Aural Rehabilitation Flashcards

(65 cards)

1
Q

What is AR?

A

professional process used when working with a client + HR to achieve better communication & minimize difficulties caused by HL

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2
Q

Goals of AR

A

Enhance activities and participation of a person with hearing loss so as to improve his/her quality of life

-adequate receptive and expressive communication = a major means pf reaching this goal

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3
Q

Providers of aural rehabilitation

A
  • teachers of the deaf/ hard-of-hearing
  • audiologists
  • speech-language pathologists
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4
Q

Family-centered care revolves around

A

partner/spouse

parents

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5
Q

Providers must know & understand the

A

characteristics of HL
effect of it on persons
competencies needed for providing audiologic rehabilitation

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6
Q

slight to mild HL (dB)

A

Children: 21-40
Adults: 6-40

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7
Q

Mild-moderate HL

A

41-55 dB

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8
Q

Moderate HL

A

56-70 dB

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9
Q

Severe HL

A

71-90 dB

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10
Q

Profound HL

A

91+ dB

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11
Q

Prevalence of HL in the US

A

14-40 M with HL

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12
Q

Most of the 10% American population are considered ….. more than …..

A

hard-of-hearing rather than deaf

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13
Q

WHO estimates ……. worldwide have …..

A

360 million/ a disabling HL

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14
Q

A disabling HL

A

more severe than 40 dBHL in the better-hearing ear in adults

more severe than 30dBHL in the better-hearing ear in children

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15
Q

Time of onset

A

Prelingual
Perilingual
Postlingual
Deafened

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16
Q

Difference between postlingual and deafened

A

Postlingual: after 5 (speech can be affected substantially, but less chance for language)
Deafened: after completing schooling

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17
Q

speech recognition

A

ability to repeat/ identify

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18
Q

speech discrimination

A

same/different judgement

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19
Q

Speech recognition in persons with cochlear implants is usually comparable to those ….

A

with only mild HL

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20
Q

s

Speech recognition also is an important variable in

A

describing a HL as it tells you a little about functional skills

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21
Q

Consequence of HL

A

communication difficulties

  • impact on verbal communication
  • underdeveloped oral communication skills
  • educational, vocational, psychological and social implication difficulties
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22
Q

EHDI is

A

Early Hearing Detection and Intervention

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23
Q

Evidence-based practice is

A

the integration of clinical expertise, patient values, the best research evidence into the decision making process for patient care

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24
Q

Boothroyd (2007) - best approach to AR is ….

A

Holistic

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25
Airal Rehabilitation
1. Combination of technology 2. Various types of training 3. Counseling
26
1. Combination of technology
Personal FM | Pairing hearing aids with devices
27
2. Various types of training
- computer-based AR programs | - family-centered AR
28
3. Counseling
- changing attitudes toward HL | - positive communication behaviors
29
Assessment core areas
Communication impairmeny & activity limitation Overall participation variables Related personal factors Environmental factors
30
Examples of Communication impairment & actovity limitation
Pure tone audiometry speech audiometry Self-report
31
Examples of overall participation variables
social, emotional, educational, vocational, health, & other issues that are important to the client and significant others
32
Examples of related personal factors
attitudes, motivation & other disbilities or personal conditions that may affect treatment
33
Environmental factors
physical and social aspects of the environment
34
Care management
Counseling Audibility-amplification Remediation for communication activities Environmental coordination and participation issues
35
Counseling includes
info on the assessment findings, client helps set goals for treatment (social validity) treatment goals fall into the next 3 areas
36
Rehabilitation management
varies between people varies over time work with person with HL & communication partners to find a combination of solutions that enable listening goals to be achieved and maintained across environments with various communication partners
37
Settings for AR (children)
``` Early intervention Clinic School/preschool Inclusion classroom Pull-out services Residential schools for the deaf ```
38
Settings for AR (adults)
``` universities VA hospitals ENT practices Community hospitals Community programs Clinics SNFs (skilled nursing facilities) ```
39
Inner ear contains ….
sense organs for balance & sound
40
Conductive disorders
- outer or middle ear - otitis media - structural - trauma - wax
41
Number-one reason for visits to the doctor’s office by children under age 15 accouns for 15-20% of childhood HL prolonged or frequent bouts of OM can cause significant speech and language problems (especially if they occur in the first few years of life)
Otitis media (ear infections)
42
PE tubes
- a small incision is made in the tympanic membrane | - tube inserted to drain fluid
43
Causes of obstructed ET
``` swelling from infection, allergies or irritants neurologic problems (muscle weakness) steuctural problems (cleft palate, enlarged tonsils or adenoids) ```
44
Auditory neuropathy
normal cochlea, abnormal nerve function | “Auditory dys-synchrony”
45
Causes of auditory neuropathy
Juandice (hyperbilirubin) | Hereditary neuropathies
46
Difference between behavioral tests and objective tests
Behavioral tests: require the child to do sth in response to the sound ( cooperation and physical state) Objective tests: do not require a response from the child
47
Examples of objective tests
``` tympanometry (tymps) acoustic reflexes (AR) otoacoustic emissions (OAE) auditory brainstem response (ABR) ```
48
Tympanometry tests
middle ear function
49
Acoustic reflexes (AR) tests
auditory nerve function
50
OAE tests
inner ear function
51
ABR tests
auditory pathway
52
How does tympanometry work?
measures movement of the eardrum as air pressure is changed in the ear canal (Pressure & vol.)
53
Type A tympanogram
Normal eardrum mobility Normal pressure Normal volume
54
Type C Negative tympanogram
Normal eardrum mobility Negative pressure Normal volume
55
ABR us done during ….
sleep/ sedation
56
Otoacoustic emissions (OAE): cochlear function test characteristics
echo analayzed to determine how well the inner ear is working measures the function of the outer (inner ear) NOT a hearing test
57
OAEs tests …. while …. test the nerve and brainstem
the cochlea / ABR
58
OAE can diagnose HL?
Yes but it is not a hearing test
59
Examples of Behavioral tests
behavioral observation VRA Play audiometry
60
Evaluating infants and yound children >>> valid and reliable test resuls
We need to be able to control the child’s behavior get info about difficulties, capabilities and attention span
61
Factors that influence type of test
``` chronological & developmental age neurological status hearing level willingless to perform test environment ```
62
Behavioral observation audiometry (BOA)
``` age newborn- 4 months Epicit reflexes (startle, eyeblink, eye widening) ```
63
Mixed losses audiogram
Sensori + Earwax Otitis media Atresia Auditory neuropathy
64
4 major parts of hearing aids
microphone battery amplifier receiver
65
5 major types of hearing aids
1. BTE 2. less visible BTE 3. ITE 4. ITC 5. CIC