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Spring '14-133 (Exam 2) > Study Guide > Flashcards

Study Guide Flashcards

1
Q

What are characteristics of Hearing loss?

A
  • it’s progressive over time
  • mild to moderate sensorineural hearing loss
  • mid to high frequencies are worse
  • indicate speech is too soft or sounds muffled
  • they can hear, but cannot understand
  • listening in noisy environments is very difficult
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2
Q

What are issues females face with a hearing loss, and why don’t they get hearing aids?

A
  • feel loss of self-esteem
  • use more nonverbal repair strategies
  • have greater negative feelings
  • acknowledge hearing loss
  • report communication difficulties
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3
Q

What are issues males face with a hearing loss, and why don’t they get hearing aids?

A
  • feel loss of virility
  • feel hearing loss is a weakness
  • feel loss of providing financially
  • less likely to discuss how they “feel”
  • have poorer word recognition skills
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4
Q

How does SES play a factor in hearing loss/getting hearing aids?

A

Financial situation –affordability of HA, may lack healthcare

educational background (understanding hearing loss, understand the impact of loss on communication)

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5
Q

In terms of ethnicity and culture, what may minorities feel in terms of having a hearing loss/getting a hearing aid?

A

view hearing loss and its effects in varying ways

may view utilizing hearing aids with animosity

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6
Q

What are some issues faced for people who have a language barrier and have a hearing loss/need hearing aids?

A

difficult to use language based tests

may need interpreter

bilingual individuals seem to suffer from speech understanding issues more

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7
Q

Once they decide to get a hearing aid, what do you need to consider when fitting them?

A
  • has selected according to style, amplification level, and patient’s capabilities
  • electroacoustic properties are verified (gain, MPO, distortion, noise, noise reduction, directional mice, feedback control)
  • real-ear measurements with HAs on
  • discussion of care, cleaning, and use
  • self-insertion and removal of hearing aids (or caregivers ability to do so)
  • trouble shooting (not working: dead batter, clogged filters, feedback)
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8
Q

What are the five stages of grief in relation to hearing loss?

A
  1. Denial and isolation (decrease in self-esteem). May blame their listening problems on other factors.
  2. anger (may follow depression as they realize their lives have been inalterably changed)
  3. bargaining
  4. depression (might be followed by denial of what has been lost)
  5. acceptance (acceptance of loss resumes normalcy, monetary & non-monetary costs)
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9
Q

To get a hearing aid, what considerations need to be taken into account when choosing?

A
  • affordability
  • reliability/durability
  • operability
  • portability
  • compatibility
  • cosmetics
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10
Q

What are risk factors for hearing loss in babies?

A
  1. family history
  2. low birth weight
  3. low APGAR score
  4. in utero infection
  5. ototoxic medications
  6. ventilator use for more than five days
  7. craniofacial anomalies
  8. meningitis
  9. genetic syndrome
  10. hyperbilirubinemia
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11
Q

What are the parts of a good aural rehab plan?

A
  • assessment of person
  • information counseling
  • development of plan
  • implementation
  • assessment of outcome
  • follow-up
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12
Q

What occurs/ is considered during the assessment of the person in order to have a good aural rehab plan?

A

interview and case history

otoscopy and cerumen management

immittance testing

comprehensive hearing evaluation

speech testing

referral to physician and medical clearance

candidacy for amplification

hearing-related difficulties

budget

interviews and self-report questionnaires

identification of environments when difficulties occur

willingness to proceed with rehabilitation

significance of difficulties and person’s expectations

client-oriented scale of improvement (COSI) used to identify person’s concerns

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13
Q

What occurs/is done during information counseling in order to have a good aural rehab plan?

A

discussion, priority, expectation, solution

discuss hearing and speech test results

confirm hearing loss

use nonprofessional jargon

affirm person’s frustrations

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14
Q

What occurs during the development of the plan in order to have a good AR plan?

A

develop AR plan together with patient

define plan, objectives, and goals (goals define effective intervention)

identify how to evaluate outcomes

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15
Q

During implementation of a good aural rehab plan, what happens?

A
  • candidacy for amplification
  • consumer anxiety around amplification
  • untreated hearing loss and decreased quality of life vs. acceptance of hearing loss and expectations
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16
Q

During the assessment of the outcome what happens?

A
  • discuss performance (speech recognition & everyday functioning)
  • benefit (self-report questionnaire)
  • usage (daily logs)
  • satisfaction (correlated with satisfaction and expectation)
17
Q

During the follow-up what happens in a good aural rehab plan?

A

AR program should be flexible to modification

person’s hearing predicaments change

as one goal is met, new goals emerge

regular visits with audiologist

18
Q

What is the candidacy criteria for cochlear implants?

A
  • @ 12 months: profound bilateral SNHL
  • Lack of auditory skills
  • Able to tolerate general anesthesia and surgical recovery process
  • @ 18 months: severe to profound SNHL
  • Plateau of auditory skills
  • *Younger recipients perform better
  • Adults
    • Moderate to profound bilateral sensorineural loss
    • Little or no benefit from hearing aids
    • Criterion: 50% or less on a word recognition test using sentences presented at 60 dB SPL in the best aided condition in the ear to be implanted, 60% or less in the opposite ear or binaurally. Requirements vary by insurance type
19
Q

For the Universal newborn hearing screening what is the pass/refer screening protocol?

A
  • false-negative pass screening, but has hearing loss

- refer for complete audiological exam (false-positive fail screening, but pass exam)

20
Q

What does some research show about UNHS?

A

four or five identified via UNHS

when hearing loss identified by 6 mos. of age or younger, better language, speech, and social-emotional skills (better language means less parental stress)

language similar to nonverbal cognitive development

language development (low to average through five years of age)

21
Q

What are the speech characteristics of a child with hearing loss?

A

segmental and suprasegmental errors

greater residual hearing fewer speech errors

profound loss less than 20% intelligible

Speech skills may plateau with significant loss

CI users demonstrate better speech intelligibility skills

22
Q

What are segmental errors people with significant hearing loss have in terms of vowels?

A

Neutralization and nasalization

substitutions and dipthongizations

prolongations

23
Q

What are segmental errors people with significant hearing loss have in terms of consonants?

A

Voiced/voiceless confusions

substitutions, omissions, and distortions

consonant cluster errors

visible consonants produced better

24
Q

What are speech skills like for people with Cochlear Implants?

A

Speech acquired at faster rate

improved vowel production and increased repertoire

consonant acquisition good

acquisition of fricatives and affricates slower

production of visual consonants better than palatals, velars, and glottals

25
Q

What are suprasegmental errors with significant hearing loss like?

A

errors in stress, rate, coarticulation, breath, etc…

voice quality is high or monotone

speak slower with frequent pauses

coarticulate phonemes in isolation

limited research with CI users

26
Q

What is an IEP team determine?

A

child’s level of performance

statement of annual goals

description of special education report

how often child can be with children who do not have disabilities

when services should begin

how often services will be given

who will provide the services

location of delivery and timeframe

additional services (e.g., interpreter)

27
Q

Describe the IEP team

A

Multidisciplinary team:
–all professionals providing expertise to IEP

–conduct evaluation, intervention, and management

–audiologist, SLP, School personnel, Parents, etc…

28
Q

What are the characteristics of people with hearing loss? (From Amal)

A
  1. Need people to repeat themselves.
  2. get annoyed with themselves
  3. use up extra energy to compensate
  4. give incorrect answers.
  5. difficulty following conversation.
  6. extra concentration to hear someone.
  7. difficulty understand TV.
  8. difficulty understanding what people say.
  9. people seem to be mumbling.
  10. harder to follow a conversation in meeting, restaurants or noisy places.
  11. have to turn up the volume on the TV or radio.
  12. family and colleagues often have to repeat themselves.
  13. tend to limit social activities because its difficult to hear or communicate.
    • Sadness and depression
    • Worry/anxiety/anger
    • Less social activity/Disinterested
    • Irritability/Loneliness
    • Fatigue/stress
    • An individual’s attitudes, self-image, motivation and assertiveness is decreased
    • Effects of positive & negative factors
    • Affects participation and vise-versa
    • Societal viewpoints affect patients activity participation
29
Q

What are characteristics of people with hearing loss?

A 
Sadness and depression
Worry/anxiety/anger
Irritability/ isolation
Fatigue/ stress
Less social interest/disinterested

Spring '14-133 (Exam 2) (1 decks)

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