Exam 4 Part 4

Question 1

What are some emotional effects of not using amplification?

Answer 1

Paranoia, feel insecure, irritable, increased negative feelings towards hearing loss, avoid social activities

Question 2

What are some risks with cochlear implants for the elderly?

Answer 2

Surgical risks, cognitive abilities, motivation, cost effectiveness

Question 3

What are some other AR services related to the elderly?

Answer 3

Educate family members, counseling and communication strategies, recognize advantages of participating in AR

Question 4

What are some AR services in an institutionalized setting?

Answer 4

Manage hearing loss and dementia, prevent hearing aids from being lost, train staff about HA, frequent in services

Question 5

Perceived sound that cannot be measured; may sound like high pitch ringing, rustling, pulsing, or wind sound

Answer 5

Tinnitus

Question 6

What are some affects of tinnitus?

Answer 6

Difficulties in quiet situation, lack of concentration, loss of function in everyday life

Question 7

___ to ___% patients report tinnitus also report significant hearing difficulties

Answer 7

70-80

Question 8

___ to ___% adults suffer from tinnitus

Answer 8

10-15

Question 9

What are the some components of tinnitus assessment?

Answer 9

Hearing evaluation, site of lesion testing, impedance audiometry, ABR, MRI, vestibular and balance testing

Question 10

What is included in a tinnitus assessment battery (4)?

Answer 10

Psychoacoustic measure, pitch and loudness matching, perceptual location, minimum masking levels

Question 11

What the tinnitus sounds like

Answer 11

Pitch and loudness matching

Question 12

What are some types of treatments do we use for tinnitus?

Answer 12

Masking, auditory habituation, counseling, drug therapy, relaxation

Question 13

Masking that uses an ear level instrument that resembles a hearing aid that produces a broad bandwidth of sound

Answer 13

Clinical masking

Question 14

Masking that uses a tabletop instrument that produces a stable broadband sound; sounds like static or white noise; sound machines could also be used to produce environmental sounds

Answer 14

Bedside masking

Question 15

Attempts to interfere with tinnitus signal in brain that uses a broadband noise for hours and noises is quieter than the patient’s tinnitus; subconsciously filters out signal and gradually promotes habituation to tinnitus or getting used to their tinnitus

Answer 15

Auditory HabituationTinnitus Retraining Therapy (TRT)

Question 16

Based on patient’s reaction to tinnitus rather than the tinnitus itself; helps to change feelings towards tinnitus

Answer 16

Counseling

Question 17

Trial and error; may use medications such as antidepressants, anticonvulsants, antihistamines, anti-anxiety

Answer 17

Drug therapy

Question 18

Used as a adjunct to other treatments; can include yoga, video tapes, meditation

Answer 18

Relaxation techniques biofeedback

Question 19

What are some alternative treatments to tinnitus?

Answer 19

Acupuncture, herbal treatments, hypnosis, chiropractic treatments

Question 20

How long does auditory habituation retraining therapy take?

Answer 20

18-24 months