hearing Flashcards
problem in external or middle ear prevent sound 4m being conducted to inner ear
conductive hearing loss
caused by wax in external ear, otitis media (infection of middle ear), ruptured eardrum
conductive hearing loss
impaired function of inner ear or nerve pathway caused by congenital factors (present @ birth), severe viral infections or acoustic trauma (damage to cochlea by sudden exposure loud sound)
sensorineural hearing loss
caused by combo of sensorineural, conductive (dysfunction of outer/middle n inner ear
mixed hearing loss
child prenatal n medical history
can be congenital (birth) or acquired (loss persons lifetime)
causes hearing loss
viral, bacterial or parasitic infect in pregnancy or at birth (rubella, or herpes) lack o2 rh factor incompatibility with mother prematurity/ low birth weight inherited hearing problem
causes congenital (birth
frequent ear infection ex otitis media viral or bac ex meningitis head injury excessive exposure to loud noise head injury ototoxic drugs (medication prescribed for life threatening ex cancer or kidney disease causing damage to cochlea> permanent hearing loss
causes acquired hearing loss
tests hearing sensitivity
audiometer
changes frequency of test tone range 250 hz to 6000hz
frequency selector
determines earphone will transmit output signal(tone)
output selector switch
tone reverse switch
choice tone to be normally ON or OFF
pulse, warble, constant
type tone switch
minim hearing level where individuals able respond 100%
hearing level (HL) for pure tone
if u detect hearing > 5 db difference of any screening frequencies bw 250hz to 6000hz on monthly check check other 2ppl n record at bottom of form (if so audiometer needs electronic calibration)
monthly biological calibration
if ambient noise level too loud screen should discontinued. do not increase intensity of test tone more limit 25 db HL
important
extraneous sounds in surrounding area (hearing screening area
ambient noise
rises 2000,4000,6000hz
lower 1000,500,250 hz
frequency switch
0-50db
intensity dial
allows screening of many children In short period time to see if hear problem n those who don’t
pure-tone sweep check screening
allows screening of many children In short period time to see if hear problem n those who don’t
pure-tone sweep check screening
1000,2000,4000hz frei
25 db hl intensity
first right ear then left
pure-tone sweep check screening
1000,2000,4000hz frei 25 db hl intensity first right ear then left present tones to 2-3 secs (+) if heard (-) if not
pure-tone sweep check screening
record results using DSHS (individual child)
M-40
record data group children
M-20
no response to any 3 frequencies
child fails initial screening, do another sweep-check screening within 3-4 wks
2nd screen 1 failure in either ear req a referral or extended recheck
failure of 1 frequency during extended recheck req referral
child fails sweep-check screen
signs n symptoms observed on 1st screening in classroom
fail 1 freq in either ear during 1st sweep check
if screener observes physical signs of hearin problrm @ time child fails 1st sweep
Refer child further evaluation
start right ear with 1000hz dB 40 (2-3 secs)
2nd sweep-check screen