Aural rehab Intro

Question 0

Basic services

Answer 0

1. Identification (screening)
2. Measurement (diagnostics)
3. Treatment (AR)
4. Prevention

Question 1

Aural rehab

Answer 1

The set of non medical procedures used to alleviate or lessen the effects of hearing impairment

Question 2

Goals of AR

Answer 2

1. Facilitate adequate receptive and expressive communication skills
2. Help individuals and family to understand and adjust to what loss

Question 3

Ideal schedule if AR

Answer 3

1. Pre assessment
2. AR (facilitate skills and help adjust)
3. Post assessment

Question 4

When is AR needed?

Answer 4

1. Significant problems - qualify in school is loss is related to HL
2. When HL cannot be medically resolved

Question 5

3 aspects determine AR candidacy

Answer 5

1. Disorder
2. Impairment
3. Disability

Question 6

Disorder

Answer 6

Anatomical abnormality or pathology (ie otitis media). Identified by medical diagnosis. Made by DOCTOR only.

Med report, chart notes, patient comments etc

Question 7

Impairment

Answer 7

Loss of sensory function (ie hear words but don’t understand or mild HL).

Determined by audio metric testing.
AUD determines HL/impairment

Question 8

Disability

Answer 8

Disadvantages experienced in daily life due to impairment (ie trouble hearing on the tele).

Determined through informal or formal inquiry (ie interview, hearing handicap scales, parent interview etc)

Question 9

Units related to audio gram

Answer 9

Frequency - Hz

Intensity - dB

Question 10

Physical measure vs perceptual measure

Answer 10

Phys - freq. precept- pitch

Phys - intensity v percept - loudness

Question 11

0 dBHL

Answer 11

The verge t/hold of normal young adults

Question 12

Characteristics of HL

Answer 12

Degree, type, freq config, laterality, speech discrim ability

Question 13

Degree of HL - classification

Answer 13

0-25 dBHL normal (15-25 slight in kids)
25-40 mild
40-55 moderate 
55-70 moderate - severe 
70-90 severe 
90+ profound 

Average 500, 1k, 2k to determine classification

Question 14

Type of HL- candidacy

Answer 14

Relate to site of disorder

1. conductive - outer, middle ear
   - typically medically treated
   - ie ear wax, drum perf, om, otosclerosis
2. SNHL - inner ear
   - typical candidate for AR
   - ie Ménière’s disease, nIhl, presbycusis too toxic drug
3. Mixed
   - candidate for AR after conductive portion treated medically!

Question 15

How determine type of HL?

Answer 15

By composition of AC and BC t/holds

Conductive - normal BC, abnormal AC

SNHL - both AC and BC abnormal within 5 dBHL

Mixed - both abnormal but BC is better

Question 16

Freq configuration

Answer 16

Slopping, flat, rising

Question 17

Laterality

Answer 17

Unilateral - 1 ear

Bilateral - both

Question 18

3 limitations with unilateral hearing loss

Answer 18

1. Non paired side sensitivity
2. Localizations
3. Figure ground discrim (background noise)

Question 19

Symmetry

Answer 19

Asymmetrical or symmetrical

Question 20

Speech discrim ability

Answer 20

Word recognition.ax speech understanding ability.
Words are present at optimal level

Categories :
90-100 normal
75-90 slight
60-75 moderate 
50-60 poor 
Below 50 very poor

Question 21

Age Of onset of impairment

Answer 21

Congenital vs adventitious

Pre linguistic vs post

Question 22

Hear disability defined with

Answer 22

1. Informal interview
2. Self assessment hearing handicap scales (HHS)
   - situational (ability to hear)or psychosocial (emotional reaction to hL) questions