Module 2 Flashcards

1
Q

Individuals may receive an ? or ?

  • to make speech
  • to restore
  • to augment
  • to enhance
  • to improve
A

assistive listening device (ALD) or hearing assistive technology (HAT)

  • audible
  • a range of loudness experience
  • communication
  • personal safety or environmental awareness
  • quality of life
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2
Q

Hearing aids:
hearing aid technology has

continuously ?

in addition to a ? hearing aids have three fundamental components:

A

developed rapidly since the mid 1800s

improving tech.

power source/ 1. microphone 2. amplifier 3. receiver

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3
Q

Microphones:

directional:
omnidirectional:

automatic directional:

-

A

more sensitive to the sound in front of the user

respond to sound from all directions

switch between modes

  • conventional
  • open fit
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4
Q

Audiologist makes decision about ?

open fit for ?

  • allows for low freq. sounds to be ?
  • hearing aid compensates for ?

-
-

A

earmold not us

high freq. sensorineural hearing loss

  • picked up naturally
  • missed higher freq. sounds

loss
age
what audiologist feels is appropriate

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5
Q

Kids normally receive ?
-why?
hearing aids need to be?

A

BTE hearing aids

little ear canals - don’t want to be sticking things in

-changed more freq.

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6
Q

Other features:

  • … control
  • … input
  • ….
  • … control
  • …. control
  • ….. memories
  • …… what or what ?
A

on-off control

audio input

telecoil

volume control

remote control

multiple memories

batteries - disposable or re-chargeable

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7
Q

There are at least ?

  • … aids
  • … BTE
  • … in the
  • …in the
  • ….
  • … hearing aids
A

body aids (old won’t see anymore)

  • behind the ear
  • receiver in the ear (RITE)
  • in the ear (ITE)
  • in the canal (ITC)
  • completely in the canal (CIC)
  • implantable hearing aids
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8
Q
Body aids: 
for ? 
-... and... 
worn on ? 
-powerful  ? easy? 
not ? 
low?
A

severe and profound hearing loss

-bulky and highly visible

body with cord to earmold

amplification/ easy control

heavily used in US and europe

low cost

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9
Q

Behind the Ear (BTE)
for ?
components fit in ?
very ? can be fitted with ?

fewer problems with? and easy ?

highly ?
making it impractical for ?

appropriate for

sometimes in profound range this won’t be ? but can use until

A

mild to profound loss

  • shell placed behind the pinna
  • flexible style of hearing aid/ many customizable options
  • feedback/maintenance
  • visible / some

children

enough/ cochlear implant

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10
Q

Receiver in the ear:
for ?
comprised of a ?
casing holds all? short of ?

power and being able to ?
-bigger the hearing aid the more ?
BTE has ?
RITE ?

A

mild to severe hearing loss

small casing that sits behind the ear

components/receiver which sits in the ear

amplify sound the most / power it is going to be able to have

most power
close second

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11
Q

In the ear and in the canal

ITE’s generally for ?

ITC’s are generally for ?

fit completely ?
-The ITC fills ?

must be ?

may ?

A

mild-to-severe losses

mild-to-moderately severe

inside the external ear
-less of cochlea than ITE

custom fit

distort sound of user’s voice

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12
Q
Completely in the canal: 
worn ? 
requires a ? 
reduces? 
virtually 
high ?
A

completely inside the ear canal

remote control (when available ) for adjustment

feedback and improves sound localization

invisible

maintenance

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13
Q

Implantable hearing aid:
for patients who cannot wear ?

transmits ?

not very?

A

external aid or who choose not to do so

micromechanical vibration directly to the ossicular chain

common

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14
Q

Bone-anchored hearing aid (BAHA)

a type of ?

appropriate for ?

transmits sound through the ? to directly ?

A

implantable hearing aid

conductive or mixed hearing loss

skull / vibrate the cochlea and stimulate the hair cells

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15
Q

How is a hearing aid style selected?

depends upon

A

degree of hearing loss

patient’s preference

cost/insurance coverage

user’s age and lifestyle

user’s physical status

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16
Q

Cochlear Implants:
virtually unheard of ?

used for individuals who cannot?

cochlear implants provide ?

A

40 years ago

benefit from a hearing aid

sound sensation by means of directly stimulating the auditory nerve, bypassing damaged/missing hair cells

17
Q

A cochlear implant is an? NOT

A

opportunity / a replacement

18
Q

A brief history of cochlear implants:

while a ? scientists have discovered the ideas since?

modern research began in

the move toward wearable devices began in ?

the FDA approved first implant in?

recent developments focus on ?

also continuously ?

A

new technology/ 1700s

france in 1950s

US in 1960 and 1970s

1984

miniturization

improving tech.

19
Q

Components of a Cochlear Implant:

components will be the same for ?

internal components ?

external components (like?) are worn ?

most US models are ? and have multiple ?

A

various manufacturers

implanted in the skull

microphone, processor, transmitter / behind the ear or directly on indiv. head

multichannel/ microphones

20
Q

Candidacy for adults:
the presence of ?

patients most likely to benefit:

  • those who used ?
  • those who used a ?
  • those who experienced a ?
A

irreversible sensorineural hearing loss and good general health

  • aural/oral comm. in childhood
  • hearing aid in the to be implanted ear up until time of implantation
  • progressive hearing loss
21
Q

Candidacy for children:
how old ? with some?

beginning in early 2020 ?

… period with hearing aids ? typically ?

limited or ?

family seeking ?

A

12 months of age (advanced bionics and MED-EL) / exception (eg meningitis)

9 months of age (cochlear americas)

trial period/ 3 months

no benefit from hearing aids

LSL

22
Q

Keep in mind:

the FDA monitors and regulates the ?

A

manufacturers for cochlear implants NOT the cochlear implant centers

23
Q

In the US 2020: total hearing loss?

Potential CI candidacy :
-severe to profound ?

How many people actually have them ?
-only

it is higher in ? which is still low compared to most european countries which is about?

WHY?

  • low
  • referrals
  • outdated
  • low
  • stronger presence of?

what is not really an issue anymore

A

38 mill

  1. 2-1.3 mill
    - HL

100,000
-8%

children (55%)
-90%

awareness 
not made consistently 
information 
knowledge of outcomes 
deaf community 

insurance

24
Q

Bilateral vs. Unilateral:
surgery can be

depends on

… implants

  • implants in ?
  • can enhance
A

simultaneous or sequential

individuals need and age

binaural cochlear implants

both ears
sound and localization

25
Q

Receipt of Cochlear implant:
receiving implants is a ?

  • extensive
  • trial ?
  • patient undergoes
  • approx. 4 weeks later the ?
  • patient engages in ?
A

multi-stage process

  • audiological evaluation
  • period with amplification
  • surgery for implants
  • external components are added
  • extensive aural rehabilitation program
26
Q
Accessories and additional options: 
wireless systems: 
-sound is transported from ? 
-individual can be ? 
-signal is delivered either ? 
example?
A

source to individual radio waves or infrared signals

far from the sound source

via earphones or through a hearing aid

FM systems

27
Q

FM systems:
the speaker wear s a ? and the speech is ? transmitted through the room to the listener who wears a ?

can be ? or ?

great option for both

A

wireless microphone/ frequency modulated on radio waves/ receiver and headphones or a behind the ear hearing aid with an audio boot

personally owned / for a group setting classroom

children and adults

28
Q
Hardwired options:
hardwired systems: 
connect the ? 
sound is delivered to ? 
most often used for ? 
wired reality makes it ?
A

sound source to the listener by wire

hearing aid, headphones or neck loop

Tv, radio or music

unattractive to some

29
Q

Other options:
other kinds of hearing assistance technology systems;
-facilitates

examples include

  • a baby?
  • telephone ?
A

information that is not speech

  • flashing doorbell
  • flashing smoke or fire alarm
  • cry alert system
  • ring causing lamp to flash
30
Q

Computer-based technology:

  • members of deaf community have quickly
  • allows comm. with those lacking
  • … have enhanced comm.
  • sign-language via ? are now options
A

picked up texting and instant messaging

lacking knowledge of sign language

Twitter and FB

video chat