Intro

Question 1

Aural Rehabilitation Definition

Answer 1

Aural: of or relating to the ear or sense of hearing
Rehabilitation: to bring someone or something back to a good (healthy) condition (loss)

Question 2

Habilitation

Answer 2

Habilitation focuses on learning new skills while rehabilitation focuses on regaining lost skills. teaching them new skills!
Ex. Never used before, teach new listening strategy (something different, something new)

Question 3

AR synonyms

Answer 3

Auditory Habilitation
Audiologic Rehabilitation
Rehabilitative Audiology

Question 4

What is AR? What is audiology?

Answer 4

study of hearing

Question 5

4 parts of Audiology

Answer 5

Hearing Conservation/Prevention: teach people to turn loud volume down/ teach people to put earplugs (appropriate protection)

Identification (Screening/Early identification): language development, perform significantly better before 6 months (if start HA at an younger age, used to it and more comfortable with it// hearing loss & memory issue// hearing aids help prevent/slow down memory problems)- start younger, protect your brain and keep your brain active

Diagnostics (Audiometry)

Rehabilitation/habilitation: hearing aids

Question 6

What is Rehabilitative Audiology?

Answer 6

“The efforts designed to help a hearing impaired person adjust their disability and improve and/or recover communicative ability.”

Question 7

2 main focus of Rehabilitative Audiology

Answer 7

1) Alleviates difficulties related to hearing loss

2) Minimizes consequences of hearing loss

Question 8

Difficulties vs. Consequences

Answer 8

Difficulties: hear spouse, children, co-workers, on the phone, tv, in the car, at the restaurant

Consequences: Harder time keeping or obtaining jobs/promotions, more fighting with family, increased stress, anxiety, negative emotions, rely on others to do tasks for you, less fun, less happiness, depression

Question 9

AR Purposes/Goals (3)

Answer 9

1) To assist in realizing a person’s optimal potential in communication (be realistic)
2) To improve the communication function of persons with hearing problems
3) To overcome the problems imposed by the organic condition and minimize disabilities – to enhance participation in life and society

Question 10

What help can you offer to accomplishes purposes of AR?

Answer 10

Amplification devices, counseling w/ pt and family, instruction on communication strategies, follow up care for hearing and devices, proper referrals, educating teachers, listening (don’t focus so much on what you want to say and accomplish- listen to what they say and expound on what they talk about)

Question 11

Challenges and Opportunities (6)

Answer 11

1) Increase in aging population: so many aging population but no audiologists/ opportunities for us
2) Increase in number of cochlear implants: challenge in deaf community, more rigorous than HA, a lot of Auds don’t get paid (surgeon gets it)—don’t want to work with them// opportunities: able to communicate better or develop pretty good language for babies
3) Increase in fragile pediatric group: opportunity–hearing screening has been improved, develop language earlier// why challenge? Parents don’t follow up, difficult to test hearing with children, babies pull off HA
4) Changing technology: hard to keep up with fast technology// opportunity: makes things better
5) Development of multicultural society: hard if you can’t speak the same language// opportunity for bilingual speaker professionals
6) Changes in health care delivery: insurance; pay out of pocket;

Question 12

Demographics

Answer 12

Hearing Impairment
•20-40 million in U.S.
•30 million have SNHL
•	15-20 million- presbycusis
•	5-10 million- noise induced
•	1-5 million- other
•5-10 million- conductive hearing loss

Question 13

Age of hearing impaired

Answer 13

1: 350 non-risk infants (no red flags when born//healthy born)
1: 20 NICU
1: 100 adolescents
1: 50 Adults
1: 3 Seniors

Question 14

Hard of Hearing vs. hearing impaired vs. Deafness

Answer 14

Hard of Hearing: still has some hearing, not deaf

Hearing Impaired: deafness AND hard of hearing (can include all)

Deafness: profound HL

Question 15

Deaf vs. deaf

Answer 15

Deaf: culture
deaf: condition of profound HL

Question 16

Hard of Hearing vs. hearing impaired vs. Deafness Demographics

Answer 16

30 million hearing impaired
29.1 million hard of hearing
900,000 Deaf (3% of hearing impaired population)

Question 17

Principles of Communication

Answer 17

Toubbeh- “Human communication is action, it is culture, it is the history of man, it is the fabric of all societies; its absence negates man’s existence”

Question 18

How does communication occur?

Answer 18

At least two people;
•	Intent (in the sender)
•	Message (from the sender)
•	Transmission (through the environment)
•	Reception (in the receiver)
•	Comprehension 
•	Response

Question 19

When does communication breakdown occur?

Answer 19

When there is a problem at one or more of the levels of communication
Ex. when there is no intent, trouble delivering a message, etc.

Question 20

Persons needing AR

Answer 20

AR is the non-medical management of the person with hearing problems and needs

Question 21

Persons with hearing problems are an extremely heterogeneous group- which groups?

Answer 21

• Organic Characteristics (different causes)
• Personal Characteristics
• Environmental Factors and Demands

Question 22

Achieving Success in AR

Answer 22

• Facilitate positive action– help overcome denial and other barriers to care
• Understand that the recipient of your services may not appreciate you and may, in fact, view you as part of their problem
• Have appropriate technical skills
• Have measurable goals
• Have and impart realistic expectations
• Be nice, gain their confidence and guide them in the right direction
• Demonstrate Capability and likability (sincere!)