HA Exam 2 Flashcards
Benefits of Early Amplification
- Sensory and perceptual skills
- Receptive/Expressive Language
- Speech Production and literacy
- Academic Performance
- Social/Emotional Growth
Pediatric considerations
CFA
Tamper proof battery doors
Peds ear hooks
LED indicator lights
DSL - more output
Higher SNR
wider BW esp for HFS
= This gives the child the best chance of acquiring speech and language
Developmental age
real age minus premature age
Chronological age
todays date minus birthday
Benefits of colors
- Can see if dropped
- Can see if wearing
Questionnaires
LittleEARS - assess auditory development <0-3 yrs
PEACH - assess amplification function 3-5 yrs
P-SSQ - parent speech and spatial quality eval 6-12 yr
Motivational interviewing
Effective way to talk to patients about change
According to AAA, what constitutes an individual to be a hearing aid candidate?
interfere with normal development processes, any type degree and config
Biggest predictor of those seeking amplification?
sought to seek sooner with uptake in acquiring hearing aids soon are those that HL is affecting daily life, self reported
Purpose of amplification for peds
⁃ Access to speech, auditory environment
⁃ Minimize negative impacts of HL (communication, academic performance)
Improve listening effort by: —> increased concentration to interpret speech:
⁃ communication strategies
⁃ DNR and directional mics
⁃ Ensure functional device/also educate
What is impacted by cognitive changes?
⁃ Short term/long term memory
⁃ exec function
⁃ Absolute to pay attention
How would we measure listening effort?
pupil dilation
Questionnaires
Ways to provide access to HF information:
1.Frequency lowering
2.Extended bandwidth
What impacts patient success with hearing devices?
- Cognition
- Listening effort
- Mental fatigue
4 skills for MI (OARS)
Open ended questions
Affirm
Reflect
Summarize
4 processes for MI (EFEP)
Evoke
Focus
Evoke
Plan
4 stages involved in pt journey to amplification
Seek help
Uptake - acquire HA
Continue use
Satisfaction with HA
4 objectives of AMPLIFICATION
⁃ Avoid distortion
⁃ Flexibility
⁃ Speech audibility
⁃ Amplification across wide frequency range/broadband
3 ways to differ tech levels (FAN)
- Fine tuning
- Adaptation
- Noise management
Factors that might influence patient success?
- Motivation
- Age
- Dexterity
- Attitude
- Expectations
Eyes open
ears ON at least 10 hours a day
Compared to adults.. what should be taken into consideration to pediatric fittings?
- ECs are acoustically different
- Parents or caregivers will be responsible for maintenance, care, follow up, monitoring
What is the RSME?
Root mean square error, this is the difference between output of hearing aid and average target output at 5.1,2 & 4. The smaller the RSME, the closer the target. Peds need to be <3 dB. Generally for adults is 5.
