Study Guide Flashcards
(29 cards)
What are characteristics of Hearing loss?
- it’s progressive over time
- mild to moderate sensorineural hearing loss
- mid to high frequencies are worse
- indicate speech is too soft or sounds muffled
- they can hear, but cannot understand
- listening in noisy environments is very difficult
What are issues females face with a hearing loss, and why don’t they get hearing aids?
- feel loss of self-esteem
- use more nonverbal repair strategies
- have greater negative feelings
- acknowledge hearing loss
- report communication difficulties
What are issues males face with a hearing loss, and why don’t they get hearing aids?
- feel loss of virility
- feel hearing loss is a weakness
- feel loss of providing financially
- less likely to discuss how they “feel”
- have poorer word recognition skills
How does SES play a factor in hearing loss/getting hearing aids?
Financial situation –affordability of HA, may lack healthcare
educational background (understanding hearing loss, understand the impact of loss on communication)
In terms of ethnicity and culture, what may minorities feel in terms of having a hearing loss/getting a hearing aid?
view hearing loss and its effects in varying ways
may view utilizing hearing aids with animosity
What are some issues faced for people who have a language barrier and have a hearing loss/need hearing aids?
difficult to use language based tests
may need interpreter
bilingual individuals seem to suffer from speech understanding issues more
Once they decide to get a hearing aid, what do you need to consider when fitting them?
- has selected according to style, amplification level, and patient’s capabilities
- electroacoustic properties are verified (gain, MPO, distortion, noise, noise reduction, directional mice, feedback control)
- real-ear measurements with HAs on
- discussion of care, cleaning, and use
- self-insertion and removal of hearing aids (or caregivers ability to do so)
- trouble shooting (not working: dead batter, clogged filters, feedback)
What are the five stages of grief in relation to hearing loss?
- Denial and isolation (decrease in self-esteem). May blame their listening problems on other factors.
- anger (may follow depression as they realize their lives have been inalterably changed)
- bargaining
- depression (might be followed by denial of what has been lost)
- acceptance (acceptance of loss resumes normalcy, monetary & non-monetary costs)
To get a hearing aid, what considerations need to be taken into account when choosing?
- affordability
- reliability/durability
- operability
- portability
- compatibility
- cosmetics
What are risk factors for hearing loss in babies?
- family history
- low birth weight
- low APGAR score
- in utero infection
- ototoxic medications
- ventilator use for more than five days
- craniofacial anomalies
- meningitis
- genetic syndrome
- hyperbilirubinemia
What are the parts of a good aural rehab plan?
- assessment of person
- information counseling
- development of plan
- implementation
- assessment of outcome
- follow-up
What occurs/ is considered during the assessment of the person in order to have a good aural rehab plan?
interview and case history
otoscopy and cerumen management
immittance testing
comprehensive hearing evaluation
speech testing
referral to physician and medical clearance
candidacy for amplification
hearing-related difficulties
budget
interviews and self-report questionnaires
identification of environments when difficulties occur
willingness to proceed with rehabilitation
significance of difficulties and person’s expectations
client-oriented scale of improvement (COSI) used to identify person’s concerns
What occurs/is done during information counseling in order to have a good aural rehab plan?
discussion, priority, expectation, solution
discuss hearing and speech test results
confirm hearing loss
use nonprofessional jargon
affirm person’s frustrations
What occurs during the development of the plan in order to have a good AR plan?
develop AR plan together with patient
define plan, objectives, and goals (goals define effective intervention)
identify how to evaluate outcomes
During implementation of a good aural rehab plan, what happens?
- candidacy for amplification
- consumer anxiety around amplification
- untreated hearing loss and decreased quality of life vs. acceptance of hearing loss and expectations
During the assessment of the outcome what happens?
- discuss performance (speech recognition & everyday functioning)
- benefit (self-report questionnaire)
- usage (daily logs)
- satisfaction (correlated with satisfaction and expectation)
During the follow-up what happens in a good aural rehab plan?
AR program should be flexible to modification
person’s hearing predicaments change
as one goal is met, new goals emerge
regular visits with audiologist
What is the candidacy criteria for cochlear implants?
- @ 12 months: profound bilateral SNHL
- Lack of auditory skills
- Able to tolerate general anesthesia and surgical recovery process
- @ 18 months: severe to profound SNHL
- Plateau of auditory skills
- *Younger recipients perform better
- Adults
- Moderate to profound bilateral sensorineural loss
- Little or no benefit from hearing aids
- Criterion: 50% or less on a word recognition test using sentences presented at 60 dB SPL in the best aided condition in the ear to be implanted, 60% or less in the opposite ear or binaurally. Requirements vary by insurance type
For the Universal newborn hearing screening what is the pass/refer screening protocol?
- false-negative pass screening, but has hearing loss
- refer for complete audiological exam (false-positive fail screening, but pass exam)
What does some research show about UNHS?
four or five identified via UNHS
when hearing loss identified by 6 mos. of age or younger, better language, speech, and social-emotional skills (better language means less parental stress)
language similar to nonverbal cognitive development
language development (low to average through five years of age)
What are the speech characteristics of a child with hearing loss?
segmental and suprasegmental errors
greater residual hearing fewer speech errors
profound loss less than 20% intelligible
Speech skills may plateau with significant loss
CI users demonstrate better speech intelligibility skills
What are segmental errors people with significant hearing loss have in terms of vowels?
Neutralization and nasalization
substitutions and dipthongizations
prolongations
What are segmental errors people with significant hearing loss have in terms of consonants?
Voiced/voiceless confusions
substitutions, omissions, and distortions
consonant cluster errors
visible consonants produced better
What are speech skills like for people with Cochlear Implants?
Speech acquired at faster rate
improved vowel production and increased repertoire
consonant acquisition good
acquisition of fricatives and affricates slower
production of visual consonants better than palatals, velars, and glottals
