Chapter 1

Question 1

Aural Rehabilitation

Answer 1

The reduction of hearing-loss-induced deficits of function, activity, participation, and quality of life through sensory management, instruction, perceptual training, and counsling

Question 2

What is the goal of Aural rehab?

Answer 2

To improve conversational fluency ( we want the exchange of information to be smooth)

Question 3

Activity limitation

Answer 3

Loss of physical structure and function (loss of hair cells creating the loss of ability to discriminate pitch)

Question 4

Participation restriction

Answer 4

Lifestyle change due to a disability (people stopes going to restaurants and church because of their hearing loss)

Question 5

Is hearing loss the 3rd most common chronic condition?

Answer 5

Yes

Question 6

What percentage of the worlds global population does is affect?

Answer 6

20%

Question 7

What does ASHA say about how adults with a HL should receive aural rehab?

Answer 7

They should receive rehab within a person-centered framework in addition to sensory management (hearing aids)

Question 8

4 components of AR

Answer 8

1. Sensory management 2. Informational counseling 3. perceptual training 4. personal adjustment couseling

Question 9

Where does AR occur?

Answer 9

University, hearing clinic, private practice, hearing aid dealer office, hospital, nursing home, school, otolaryngologist office, slp office, home, VA, online

Question 10

Who provides AR?

Answer 10

Audiologist, SLP, Educator

Question 11

Audiologist role

Answer 11

Adults: fit and follow up hearing aids and assistive learning device care/counseling, Child: fit and maintain hearing airs and assistive learning devices in school

Question 12

SLP role

Answer 12

Child: auditory and speech reading training in school/clinic, extended one on one contact with child in school

Question 13

Educator role

Answer 13

Extended one on one contact with child in school

Question 14

Type of HL

Answer 14

Sensorineural (cochlea), conductive (OE or ME), mixed (both)

Question 15

Degree

Answer 15

Normal (-10-15), slight (16-25), mild (26-40), moderate (41-55), moderatley severe (56-70), severe (71-90), profound (91+)

Question 16

Configuration

Answer 16

Sloping, flat, notched, rising

Question 17

Bilateral

Answer 17

both ears effected

Question 18

Unilateral

Answer 18

one ear effected

Question 19

Fluctuating

Answer 19

comes and goes

Question 20

Stable

Answer 20

stays

Question 21

Hard of hearing

Answer 21

Hearing loss but still has some residual hearing and uses verbal language to communicate

Question 22

deaf

Answer 22

Profoundly death and either uses HA/CI or doesn’t but they still use verbal language to communicate

Question 23

Deaf

Answer 23

Profoundly deaf and does not use their voice but rather they use manual communication (ASL)

Question 24

Prelingual

Answer 24

lost hearing before learned how to speak

Question 25

Postlingual

Answer 25

throughout life they lost hearing after they already aquired speech + lang

Question 26

Congential

Answer 26

born with it

Question 27

Aquired

Answer 27

later in life

Question 28

Effects of children having HL at young age

Answer 28

Articulation effects & language delay

Question 29

Sensorineural

Answer 29

Inner ear damage, auditory nerve or connection between nerve and brain

Question 30

Conductive

Answer 30

outer and middle ear damage

Question 31

Mixed

Answer 31

both

Question 32

Adult AR plan

Answer 32

home, social, vocational/work focused

Question 33

Child AR plan

Answer 33

home, social/extracurricular, education (school) focused

Question 34

What is a patient centered approach?

Answer 34

An approach to healthcare that prioritizes the patient's needs, values, and preferences. It involves treating the patient as an active partner in their care and ensuring that their individual needs are met.

Question 35

Cultural competence

Answer 35

having awareness, attitude, knowledge, skills (as clinicians we need to respect other cultures and be able to educate ourselves on the cultures of our patients)

Question 36

Evidence based practice

Answer 36

Clinical devision making that is based on a review of research, clinical experience, and patient values

Question 37

5 steps of EVP AR plan

Answer 37

1. ask direct questions 2. find the best evidence to answer 3. critically assess the evidence to see if results pertain to your patient 4. integrate evidence with clinical judgement and patient values and needs 5. evaluate the performance after implementing plan

Question 38

Adult AR takeaways

Answer 38

diagnosis, listening devices, training in communication strategies, counseling related to HL, vocational counseling, hearing protection in noise, counseling family, auditory and speech reading

Question 39

Children AR takaways

Answer 39

diagnosis, listening devices, training in communication strategies, family training, auditory and speech reading, intervention related to speech, language and educational development