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Flashcards in Hearing Deck (22):
1

overall goal of aural rehab

to alleviate difficulties related to hearing loss, minimize its consequences

2

Degree of HL

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

3

speech discrimination scores

-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

4

speech recognition threshold (SRT)

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

5

effects of HI on conversation

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

6

2 types of comm strategies

1. facilitative --- anticipate/manage enviornment, self, partner

2. repair -- recover from a breakdown after it occurs

7

environment oriented strategies

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

8

pt oriented strategies

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

9

partner oriented strategies

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

10

receptive repair strategies

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 ___?

11

expressive repair strategies

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

12

encourage ______ type of conversation style

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

13

WATCH

-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

14

ALDs for the home

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

15

Counseling with pt with HL

-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

16

range of conversational speech

-20-50 db HL
-250-6000 Hz`

17

noise induced hearing loss

-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

functional hearing impairments assessments

-HHIA
-hearing handicap inventory for adults
-also have HHIA0SO.. for significant others

19

communicative strategies therapy

-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

Auditory Training

-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

speech reading

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

22

Hearing Aids

-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