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Adult Comps* > Hearing > Flashcards

Hearing Flashcards

1
Q

overall goal of aural rehab

A

to alleviate difficulties related to hearing loss, minimize its consequences

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2
Q

Degree of HL

A

mild: 20-45dB HL
moderate: 45-65
Severe: 65-85 db HL
Profound: >85 db HL

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3
Q

speech discrimination scores

A
  • patient ability to repeat words from list of 25 auditory presented single syllable words presented in 2 ears separately in sound treated room
  • expressed as a % correct for each ear
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4
Q

speech recognition threshold (SRT)

A

level at which patient can repeat 50-75% of spondaic words in dB HL (baseball)

-should correspond to pure tone average threshold at 500, 1000, 2000 Hz

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5
Q

effects of HI on conversation

A
  1. disrupted turn-taking (missing aud cues)
  2. inappropriate topic shift as a resultd of misunderstanding word or phrase
  3. communication breakdowns disrupt flow
  4. choice of topic simplified/limited for fear of communication breakdowns

—Tye-Murray

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6
Q

2 types of comm strategies

A
  1. facilitative — anticipate/manage enviornment, self, partner
  2. repair – recover from a breakdown after it occurs
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7
Q

environment oriented strategies

A
  1. light source should illuminate face of comm partner
  2. direct view of speaker
  3. 3-6 ft optimal distance
  4. reduce background noise
  5. reduce reverberation
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8
Q

pt oriented strategies

A
  1. increase self-confidence
  2. prepared for comm situations (visual attention to partner, world knowledge, paper and pencil)
  3. speech-reading skills
  4. encourage pts to role play fears and come up with solutions
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9
Q

partner oriented strategies

A
  1. instructional strategies for partners – request clear speech
  2. “please speak clearly and slowly”
  3. “I need to your face when speaking”
    4 “Do you mind not chewing your gum”/…etc
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10
Q

receptive repair strategies

A

TEACH the patient…

  1. rephrase - could you say that in another way?
  2. elaborate – please tell me more…
  3. request topic — I missed that completely what were you talking about?
  4. confirmation — did you say ___?
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11
Q

expressive repair strategies

A

TEACH the patient/comm partner:

  1. teach interpretation of facial cues (puzzled look = confusion)
  2. repeat message verbatim or with no info
  3. talker takes hold of the repair
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12
Q

encourage ______ type of conversation style

A

interactive — stating needs in a friendly manner, clear, assertive

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13
Q

WATCH

A

-basic principles of aural rehabilitation:
W = watch the talker’s mouth
A = ask for clarification
T = talk about your hearing loss
C = change the situation - background noise or move to another place
H = healthcare knowledge – be informed

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14
Q

ALDs for the home

A
  1. loud ringers, phone amplifiers, loud amplified doorbell ringers
  2. flashing lights/vibrating alarm and alert systems
  3. TV captioning
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15
Q

Counseling with pt with HL

A
  • help pt to tell their story, clarify problems, take responsibility
  • establish goals, develop plan, implement plan
  • ongoing eval

*** need both informational counseling and personal adjustment counseling

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16
Q

range of conversational speech

A
  • 20-50 db HL

- 250-6000 Hz`

17
Q

noise induced hearing loss

A
  • exposure to 85-140 dB SPL
  • increases over months and is usually painless
  • begins as knowtch at 4-6 Hz… spreads to lower frequencies over time
  • most common cause of tinnitus
  • SLP role in HL prevention: counseling, education, hearing screenings, aud referrals
18
Q

functional hearing impairments assessments

A
  • HHIA
  • hearing handicap inventory for adults
  • also have HHIA0SO.. for significant others
19
Q

communicative strategies therapy

A
  • for all hearing impaired clients who use spoken language
  • therapy ranges from one 1-hour session to 12 weeks
  • individual or group
  • frequent communication partners should be included when possible
20
Q

Auditory Training

A
  • candidates: adults with peripheral hearing loss or new hearing aids, new BI, sudden hearling loss
  • assessment and therapy should be AUDITORY ONLY
  • go through auditory skill heirarchy
    1. awareness
    2. discrimmination
    3. identification
    4. comprehension

tools: Fast ForWord, Earobics
- generally requires comp level of auditory skill

LACE: syntehtic computer training for adults (listening and communication enhancement)// good for adults with new aids or CI

21
Q

speech reading

A

emphasizes importance of visual and auditory facial expression, context cues, loooking at lips
(not used for mild losses)

22
Q

Hearing Aids

A
  • refer to audiologist for hearing aid fitting
  • SLP can do re-orientation and troubleshooting
  • ALWAYS REQUEST TO SEE AIDED AUDIOGRAM!!!! so you know what to expect from client when weearing HAs
  • counsel patent and family about use

Adult Comps* (16 decks)

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