Overview

Question 1

Aural Rehab Definition

Answer 1

Those professional processes performed in collaboration with a client who has hearing loss and the client’s significant others to achieve better communication and minimize the resulting difficulties

Question 2

Goal of Aural Rehab

Answer 2

To enhance the activities of the person and improve their quality of life, since patients with HL might isolate themselves

Question 3

Family centered care is?

Answer 3

When we work with the family of the patient

Question 4

Other terms for Aural Rehab

Answer 4

auditory rehab, hearing rehab, rehabilitative audiology, audiologists habilitation/pediatric auditory habilitation, parent advising/conseuling/tutoring, educational audiology

Question 5

Rehab audiology most regards?

Answer 5

Adults

Question 6

Audiologic Habilitation most regards?

Answer 6

Congenital HL

Question 7

Aural Rehab concerns these professions;

Answer 7

Audiologists, speech paths, educators (most common), interpreters, teachers, school consolers, general practitioner, nurses, psychologist/psychiatrist, and social workers

Question 8

AR Professionals must be knowledgeable in

Answer 8

characteristics in HL, type, age of onset, auditory speech recognition ability, effect of HL on patients, and competencies for providing AR

Question 9

Audiogram Interpretation

Answer 9

Degree of HL (slight to profound), configuration of HL, type of HL, and word recognition ability

Question 10

Configuration of HL

Answer 10

Flat, sloping, and precipitous

Question 11

Types of HL

Answer 11

conductive, sensorineural, mixed, functional, central auditory processing disorder

Question 12

Age of Onset

Answer 12

Prelingual (HL before language acquisition), perilingual (HL during speech and language development), post lingual (HL after language is acquired. after 5 yrs of age), deafened, and hard of hearing

Question 13

Consequences of HL

Answer 13

Primary consequence of HL and Secondary consequences of HL

Question 14

Primary consequence of HL

Answer 14

its impact on verbal communication (speech/convo)

Question 15

Secondary consequence of HL

Answer 15

educational, vocational, psychological, and social implications

Question 16

WHO on hearing disorder/disability

Answer 16

If hearing is not “functioning” normally then its considered a disorder

Question 17

3 dimensions of Hearing disorder/disability

Answer 17

Impairment, activities, and participation

Question 18

Impairment in Hearing Disorder

Answer 18

Problems in body function/structure, anatomical structures of ear, and problems physiological process of transmitting sound. Ex. presybucusis and loss of hair cells

Question 19

Activities in Hearing disorder/disability

Answer 19

auditory and aural communication limitation

Question 20

Participation in Hearing Disorder/Disability

Answer 20

Social life and vocational

Question 21

AR process in the individual

Answer 21

1) personal and environmental factors play a part in disorder, plus the presence of other serious disabilities.
2) activity limitation (primary).
3) Participation restriction (secondary).
4) to measure each we use self-assessment questions

Question 22

What to do to measure self-assessment

Answer 22

can hand to patient or patient’s parents/caregivers, can describe effects of HL on the patient and/or patient’s family/friends, and gives personal view into the impact the HL is having on their lives.

Question 23

Contemporary Issues

Answer 23

professional issues, evidence-based practice, and multicultural issues

Question 24

Professional issues

Answer 24

audiologists and SLP’s are now widely recognized for their roles in the Aural Rehab process

Question 25

Evidence-based practice (important)

Answer 25

Research is used to select the best treatment methods and to evaluate methods supported by professional opinion.

Question 26

Multicultural issues

Answer 26

We want to achieve cultural competence and eliminate any possible prejudice. Every child is different with gender, age, race, and other factors coming into play.

Question 27

CORE

Answer 27

communication status, overall participation variables, related personal factors, and environmental factors

Question 28

CARE

Answer 28

Once rehab assessment is completed, management should begin. Counseling/psychological, audibility/amplification, remediate communication activity, and environmental coordination

Question 29

C = Communication status

Answer 29

1) Includes self-assessment questionnaires to check on consequences of HL
2) Check vision to make sure they can see our face

Question 30

O = Overall participation variables

Answer 30

1) what is making it difficult for them to participate in rehab (if it applies)
2) Family support is important

Question 31

R = Related personal factors

Answer 31

• Includes persons attitude. 90% of candidates are type 1 and 2. Attitude with type 3 and 4 needs to be changed.
  Type 1) strong positive attitude about care. Comprise 60-75% of patients.
  Type 2) patient has positive attitude but may have had a negative experience or difficulty with audiometric configuration. May have already had hearing aids not working, making them weary.
  Type 3) negative attitude. May not deal with change well but are willing to cooperate. Not putting in much of an effort, may not wear hearing aids.
  Type 4) Rejects hearing aids/rehab. Patient was probs brought by family.

Question 32

E = Environmental Factors

Answer 32

1) there are the physical features of the environment.
2) Who the person is communicating with.
3) If you can, evaluate the acoustics of their environment.

Question 33

C = Counseling/psychosocial

Answer 33

1) explanation of the audiometric test results.
2) ensure the patient knows how to insert and remove hearing aids and that they understand their amplification devices.
3) Instruction manuals come with hearing aids.

Question 34

Audibility/amplification of Hiobasics

Answer 34

1) a handout for patients

2) info that will help patients adjust well to HA’s

Question 35

R = Remediate Communication Activity

Answer 35

1) use of basic communication training/related strategies.
2) may involve environmental and personal adjustments, assertiveness training, anticipatory strategies, repair strategies.
- speech training, reading lips, being aware.

Question 36

E = Enviromental Coordination

Answer 36

1) participate improvement.
2) self-assessment questionnaires help identify situations which may be problematic.
3) Referrals if problems are occurring which are out of our scope of practice.

Question 37

Aural Rehab Settings

Answer 37

1) Children: Early Intervention takes place in the home, preschool, and schools.
2) Adults: Universities, vocational rehab, hospitals, ENT clinics, Offices, VA’s.

Question 38

Americans with Disabilities Act

Answer 38

1) Reagens council drafted the bill.
2) The ADA was to provide a national mandate for the elimination of discrimination against individuals with disabilities.
3) an individual with a disability was defined as someone who: has a physical or mental impairment that substantially limits one or more major life activities. (Important)

Question 39

Disability was also defined as

Answer 39

1) has a physical or mental impairment that substantially limits one or more major life activities.
2) has a record of such impairment.
3) Is regarded as having an impairment.
4) Physical impairment
5) Mental impairment

Question 40

ADA titles

Answer 40

Title 1 - Employment
Title 2 - Public Services
Title 3 - Public Accommodation
Title 4 - Telecommunications Relay Services
Title 5 - Miscellaneous Technical Provisions

Question 41

Title 1 - Employment

Answer 41

1) to protect individuals with disabilities from discrimination
2) an individual is deemed qualified for a position with or without special accommodation.
3) Employers cant ask employees about disabilities.
4) employer must provide reasonable accommodations.

Question 42

Title 2 - Public Services

Answer 42

1) state and local government service, programs and activities may not discriminate against those with disabilities.
2) accesible public transportation.

Question 43

Title 3 - Public Acommadations

Answer 43

1) no person should be discriminated against for disability and they should have their needs accomadated.
2) this title focuses on accessibility to public places like private clubs or religious organizations

Question 44

Title 4 - Telecommunication Relay Services

Answer 44

1) Will require common carrier telephone companies to have telecommunication services.
2) Calls cannot cost more money to place.
3) operator cannot alter the message or refuse calls or limit length of call.
4) allows TTY’s to phone communication

Question 45

Title 5 - Miscellaneous Technical Provisions

Answer 45

1) requires several federal agencies to develop technical assistance plans.
2) requires report on wilderness areas and individuals with disabilities.
3) covers Congress and agencies of legislative branch, encourages use of ADR.
4) all business had a grace period depending on number of employees and size of business.
5) smaller companies are expected to do less and spend less than larger ones.