chapter 1 Flashcards
Aural Rehabilitation: Speech/Audio?
“The roles of audiologists and speech-language pathologists in providing auditory rehabilitation services are complementary, interrelated, and overlapping, requiring a breadth of knowledge and skills to meet the communication needs of participants with hearing impairment and their families” (ASHA, 2001)
Auditory vs Aural rehabilitation:
An “ecological, interactive process that facilitates one’s ability to minimize or prevent the limitations and restrictions that auditory dysfunctions can impose on well-being and communication, including interpersonal, psychosocial, educational, and vocational functioning” (ASHA, 2001)
Aural rehabilitation: services and procedures for facilitating adequate receptive and expressive communication in individuals with hearing impairment (ASHA, 1984)
Rehabilitation Vs. Habilitation
Often with children, aural rehabilitation services would more appropriately be called “habilitative” rather than “rehabilitative.” “Rehabilitation” focuses on restoring a skill that is lost. In children, a skill may not be there in the first place, so it has to be taught – hence, the services would be “habilitative,” not “rehabilitative.“”
Hearing-related disability
Loss of function imposed by hearing loss or an inability to perform an activity
What are some functions that may be lost/made difficult by hearing loss?
Speech perception in adverse conditions
Language and speech development
Literacy
Overall academic performance
Social interactions and relationships
Career opportunities
Self-concept/esteem/confidence
Any daily activity…
Examples
10 year old boy with bilateral hearing loss since birth
Activity limitations?
Participation restrictions?
75 year old female with presbycusis
Activity limitations?
Participation restrictions?
Quality of Life
Third party disability: Effects of hearing loss on communication partner
AR goals may also include limiting effects on communication partner
Frequent communication partners
Spouse
Children
Coworkers
Components of an AR Program
Communication Strategies
Communication Strategies
Informational/Educational Counseling
Personal Adjustment Counseling
Psychosocial Support: social impact
Communication partner Training
Speechreading Training: auditory and visual
Speech-language Therapy
In-service training: School professionals, caretakers,
nurses, etc.
Where does AR occur?
Speech and Hearing Clinic
Audiology practice
ENT Practice
Hospital
School/daycare
Nursing Home
SLP office
Home
VA Hospital
Who provides AR?
Interdisciplinary team work
Depends on the patient needs and age
-Audiologist
-SLP
-Teacher for deaf and hard of hearing
-ENT
-Parents
-Auditory training computer programs and applications
Aural Rehabilitation Plan & Age
Adults:
Counseling
Communication Strategies
Assertiveness Training
Psychosocial support
Counseling/instruction for family members
Managing tinnitus
Hearing protection
Auditory/Speech training
Children
Diagnostics
Amplification/ALDs
Auditory/speech training
Communication strategies
Intervention in academic achievement/speech therapy
Hearing protection (teenagers)
Family/community
Infants/Toddlers
Advances in neonatology increasing prevalence of HL
Early Identification is crucial
Newburn screening
Public Policy
Early intervention (EI)
School-age children
Learning issues related to hearing loss
Social communication
Educational audiology and planning for classroom
Assistive Technology
Adults and Older Adults
Americans with Disabilities Act (ADA)
Baby-boomers
Possible cognitive and linguistic age-related changes
Listening in noise
Changing population of elderly
Cost Effectiveness/Costs
Barrier to Aural Rehabilitation
Hearing aids/ALDs not covered by insurance
Therapy/training not covered for adults
Complex fitting process
Adaptation takes time
Evidence-Based Practice
LWHL’s Top 10 Reasons Hearing Aids Are Not Like Glasses
. They do not restore your hearing to “normal” — things will be louder, but not always clearer, making it difficult to understand speech.
2. They amplify all sounds, including those you don’t want to hear like the hum of the refrigerator and other background noise.
3. They are not seen as fashion accessories, although some hearing aids now come in colors.
4. They often remain shrouded in stigma and shame, unlike glasses which make you look “smart.”
5. They are not regularly covered by insurance making them prohibitively expensive for many.
6. They need batteries to function.
7. They can increase sensitivity to loud sounds.
8. They squeal at inopportune times.
9. They can’t get wet.
10. They are easily misplaced and can sometimes be mistaken for a snack by the dog given their size.
