HA fittings Flashcards
(17 cards)
Conduct communication needs assessment using tools like
COSI, APHAB, GHABP, HHIA.
Examples of Subjective measures
Hearing Handicap Inventory for the Elderly –Screening HHIE-S
Communication Scale for Older Adults (CSOA)
Client Oriented Scale of Improvement—COSI
Communication partner subjective scales (SAC and SOAC)
Combined (objective and subjective) methods
Performance Perceptual Test (PPT)
Self-report questionarie circling one of 3 choices
Communication Scale for Older Adults (CSOA)
Self-report questionnaire requiring patient to list 5 listening situations in which help with hearing is required. Takes less than 5 minutes of patient time, 2 minutes professional time for interpretation
Post-rehab, the reduction in disability and the resulting ability to communicate in these situations is quantified.
Client Oriented Scale of Improvement—COSI
Should be performed using headphones on in sound field
Help assess possible hearing aid benefit
Assist in selection of appropriate hearing aid technology
Can be later repeated when aided to compare
Pre-fitting speech discrimination tests
AB Word Lists
BKB Sentences
Quick SIN
Speech in Noise Test
Hearing in Noise Test (HINT or HINTpro)
Speech Discrimination tests
Newman and Sandridge 9-item measure of non-audiologic information to determine if technology is required. Takes 3 minutes of patient time, 2 minutes professional time for interpretation
Assesses
*Motivation
*Expectations
*Preferences
*Cosmetics
*Cost considerations
Characteristics of Amplification Tool—COAT
Prior to pt arriving: perform electroacoustic check of the hearing aids, check earmolds and accessories; perform listening check, enter pt information into NOAH.
fitting appointment (60+ minutes)
- Initial follow-up within 1–2 weeks; second within 4–5 weeks; schedule further as needed.
- Evaluate use, benefit, handling, and physical comfort; use datalogging where available.
- Repeat pre-fitting speech tests and self-report assessments to evaluate benefit.
- Discuss assistive devices, give communication strategies, and schedule long-term reviews.
follow-up appointments
Auditory training (e.g., LACE) may benefit patients with long-standing loss.
Communication strategies
Group AR therapy
Maintenance plan should cover repairs, batteries, accessories, and periodic reassessment.
Reports may be shared with the patient’s GP with consent
auditory training and maintenance
Most memorable thing: Signia
OVP, slim-ric designs
Most memorable thing: Starkey
custom molds, innovative feature/technology especially the fall detection, American based company
Most memorable thing: Phonak
Pediatric (marvel) line, lyric HA (analog chip and only invisible HA)
Most memorable thing: Resound
M&rie
Most memorable thing: Widex
TruAcoustic and sensogram
Most memorable thing: Oticon
peds (play) line and accessories
