Hearing Impairment Flashcards

1
Q

What does hearing impairment affect?

A

The patients ability to communicate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the types of hearing impairments?

A

Partial or total

Congenital or Acquired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is conductive hearing loss?

A

Disruption in transmission of sound

Obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where does sensorineural hearing loss affect?

A

Inner ears and auditory nerve pathway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What causes sensorineural hearing loss?

A
Noise exposure
Ototoxic drugs 
Tumors 
Vascular disorders
Degenerative diseases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What causes prebyscusis hearing impairment?

A

Hair cells of cochlea degenerate with aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is effective with prebycusis hearing impairment?

A

Higher pitched tones and conversational speech lost initially.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What percentage of hearing loss in children is genetic?

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What percentage of environmental hearing loss around the time of birth?

A

25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What the risk factors of hearing loss?

A

-Positive titer for TORCH infections
-Craniofacial abnormalities
-Very low birth weight
Bilirubin > 16 mg/dL
-Aminoglycoside med admin
-Low Apgar score at 1 or 5 minutes
-Bacterial meningitis
-Mechanical ventilation for over 5 days
-Syndromes associated with hearing loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the warning signs of hearing impairment?

A

Inability to hear another individuals voice from 3 feet away, muffled sound perception, ear pain, ringing in ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What can effect hearing damage?

A

Loudness of the noise and length of exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the clinical manifestations of conductive hearing loss?

A

Loss of hearing at all sound frequencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the clinical manifestations of sensorineural hearing loss?

A

Loss of high-frequency tones

Speech discrimination difficult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the clinical manifestations of presbycusis hearing loss?

A

Gradual
Described as unsociable
Paranoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is tinnitus?

A

Perception of sound and noise without stimulus.

17
Q

What is tinnitus usually associated with?

A

Hearing loss

18
Q

What are the diagnostic test associated with hearing impairment?

A
  • Diagnosis of correct type of hearing loss
  • Whisper test
  • Otoscope examination
  • Tympanogram
  • Rinne and Weber tests
19
Q

What are the two types of surgery for hearing impairment?

A

Reconstructive surgeries of middle ear and cochlear implant

20
Q

What are the three types of reconstructive surgeries of the middle ear?

A

Stapedectomy
Tympanoplasty
Myringotomy

21
Q

What are the four types of cochlear implants?

A
  • Microphone, speech transmitter
  • Receive/stimulator, electrodes
  • Function similar to way ear normally processes
  • Provides sound perception, not normal hearing
22
Q

What type of pharmacologic therapy is used for hearing impairments from upper respiratory infections?

A

Decongestants

23
Q

What type of pharmacologic therapy is used for hearing impairment from sudden sensorineural hearing loss?

24
Q

What type of pharmacologic therapy is used for hearing loss from otitis media?

A

Antibiotics

25
True or False: | There are medications for permanent hearing loss.
False: | There are no medications for permanent hearing loss.
26
What do hearing aids not do?
Prevent, minimize or treat hearing loss
27
What are the six types of hearing aids?
- Behind the ear - Receiver in canal - In the ear - In the canal - Completely in canal - Invisible in the canal
28
Other than a hearing aid- what are the other types of amplification devices for hearing impairments?
- Assistive listening device - White noise-making for clients with tinnitus - TTD/TTY telephones - Internet accessibility
29
What additional therapies are used for patients with hearing loss other than amplification devices?
- Lip reading - Singing - Cuing - Finger-spelling
30
What should you consider in a partner with hearing impairments?
- Type and extent of hearing loss - Client's adaptation to loss - Availability of assistive hearing devices - Client's ability and willingness to use assistive devices
31
How should the nurse facilitate communication with a client who has hearing impairment?
- Face client - Use low voice pitch - Use short sentences - Reduce environment noise before speaking - do NOT overarticulate - Use facial gestures - Rephrase and repeat info - Encourage socialization