisfaction ratings
Is pure tone threshold loss a good indicator of activity limitations?
No, only moderate
Are pure tone thresholds a good indicator of participation restriction?
No, poor indicator
Do we over-rely on speech audiometry scores?
Yes, often leads to inaccurate assumptions of intelligibility and disconnected counseling
Does lack of adherence to standard protocols lead to inaccurate diagnostic interpretation?
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
Can you accurately classify word recognition findings if the presentation level didn’t supply audibility at 2 kHz?
No
Will a lack in audibility due to severe losses always result in a lower PB word rec score (even when aided)?
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
Does word rec have predictive value of hearing aid benefit?
No