Counselling And Rehab Flashcards
What is counselling?
Provision of professional assistance and guidance in resolving personal or psychological problems
What is rehabilitation?
Reinstate or restore, bring back to good, make for after disablement or illness
Explain hard of hearing and hearing impaired
Hard of hearing: Mild to severe hearing loss often used to describe those with a gradual loss
Hearing impaired: technically accurate description of some one who is hard of hearing or no hearing but many do not like this term.
What is the difference between Deaf and deaf?
Deaf: refers to complete loss of hearing in one or both ears. Identify as culturally deaf, great pride, Deaf community who haven’t ‘lost’ anything and not ‘impaired’ don’t see as a disability and use sign language.
Deaf: don’t associate with Deaf community, primary language is not sign, integrates mainly with hearing World. Gradual loss but May not yet have accepted it.
What is pathology?
Study of disease or changes in tissues/organs that is associated with disease
What is a disorder?
Malfunction of the body, ailment or illness ie Presbyacusis
What is an impairment?
Loss of function or the amount of damage. This a measurable function ie as shown on an Audiogram ie slope of Presbyacusis
What is the difference between a disability and a handicap?
Disability is a physical difficulty and the inability to perform a common task easily. Less able.
Handicap is the non-auditory problems that result from diminished auditory capacity ie stops going to coffee mornings as cannot hear.
What do we need to do to hear?
We need to hear it ie detect sound
Discriminate the sound
Identify the meaning of the sound
Comprehend it ie cognition
What are they 4 reactions to AC hearing loss?
PHYSICAL fatigue, weight loss, raised blood pressure
BEHAVIOUR withdrawal, blame, bluff
EMOTIONAL denial, anger, anxiety, depression
COGNITIVE low self esteem, lack of concentration
What are the important factors for rehabilitation?
It is bespoke
Denial - or acceptance?
What level of denial/acceptance
Family support
Time loss was identified
How long it took to do something
Cognitive ability
Motivation
What are the 3 stages of rehabilitation? What do they entail?
RECOGNITION- of the problem. What are denial/acceptance levels, how long to do something about it, family support.
REMEDIATION: attitude is an important part in acceptance of amplification.
Emotional adjustments
Practical aspects ie fitting
Psychological aspects
Influence of others
State of action!
EVALUATION: follow ups
Assessing benefits, assistive listening devices, ongoing support
How do we communicate?
Verbal 7%
Para verbal 38% how we say it
NVC’s 55%
What 4 areas should we consider when communicating?
Speaker, listener, message, environment
Speaker: talk slowly, clearly, repeat if necessary, be patient
Listener: pay attention, patience, watch speakers mouth, ask specific questions
Message: no jargon, don’t be wordy or ambiguous
Environment: reduce BGN 1 speaker at a time, lighting, position, distractions, acoustics
How do we communicate for conductive loss and SN loss?
Conductive: increase volume of speech
SN: speak clearly and enunciate
