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Aural Rehab - SPHP 133, Sanders > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What are some characteristics of hearing loss?

A
  1. It’s progressive over time
  2. Mid-high frequencies are the worst
  3. Can hear but not quite understand
  4. Trouble listening in noise
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2
Q

What are some reasons WOMEN do not help themselves when it comes to their hearing loss?

A
  • Feel loss of self-esteem
  • Use more non-verbal repair strategies
  • Have greater negative feelings
  • SES (may lack healthcare) and amount of education
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3
Q

What are some reasons MEN do not help themselves when it comes to their hearing loss?

A
  • Feel that hearing loss is a weakness
  • Feel the loss of providing financially
  • Are less likely to discuss how they feel
  • SES (may lack healthcare) and amount of education
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4
Q

What needs to be considered when thinking about getting a hearing aid?

A
  1. Affordability
  2. Reliability/durability
  3. Operability
  4. Portability
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5
Q

What are the five stages of grief and how do they relate to hearing loss?

A
  1. DENIAL: individual will reject the notion that their hearing is an issue and will deny help because you can’t seek help for something that does not exist.
  2. ANGER: individual may be angry at him/herself for not taking measures to protect his/her hearing when s/he was younger, and this anger may get directed at the family.
  3. BARGAINING: bargain with God for the problem to go away.
  4. DEPRESSION: the isolation of not being able to hear well and not wanting to accept the problem can lead to feelings of sadness and helplessness.
  5. ACCEPTANCE: when the individual is ready to make a positive change in his/her life by getting hearing aids.
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6
Q

List the 6 qualities of a good aural rehab program.

A
  1. Assessment of person
  2. Information counseling
  3. Development of plan
  4. Implementation
  5. Assessment of outcome
  6. Follow-up
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7
Q

List four aspects of “assessment of person”

A
  1. Interview & case history
  2. Self-report questionnaires
  3. Comprehensive hearing evaluation
  4. Speech testing
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8
Q

List three aspects of “information counseling”

A
  1. Discussion of priority, expectation, and solution
  2. Confirm hearing loss
  3. Use nonprofessional jargon
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9
Q

List three aspects of “development of plan”

A
  1. Develop the aural rehab plan with the patient
  2. Define plan objectives & goals
  3. Identify how to evaluate outcomes.
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10
Q

List three aspects of “implementation”

A
  1. Candidacy for amplification
  2. Consumer anxiety around amplification
  3. Discuss untreated hearing loss and decreased quality of life, vs. acceptance of hearing loss and expectations.
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11
Q

List four aspects of “assessment outcome”

A
  1. performance
  2. benefit
  3. usage
  4. Satisfaction
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12
Q

List two aspects of “follow-up”

A
  1. Aural rehab program should be flexible to modification

2. As one goal is met, a new goal emerges.

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13
Q

What are the two candidacy criteria for cochlear implants? (12 months and 18 months)

A

12 months: Approved for this age with profound hearing loss

18 months of age: approved for 18+ months of age with severe-profound loss

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14
Q

List five risk factors for infants.

A
  1. Ototoxic drugs.
  2. Family history
  3. Low APGAR scores
  4. Low birth weight
  5. Syndrome

Meningitis

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15
Q

What is involved in the newborn universal hearing screening tests?

A
  1. Auditory Brainstem Resonse (ABR)

2. Otoacoustic Emissions (OAE)

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16
Q

What are some speech characteristics of a person with hearing loss?

A

Segmental errors - consonants

  1. Voiced/voiceless confusions
  2. substitutions, omissions, & distortions

Suprasegmental errors:

  1. Errors in stress, rate, etc…
  2. Voice quality
17
Q

What are four speech characteristics of a hard-of-hearing child?

A
  1. With greater residual hearing comes fewer speech errors
  2. Profound loss is less than 20% intelligible
  3. Speech skills may plateau with significant loss.
  4. Cochlear implant users demonstrate better speech intelligibility.
18
Q

What is involved in an IEP for a child with H.L.?

A
  1. Ch’s level of performance
  2. Statement of annual goals
  3. When services should begin
  4. How long services will be given
19
Q

Once an individual decides to get hearing aids, what do you need to consider when you are fitting them?

A
  • Style
  • Amplification level
  • Patient’s capabilities
  • Make sure that the electroacoustic properties are verified
20
Q

Cochlear implant candidacy for children ages 12 - 18 months…

A
  • Bilateral, profound sensorineural hearing loss
  • Minimum 6 months hearing aid trial
  • Minimal or no hearing aid benefit
  • Enrolled in an aural rehab program
21
Q

Cochlear implant candidacy for children ages 19 months to 18 years…

A
  • Bilateral, severe sensorineural hearing loss
  • Minimal or no hearing aid benefit
  • Word recognition less than 30% correct.
  • Enrollment in an AR program

Aural Rehab - SPHP 133, Sanders (1 decks)

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