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Pediatric audiology > Why hearing is important in children > Flashcards

Why hearing is important in children Flashcards

1
Q

Hearing loss is a ____ _____ ____ disability

A

silent developmental hidden

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2
Q

approx 12,000 new babies w/ hearing loss are

A

identified each year

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3
Q

another 4,000 to 6000 infants and young children between birth and 3 years of age who had passed the new born hearing screening test acquired

A

late onset hearing loss

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4
Q

Know some risk factors for hearing loss

A

family history of hearing loss
genetic disorders or syndromes

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5
Q

Why hearing is important?

A

speech and language development is critical and is considered as a prerequisite for cognitive development suggesting that appropriate intervention is crucial to facilitate this process

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6
Q

deaf children born into hearing family, in absence of intevention

A
  • does not learn to interpret sound patterns
  • does not learn to produce sounds of spoken language around him/her
  • unable to hear speech
  • unable to acquire spontaneous language
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7
Q

what is the role of pediatric audiologists?

A

prevent
evaluate
intervene

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8
Q

What are the 5 core audiological services

A

hearing screening
objective testing
behavioral testing
amplification
aural rehabilitation

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9
Q

challenges in pediatric audiology (6)

A
  • identifying hearing loss early
  • understanding the impact of minimal or unilateral hearing loss
  • accurately assessing hearing thresholds
  • providing effective counseling to caregivers
  • minimizing the effects of auditory handicap
  • ensuring proper follow up for hearing impaired patients
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10
Q

any undetected hearing loss of any degree can have a significant impact on ?

A

speech, language, cognitive, and psychosocial development

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11
Q

Impact of mild hearing loss:

Overall impact

A

communication, language learning, and educational achievement are affected

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12
Q

Impact of mild hearing loss:

Perception of speech sounds

A

vowel sounds are heard clearly but voiceless consonants may be missed. The louder voiced speech sounds are only heard. The short unstressed words and less intense speech sounds (such as voiceless stops and fricatives) are inaudible

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13
Q

Impact of mild hearing loss

Educational and behavioral impacts

A

in children with this degree of hearing loss auditory learning dysfunction may result in inattention, classroom behavior problems and possible mild language delay and speech problems

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14
Q

Impact of moderate hearing loss

speech perception

A

miss most conversational speech sounds, vowels are heard better than consonants. Short unstressed words and word ending (-s,-ed) are particularly difficult to hear

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15
Q

impact of moderate hearing loss

communication confusion

A

reduced auditory cues can lead to confusion in distinguishing speech sounds and word meanings

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16
Q

impact of moderate hearing loss

speech articulation

A

speech articulation often characterized by omission and distortion of consonants, strangers may have difficulty understanding their speech

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17
Q

Impact of moderate hearing loss

behavioral and learning impacts

A

may demonstrate behavioral problems, inattention, language delay, speech problems, and learning problems

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18
Q

impact of severe hearing loss

speech and language development

A

language and speech do not develop spontaneously without intervention .

With early intervention, proper fitted hearing aids, and specialized education, children achieve significant functional improvement

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19
Q

impact of severe hearing loss

auditory perception without amplification

A

cannot hear typical sounds or normal conversation, can hear distorted self vocalization, very loud environmental sounds, and only the most intense speech at close range

20
Q

Impact of severe hearing loss

more challenges

A

significant language problems speech problems and associated educational problems

21
Q

impact of profound hearing loss

language and speech delays

A

severe language delays, speech problems, and potential learning dysfunction without intervention. Intensive special education with powerful hearing aids or cochlear implants is essential for language and speech development

22
Q

impact of profound hearing loss

auditory perception without intervention

A

cannot hear or understand sounds, amplification is critical. Early detection and treatment significantly improve outcomes

23
Q

impact of profound hearing loss

speech characteristics

A

speech often includes issues with voice, articulation, resonance, and prosody. Vocal pitch may be higher, with a monotone quality due to lack of intonation and stress

24
Q

communciation

A

vocabulary
sentence structure
speaking

25
Q

academic achievement affected

A

especially reading and mathematical concepts

26
Q

academic achievement affected children with mild to moderate

A

achieve one to four grade levels lower than their peers with normal hearing, unless appropriate managements occurs

27
Q

academic achievement children with severe to profound hearing loss

A

usually achieve skills no higher than the third or fourth grade level, unless appropriate educational intervention occurs early

28
Q

academic achievement affected the gap in academic achievement between children with normal hearing and those with hearing loss usually

A

widens as they progress through school

29
Q

social functioning

A

report isolated, without friends, and unhappy with school when socialization with other children with hearing loss is limited

more frequent in children with mild to moderate hearing loss than those with severe to profound

30
Q

economic burden

A

medical and audiological expenses
education and training expenses
special living expenses
lifetime loss of income considerations

31
Q

many children have difficulties in large social settings, they cannot attend to multiple simultaneous conversations especially

A

in background noise

32
Q

joining an existing group of peers and maintain play behaviors with them is

A

socially challenging

33
Q

deaf children often have inadequate concept of how others

A

think and feel

34
Q

minimal hearing loss is

A

broad, severity and configuration are also important

35
Q

unilateral hearing loss

A
36
Q

bilateral SNHL

A
37
Q

High frequency SNHL

A
38
Q

Prevalence

studies showed that by the time children reach school age, the prevalence of minimal hearing loss increases from approx

A

0.03% to about 1% to 14

39
Q

do current OAE and ABR technology distingusih between normal and mild hearing loss?

A

NO

40
Q

the configuration of loss in some hearing impaired ears could result in screening ABR and OAE results that are

A

indistinguishable from normal hearing ears

41
Q

manfactuer provided pass fail criteria are often insufficent to determine the validty of specific pass fail criteria and automated screening algorithims

A

true

42
Q

hearing screening programs do not target minimal and mild degrees of hearing loss, these children are not likely to

A

be referred for diagnostic evaluations

43
Q

what percentage of children either repeat a grade or need resource support in school

increased behavioral and linguistic problems compared to hearing controls

A

50%

44
Q

children with minimal SNHL experienced more difficulty than NH children on a series of educational and functional test measures

A

true

45
Q

relation to educational performance and functional status

A

parental uncertainty related to amplification recommendations

considerable delay between confirmation of hearing loss and ultimate fitting of hearing aids

46
Q
A

Pediatric audiology (5 decks)

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