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Rehabilitation Flashcards

1
Q

Rehabilitation definition

A

Helping individual restore high test level of function, independence and quality of life.

Physical sensory, mental loss during to injury or disease.

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2
Q

Person-centered care definition

A

Approach where patients are encouraged to actively participate in their own healthcare.

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3
Q

Decibels of disabling HL in adults & children

A

40 in adults

30 in children

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4
Q

Most cause of HL globally

A

Medication

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5
Q

Most effective solution to HL

A

Prevention

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6
Q

Disability

A

Impairment that can be cognitive, developmental, intellectual, mental, physical, sensory or a combination of these.
Affects persons life activities and may be present from birth or occur during life.

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7
Q

ICF aim

A

To provide a scientific basis for understanding and studying of health and health related states, outcomes and determinants.

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8
Q

ICF categories

A

Health condition
Bodily structures and functions (impairment): plan needs to be based on what the person can do, assess functionality before planning.

Activity (limitations) and participation (restrictions): plan needs to target restricted activities, what the person participates in.

Environmental factors and personal factors: patient centered and contextual

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9
Q

Age related HL audiological findings

A

Presbycusis
Sloping high frequency loss
Progressive/gradual bilateral symmetrical SNHL

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10
Q

Effects of Age related HL

A

Cognitive decline
Risk for falls
Risk for dementia
Reduced participation

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11
Q

Negative social effects of HL

A

Reduced social activity- isolation and withdrawal
Problems communicating with spouse, friends and relatives
Problems communicating at work- lack of concentration

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12
Q

Negative psychological effects of HL

A

Embarrassment, guilt, shame and anger
Anxiety and suspicion- sadness or depression
Self criticism- low self esteem/ confidence

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13
Q

Stages of grief post diagnosis

A 
Denial 
Anger 
Bargaining 
Depression 
Acceptance
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14
Q

Counseling approaches

A

Psychodynamic counseling

Client-centered counseling

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15
Q

Psychodynamic approaches

A

The conscious: things we are aware of e.g. feelings
The subconscious: things below conscious awareness, easy to access
Unconscious: area in the mind where memories have been suppressed and are difficult to access

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16
Q

Client centered counseling

A

Empathetic, warm, genuine
Behavioral approach
Humanistic approach

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17
Q

Self assessment scales

A

Hearing Handicap inventory for adults

Hearing Handicap inventory for elderly

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18
Q

Quality of life

A

Perceived quality of an individuals daily life
Emotional, social, physical aspects of persons life.
Observe life satisfaction

19
Q

Generic QOL

A 
Multidimensional construct with 4 key domains:
Family, health, function
Psychological and spiritual 
Social
Economic
20
Q

Measure for generic QOL

A

Quality of life Index

21
Q

Health related QOL

A

Assessment of how individuals wellbeing may be affected overtime by disease, disability or disorder.

22
Q

First dimension of PCC

A

Health is not considered simply by the absence of illness or injury.

23
Q

Second dimension of PCC

A

Values the being of the patient rather than a body with a condition and encourages clinician to see person within the patient.

24
Q

Third dimension of PCC

A

Shared power and responsibility between client and clinician.

25
Forth dimension of PCC
Therapeutic alliance where clinician and patient are supported in research in order to achieve best health outcomes.
26
Fifth dimension of PCC
Clinician is viewed as a person rather than a mere expert without human characteristics.
27
CORE:
Assessment procedures: Communication status Overall participation variables Related personal factors Environmental factors
28
CARE
Management procedures: Counseling and psychosocial aspects Audibility and amplification aspects Remediation and communication acuity Environmental coordination/ participation improvement
29
Boothroyd rehabilitation framework
Counseling: informational/ psychosocial Sensory management technology: hearing aids, cochlear implants, frequency modulation. Communication intervention (receptive &a expressive communication training): auditory training, communication partner training, speechreading training.
30
Communication training
Training to help remediate and improve impacted communication function as a result of hearing loss. Compensation strategies Maximizes use of residual hearing
31
Communication training approaches
Analytic Synthetic Pragmatic Eclectic
32
Analytic
Bottom-up Focuses on elements of speech Vowel and consonant recognition on phoneme level Breaks speech into smaller components If you can reliably tell apart elements of speech, you can comprehend larger units.
33
Synthetic
Top-down Uses prior knowledge of language to fill in acoustic gaps Sentence level and more challenging tasks Comprehending sentence meaning without attending to specific acoustic elements. Stimulus often presented in presence of noise to stimulate real life listening situation.
34
Pragmatic
Involves listening controlling communication variables | Use of repair strategies, adjust distance between listener and speaker.
35
Eclectic
Combines strategies from other approaches.
36
Benefits of communication training
Improved audibility in quiet environments improved communication function reduced perception of Handicap
37
Limitations of communication training
``` Adherence Structure Cost Context Perceived benefit ```
38
Types of communication training
``` Auditory training therapy Speech perception training Conversation therapy Assertiveness training Compensation & repair strategies ```
39
Auditory training therapy
Helps individual with hearing loss use residual hearing maximally. Emphasizes development of listening skills to improve recognition and interpretation of sounds despite limited hearing abilities. Candidacy: change in hearing status and recently received CI or HA, HL due to trauma or drugs, long term HA users. Can be self directed or consultation based.
40
Speech perception training
Focus is to improve speech recognition and intelligibility in people with HL. Emphasizes specific aspects elements of speech use and understanding such as discrimination, pronunciation, intonation, consonant vs vowel.
41
Conversation therapy
Creates a realistic and generalizable to real | Life communication environment
42
Assertiveness training
Helps people stand up for themselves to empower themselves. | Seeks to create an appropriate balance between passivity and aggression.
43
Compensation & repair strategies
Informational counseling to help make the everyday adjustments and adaptations to overcome communication adjustments.

Adult Rehab (4 decks)

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