Cochlear Implant- Rehab Flashcards
What is the role of rehab?
- Monitoring
- Assessment
- Advice
In rehab, they see the child for _____ years post implant.
5
What does rehab focus on?
Early years of implant use.
Rehab assistants don’t hold ________ and don’t provide ____________.
Duty of Care.
Weekly Therapy
The more you wear the cochlear implant the…
better the outcome.
Who is the child normally seen by weekly?
Teacher of the Death or SLT in local area.
What areas are assessed and how?
Expressive and Receptive Language - CELF
Listening/Speech Perception- GRASPS and questionnaires.
Speech Production -PETAL, speech intelligibility rating.
What is essential for rehab?
Parent Interaction.
The child must be ______ in _________. This must be presented at the right ______ for the child.
Immersed, Spoken language.
level.
The rehab assistant often teaches parents specific ______.
techniques.
Explain to the parent…
Expectations and why they are doing an activity.
Name some strategies and techniques.
Pausing and Waiting (gives child time to process auditory info) Modelling (encourage parents to model correct language models) Acoustic Highlighting (use intonation to emphasise features of speech so child pays attention). Auditory Closure (leave a gap for child to close e.g. ready, steady...) One person speak at a time (avoids auditory clutter) Hand cues (cue to listen/ take turns) Language expansion (expand utterances).
What is used to develop spoken language?
LISTENING :)
Why are nursery rhymes so important for rehab?
- phonological awareness
- Supra-segmentals
- rhythm
- auditory memory
- vocabulary
- humour and imagination
- coordination
- confidence
Acoustic Highlighting makes a sound, word or phrase accoustically ______.
Salient.
Acoustic highlighting is particularly useful in ____ activities.
Early listening.
what can Acoutsic higlighting be called?
A sign-song voice, motherese.
In early language what is encouraged?
Use of words and wholistic phrases e.g. more, up , all gone, uh oh.
Imitation of patterns of speech.
How is listening to sounds encouraged?
By repetition and rich in expression and rhythm.
How is listening best learned at home?
By use of enhanced natural environments.
Children learn most effectively in ____, ______ environments.
Routine everyday.
What is an enhanced natural environment?
An everyday environment is slightly manipulated to provide more opportunity for language.
Children with cochlear implants may be slightly be delayed but ….
should be developing normally.
What should we make sure the child can hear?
- Environmental sounds
- Speech sounds
- Voices
- They should be responsive in quiet/noise
- be able to hear a whisper
- Can the localise sound
- Can they attach meaning to a sound.
What 5 areas should the child know?
- Audition
- Language
- Communication
- Speech
- Cognition
What should parents know?
Responses to look for
Age appropriate language and next steps
Age appropriate strategies
Name some Audition Goals.
Detection Localisation Looking from speaker to speaker Responding appropriately to meaningful sounds Developing sound-object association Identifying objects by description Following auditory closure tasks.
Name some Language Goals.
Developing the ability to vocalise for objects, needs and wants. Asking and answering questions Vocabulary development Expansion of utterance length Tenses and morphological makers
Name some communication goals.
Turn taking
Eye contact
Topic maintenance
Use of social courtesies
Name some speech goals.
Develop supra-segmental features Produce consonants and vowels Produce words Produce phrases Eliminate omissions
Name some Cognition Goals.
Development of play skills Comprehension of specific games Categorisation Literacy Concept Knowledge
Where a child is neurologically intact, diagnosed early and aided appropriately….
They should be talking quickly! AIM HIGH.
Children with cochlear implants can cope in _______ school.
Mainstream.
_____ use is essential.
Consistent.
A good quality of _____ _____ is essential to develop spoken language.
Language stimulation.
Children have access to _____ therefore any speech or language impairment isn’t due to ______.
Sound.
Implant.
Activities should be ______. focusing on specific _______, multiple ______ of a task and manipulated to make it _______.
Structures.
Skills
Repetitions
Harder.
SLTs should encourage ___ of the implant.
Consistent wear.
