Exam 2 Flashcards
What are some characteristics of hearing loss?
- It’s progressive over time
- Mid-high frequencies are the worst
- Can hear but not quite understand
- Trouble listening in noise
What are some reasons WOMEN do not help themselves when it comes to their hearing loss?
- Feel loss of self-esteem
- Use more non-verbal repair strategies
- Have greater negative feelings
- SES (may lack healthcare) and amount of education
What are some reasons MEN do not help themselves when it comes to their hearing loss?
- 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
What needs to be considered when thinking about getting a hearing aid?
- Affordability
- Reliability/durability
- Operability
- Portability
What are the five stages of grief and how do they relate to hearing loss?
- 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.
- 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.
- BARGAINING: bargain with God for the problem to go away.
- 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.
- ACCEPTANCE: when the individual is ready to make a positive change in his/her life by getting hearing aids.
List the 6 qualities of a good aural rehab program.
- Assessment of person
- Information counseling
- Development of plan
- Implementation
- Assessment of outcome
- Follow-up
List four aspects of “assessment of person”
- Interview & case history
- Self-report questionnaires
- Comprehensive hearing evaluation
- Speech testing
List three aspects of “information counseling”
- Discussion of priority, expectation, and solution
- Confirm hearing loss
- Use nonprofessional jargon
List three aspects of “development of plan”
- Develop the aural rehab plan with the patient
- Define plan objectives & goals
- Identify how to evaluate outcomes.
List three aspects of “implementation”
- Candidacy for amplification
- Consumer anxiety around amplification
- Discuss untreated hearing loss and decreased quality of life, vs. acceptance of hearing loss and expectations.
List four aspects of “assessment outcome”
- performance
- benefit
- usage
- Satisfaction
List two aspects of “follow-up”
- Aural rehab program should be flexible to modification
2. As one goal is met, a new goal emerges.
What are the two candidacy criteria for cochlear implants? (12 months and 18 months)
12 months: Approved for this age with profound hearing loss
18 months of age: approved for 18+ months of age with severe-profound loss
List five risk factors for infants.
- Ototoxic drugs.
- Family history
- Low APGAR scores
- Low birth weight
- Syndrome
Meningitis
What is involved in the newborn universal hearing screening tests?
- Auditory Brainstem Resonse (ABR)
2. Otoacoustic Emissions (OAE)
What are some speech characteristics of a person with hearing loss?
Segmental errors - consonants
- Voiced/voiceless confusions
- substitutions, omissions, & distortions
Suprasegmental errors:
- Errors in stress, rate, etc…
- Voice quality
What are four speech characteristics of a hard-of-hearing child?
- With greater residual hearing comes fewer speech errors
- Profound loss is less than 20% intelligible
- Speech skills may plateau with significant loss.
- Cochlear implant users demonstrate better speech intelligibility.
What is involved in an IEP for a child with H.L.?
- Ch’s level of performance
- Statement of annual goals
- When services should begin
- How long services will be given
Once an individual decides to get hearing aids, what do you need to consider when you are fitting them?
- Style
- Amplification level
- Patient’s capabilities
- Make sure that the electroacoustic properties are verified
Cochlear implant candidacy for children ages 12 - 18 months…
- Bilateral, profound sensorineural hearing loss
- Minimum 6 months hearing aid trial
- Minimal or no hearing aid benefit
- Enrolled in an aural rehab program
Cochlear implant candidacy for children ages 19 months to 18 years…
- Bilateral, severe sensorineural hearing loss
- Minimal or no hearing aid benefit
- Word recognition less than 30% correct.
- Enrollment in an AR program
