Chapter 1 Flashcards
Aural Rehabilitation
The reduction of hearing-loss-induced deficits of function, activity, participation, and quality of life through sensory management, instruction, perceptual training, and counsling
What is the goal of Aural rehab?
To improve conversational fluency ( we want the exchange of information to be smooth)
Activity limitation
Loss of physical structure and function (loss of hair cells creating the loss of ability to discriminate pitch)
Participation restriction
Lifestyle change due to a disability (people stopes going to restaurants and church because of their hearing loss)
Is hearing loss the 3rd most common chronic condition?
Yes
What percentage of the worlds global population does is affect?
20%
What does ASHA say about how adults with a HL should receive aural rehab?
They should receive rehab within a person-centered framework in addition to sensory management (hearing aids)
4 components of AR
- Sensory management 2. Informational counseling 3. perceptual training 4. personal adjustment couseling
Where does AR occur?
University, hearing clinic, private practice, hearing aid dealer office, hospital, nursing home, school, otolaryngologist office, slp office, home, VA, online
Who provides AR?
Audiologist, SLP, Educator
Audiologist role
Adults: fit and follow up hearing aids and assistive learning device care/counseling, Child: fit and maintain hearing airs and assistive learning devices in school
SLP role
Child: auditory and speech reading training in school/clinic, extended one on one contact with child in school
Educator role
Extended one on one contact with child in school
Type of HL
Sensorineural (cochlea), conductive (OE or ME), mixed (both)
Degree
Normal (-10-15), slight (16-25), mild (26-40), moderate (41-55), moderatley severe (56-70), severe (71-90), profound (91+)
Configuration
Sloping, flat, notched, rising
Bilateral
both ears effected
Unilateral
one ear effected
Fluctuating
comes and goes
Stable
stays
Hard of hearing
Hearing loss but still has some residual hearing and uses verbal language to communicate
deaf
Profoundly death and either uses HA/CI or doesn’t but they still use verbal language to communicate
Deaf
Profoundly deaf and does not use their voice but rather they use manual communication (ASL)
Prelingual
lost hearing before learned how to speak
Postlingual
throughout life they lost hearing after they already aquired speech + lang
Congential
born with it
Aquired
later in life
Effects of children having HL at young age
Articulation effects & language delay
Sensorineural
Inner ear damage, auditory nerve or connection between nerve and brain
Conductive
outer and middle ear damage
Mixed
both
Adult AR plan
home, social, vocational/work focused
Child AR plan
home, social/extracurricular, education (school) focused
What is a patient centered approach?
An approach to healthcare that prioritizes the patient’s needs, values, and preferences. It involves treating the patient as an active partner in their care and ensuring that their individual needs are met.
Cultural competence
having awareness, attitude, knowledge, skills (as clinicians we need to respect other cultures and be able to educate ourselves on the cultures of our patients)
Evidence based practice
Clinical devision making that is based on a review of research, clinical experience, and patient values
5 steps of EVP AR plan
- ask direct questions
- find the best evidence to answer
- critically assess the evidence to see if results pertain to your patient
- integrate evidence with clinical judgement and patient values and needs
- evaluate the performance after implementing plan
Adult AR takeaways
diagnosis, listening devices, training in communication strategies, counseling related to HL, vocational counseling, hearing protection in noise, counseling family, auditory and speech reading
Children AR takaways
diagnosis, listening devices, training in communication strategies, family training, auditory and speech reading, intervention related to speech, language and educational development
