Module 6 -Aural Rehab for Adults

Question 1

Prevalence of hearing loss:
an increasing number of adults in their ?

approx. ? between the ages of ? has hearing loss

reasons include but are not limited to ?

presbycusis, or? , comes on ?

… is also common

tinnitus is typically described as ? but can also sound like?

.. can also cause hearing loss
example?

some ? can cause HL

Answer 1

40s and 50s

one in three / 65 and 74

noise exposure from loud music, use of ear buds, and power engines/vehicles (sensorineural in nature)

age related hearing loss, gradually as person gets older

tinnitus

ringing in the ears/ roaring, clicking, hissing, buzzing

heredity/ otosclerosis

ototoxic medications used to treat cancer and heart disease

Question 2

Characteristics of Adult-onset hearing loss:
most often hearing loss is

typically ?

conversations become more ? especially when ?

day to day interactions become ? especially

use of ? have negatively impacted conversations

Answer 2

gradual

higher frequencies are impacted more than lower frequencies

challenging/ background noise present

difficult/ phone conversations and noisy environments

facial coverings

Question 3

What factors should influence our clinical decision-making?

things to consider: 
patient's
... environment 
... wellbeing 
... background 
... system 
... and...

Answer 3

patient’s age, stage of life and lifestyle

work and family environment

financial wellbeing

cultural background

support system

self image and mental health

Question 4

What does research tell us?

women are more likely to acknowledge ?
they are also more likely to implement ?

untreated hearing loss has been linked with

many researchers have found that using hearing aids may

Answer 4

a hearing loss than are men
helpful communication strategies

accelerated cognitive decline in older adults

slow rate of cognitive decline

Question 5

-other
-where the indiv. is in their?

Answer 5

tinnitus
medical conditions (vision)
hearing journey

pre-awareness 
awareness 
movement 
diagnosis 
rehab
resolution 
-can move back and forth between these

Question 6

The Aural Rehabilitation Plan typically consists of

Answer 6

assessment 
counseling 
development of plan 
implementation 
outcomes (could include assessment and/or progress on goals) 
follow-up

Question 7

Assessment of an Adult should include:
full

baseline

comprehensive

… or .. interview

evaluation of ?

… and other measures

Answer 7

audiological evaluation

baseline speech perception testing

case history (including all audiological info)

structured and or unstructured interview

conversational fluency (conversational fluency relates to how smoothly conversation unfolds)

questionnaires and or other self rating measures

Question 8

Informational Counseling:
.. approach

discussion of ?

discussion of

confirmation and understanding of ?

consideration of ?

discussion of ?

affirmation of person’s

Answer 8

client centered approach

audiological and auditory perception tests

motivation, expectations and support system

individual’s hearing loss

hearing technology

individual’s comfort level with hearing technology

frustrations thoughts and emotions

Question 9

Outcomes: 
goals should include: 
.. objectives 
conditions for 
.... 
.. decision making 
functional 
.. training

Answer 9

measurable objectives (auditory training)

objectives

timeframe

joint decision making

functional carryover and practice of skills

communication strategies training

Question 10

Communication strategies for Adults
create a good

consider ?

reason to

auditory ?

acoustic ?

role?

.. time

… look

ask the client ? instead of ?

…

developing a?

Answer 10

listening environment (positioning)

complexity and distance, unknown to known, open ended vs closed set, who is the comm. partner?

reason to comm.

auditory sandwich (provide appropriate visual support0

acoustic highlighting

role reversal/ role playing

wait time

expectant look

what did you hear/ what did i say

sabotage

listening attitude/ providing feedback on progress

Question 11

Training should include:

minimizing

use of

potential

Answer 11

difficulties - partner, environment, etc

strategies and implementation of appropriate behaviors

role-playing

Question 12

Communication Partner strategies are also ?

conversations within

decreasing ?

ensure that you are ?

ask the partner ?

ensure ?

appropriate

using a ?

.. when appropriate

counseling

including the ?

Answer 12

important

same topic/within context

background noise/distractions/distance/same room

face to face when having a conversation

what did you hear instead of what did I say

comfort and use of hearing technology/utilizing devices

conversational turn taking

topic board/white board

visuals

family members

individual in conversations

Question 13

When do you discharge from individual Aural Rehab services:

goals are

individual feels

comm. partners are ?

.. in skills or other?

transition to

individual is ?

self-advocacy skills have been?

skills can be ?

Answer 13

met/progress achieved

confident using strategies

confident using strategies

plateau/ medical issues

group services

comfortable with hearing tech. and utilizing it daily

enhanced

maintained via home program

Question 14

Home programs:

many manufacturers have ?

advanced Bionics RehAB portal is ?

Answer 14

home program options on websites

interactive, work at your own pace option