pediatric assessment Flashcards
how many children are born with congenital severe to profound HL
3 in 1000 children
why focus on children population
critical period for language development
effects of HL in children
delayed literacy and poor academic achievement
poor grammer
poor signal to noise ratio
why are kids special
dealing with both parent and child population
obtaining responses
attention
behavioral skills
should always have behavioral and objective response
case history
family history
developmental history
prenatal and birth history
otoscopy
looks at pinna, ear canal, tympanic membrane
immitence testing
determines if middle ear pathology is present, tympanometry
behavioral observation audiometry
looking for a repeatable response
performed in a sound field
looking for natural response
no reinforcement
visual reinforcement audiometry VRA
measures with hearing with a conditioned localization and visual reinforcer (look at puppet)
VRA advantages/disadvantages
advantage: easy to determine response, positive reinforcements, frequncy/intensity specific
disadvantages: puppets scary, hard to recenter, can get boring
TROCA (tangible reinforcement operant conditioning)
provides child with tangible reward
VROCA (visual reinforcement operant conditioning audiometry)
child hits a button when they hear response
problems with conditioned play audiometry
shyness, eagerness, can’t keep attention
speech testing for under 3 yrs old
speech detection threshold (sdt)
speech reception threshold (srt)
modified for 3-6
reaches adult levels ages 10-12
must be aware of vocab levels
