FINAL Flashcards

1
Q

How is conversational fluency measured?

A

Mean Length Turn

average words spoken during set of N conversational turns

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2
Q

What are 4 ways to evaluate conversational fluency

A
  1. Interview
  2. Questionnaires
  3. Daily Logs
  4. Group Discussion
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3
Q

What are 4 types of questionnaires

A
  1. Abbreviated Profile of Hearing Aid Benefits
  2. Client Oriented Scale of Improvement–Effects of daily life
  3. Hearing Handicap Inventory for Adults/Elderly
  4. Listening Inventories for Education
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4
Q

4 types of self efficacy experiences

A
  1. Mastery–successful communication interaction
  2. Vicarious–sees others with success
  3. Verbal Persuastion
  4. Emotional Arrousal–relaxation
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5
Q

Models for Communcation Strategy Training

A
  1. Formal Instruction–Provided info
  2. Guided Learning
  3. Real World Practice
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6
Q

Purpose of short term training and two types

A

When completion of extended CST isn’t possible.

  1. Materals Approach
  2. Short Tutorial (ex: “WATCH”)
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7
Q

CST For Children

A

Focus on effective listening behaviors, teaching to ask for clarity etc

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8
Q

Counseling

A

Professional Service to help better understand and solve hearing problems

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9
Q

Two types of counseling

A
  1. Informational–info about HL, related ativity limitations/participation restrictions. *explicit categorization
  2. Personal Adjustment–3 approaches. Goal is to increase self worth.
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10
Q

Three approaches to personal adjustment

A
  1. Cognitive–modify thought process Ex: “ABC”
  2. Behavioral–modify behavior
  3. Affective–modify emotions
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11
Q

Psychological Support

A

Valuable when patient’s emotional reactions to HL are negative

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12
Q

Intervention Paradigm for Psychological Support

A
  1. Communication difficulties affect person with HL as well as frequent/infrequent comm partners
  2. Changes in attitude

Objectives = better coping, understand, develop new skills to cope

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13
Q

Problem Solving Framework

A
  1. Identification
  2. Exploration
  3. Resolution
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14
Q

Objectives for AR plan development

A
  • All individuals involved
  • individual roles defined
  • conditions for objects defined
  • establish time frame
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15
Q

Hearing Aid Evaluation

A

Use patterns

  • Use full time
  • Rejection
  • Intermittent use
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16
Q

Tinnitus Intervention

A
  1. Relaxation training
  2. Biofeedback
  3. Cognitive training
  4. Masking devices
  5. Tinnitius retrainging therapy
17
Q

Presbycusis

A

Hearing loss that is age related.

  1. Neural = loss of sensory cells
  2. Metabolic = change in blood supply to cochlea
18
Q

Auditory Processing in Elderly

A

Changes in central auditory nervous system related to aging

uses “top down”

19
Q

Life Factors in Elderly

A
  • family/social
  • mental health
  • self sufficiency
  • self concept
20
Q

Physical/Cognitive variables in Eldery

A
  • Changes in body, arthritis, cataracts, etc
  • Dementia, alzheimer’s
21
Q

Detection of HL in children

two ways

A
  1. Failed screening
  2. Not responding to sound like normal children
22
Q

Universal Newborn Hearing Screening

A

or Early Hearing Detection Intervention

“pass/refer” HL detected at 30-40 dB = HL

Screened using OAEs or ABR’s 500-400 Hz

23
Q

Risks in children with HL

A
  • low birthweight
  • low apgar score
  • meningitis
  • ototoxic medication
  • Can occur pre-, peri-, or post natal

*perinatal– anoxia occurs when umbilical cord complications block blood supply

24
Q

Causes of HL in children

A
  • Genetic
  • Syndrome
  • Non-syndrome
  • Otitis Media w Effusion
  • Auditory Processing Disorder
  • Auditory Dyssynchrony
25
Q

Genetic cause of HL in children

A

>50% incidents

classified by:

  • inheritance mode
  • syndronomic vs non syndromonic
  • audiological configuration
  • progressive/age of onset
26
Q

Auditory Processing Disorders

A

Inability to differentiate, recognize, understand sounds.

Results from:

trauma, tumors, autism, neurovascular changes

  • Localizing
  • Discrimination
  • meaning to sound
  • auditory memory
27
Q

Early Intervention Types

A
  • center based
  • home based
  • SKI-HI curriculum
  • John Tracy Program
28
Q

Communication Modes

A
  1. Manually coded english–from which manual signs correspond to english words
  2. Total communication = sign + speech
  3. multisensory
  4. auditory-verbal= using residual hearing for spoken language
29
Q

School/Classroom Placement

Derivatives of Mainstreaming

A
  1. Inclusion = integrates all students and activities into daily routine
  2. Coenrollment = regular teacher + trained teacher for children with HL
30
Q

Appropriate Accomodations for children with HL

A
  • abbreviated assignments
  • aternative test format
  • content reduction
  • extra credit
31
Q

Factors of speech proficiency

A
  • intelligibility
  • segmental
  • suprasegmental
  • form