COMS assessment part 3 Flashcards
(30 cards)
What can a person with 40 dB HL hearing loss typically hear?
Unable to hear soft sounds. Can hear a normal conversation in a quiet room but struggles in noisy environments. Cannot hear whispered conversation or speech from a distance.
What are the characteristics of moderate hearing loss (40-70 dB HL)?
Difficulty hearing a normal conversation in a quiet room. Must lip-read or use amplification to
understand most words.
What are the characteristics of severe hearing loss (70-90 dB HL)?
Cannot hear a conversation unless the speaker is very close and speaking loudly.
What are the characteristics of profound hearing loss (90+ dB HL)?
Cannot understand speech, even if shouted. May only detect very loud sounds like a motorcycle
engine
What is conductive hearing loss?
Results from issues in the outer/middle ear. Hearing is better with increased volume. Often
affects low-pitch sounds and localization skills. Air conduction loss without bone conduction loss.
What is sensorineural hearing loss?
Inner ear or nerve issue. Loss in higher frequencies. Both air and bone conduction show loss.
Sounds seem soft and distorted.
What is mixed hearing loss?
A combination of conductive and sensorineural issues in the same ear. Different degrees of loss
in air vs. bone conduction tests.
Why is hearing in both ears important for O&M?
Needed for sound localization, just like both eyes are needed for depth perception.
What eye diseases are associated with diabetes?
Vision can fluctuate; watch for hypoglycemia/hyperglycemia; consider kidney, nerve, and skin
issues
What eye conditions are associated with AIDS?
: CMV, Kaposis sarcoma, uveitis, toxoplasmosis, cryptococcal meningitis, HIV retinopathy.
O&M implications for learners with AIDS?
Participation may fluctuate due to physical or cognitive issues. Confirm appointments.
Reassess goals often.
Key info to gather for a learner with seizure disorders?
Seizure type, frequency, triggers, auras/prodromes, meds, and side effects.
Arthritis considerations in O&M?
Use lightweight cane, wrap joints, avoid overexertion, schedule rest periods
O&M considerations for high blood pressure?
Watch for headache, redness, irritability. Diuretics = more bathroom breaks.
Heart condition considerations in O&M?
Assess tolerance, list meds, avoid extreme temps and stress
Asthma considerations in O&M?
Know triggers, have treatment plan and medication list, avoid allergens.
Signs of hypoglycemia?
Confusion, crankiness, drowsiness, trembling, sweating, hunger, headache.
O&M action for hypoglycemia during a lesson?
Provide fast sugar (juice, soda, glucose gel). Follow with food. Monitor and stay with student
Signs of hyperglycemia?
Hot dry skin, excessive thirst and urination, lethargy, fruity breath, blurry vision
O&M action for hyperglycemia?
Refer to doctor. Gradual onset. Do not attempt to treat acutely-medical advice needed
When should an O&M call for medical help during a seizure?
Seizure >5 minutes, multiple without waking, first seizure, in water, injury, pregnancy, or can’t
wake up.
Severe allergic reaction steps?
Know students allergens and meds. If reaction occurs and is severe, call 911 and use EpiPen
if trained
O&M strategies for learners with aggressive behavior?
Review expectations, use behavior contracts, positive reinforcement, structured breaks,
preferred environment.
What does MOCVA stand for in O&M assessments?
: Mobility, Orientation, Concepts, Vision, Auditory.
