Test 4 Flashcards
(11 cards)
Why is early intervention important for hearing and speech? Short answer (1 paragraph)
What is the timeline for early detection of hearing loss?
screening by 1 month
diagnosis by 3 months
intervention by 6 months
IEP vs 504 vs IFSP
IEP: process and writing document developed by parents and multidisciplinary team delineating the special education and related services to be provided to the child from the age 3-21 yrs
504: provide accommodations and support for children with disabilities who do not require specialized instruction, but need adjustment to access the general education
IFSP: process and written document developed by a multidisciplinary team consisting of parents and other professionals involved in EI services for families and their child, birth- 3 yrs.
4 things an EI program should include
gains comprehensive understanding of infant/family needs to develop IFSP
supports family in use of amplification and communication strategies; respects parental decision authority
guides family in stimulating infants language, auditory, speech, and communicative development
helps family understand and cope with hearing loss
Common issues with hearing aids
moisture
cerumen
bluetooth connection
Discuss consequences of late identification. What effect can it have on the child?
What effect can it have on the family?
-guilt and frustration over missed diagnosis
-pressure to catch up may influence interactions
-behavioral consequences related to child’s communicative delays
-increases time demands (extra appts)
-decreased confidence, independence in implementation of IFSP goals
Parts of a hearing aid and how they work
microphone: converts acoustic energy to electrical energy
amplifier: increases volume of electrical energy depending on patient’s gearing loss
receiver: receives amplified energy and converts it to acoustic energy
battery: charges the hearing aid
Styles of hearing aids
Behind the ear
Receiver in canal
In the ear
In the canal
Completely in canal
Contralateral routing of signals
Complications of cochlear implant surgery
minor:
-facial nerve stimulation
-local wound infection
major:
-flap necrosis
-implant exposure
-internal device malfunction
-facial nerve paralysis
parts of cochlear implants and how they work
cochlear implant: implanted under skin with electrodes positioned in the cochlea to stimulate the auditory nerve
external:
-transmitter
-external magnet
-microphone
-speech processor
internal:
-receiving antenna
-internal magnet
-receiver
-electrode array
Medical evaluation of cochlear implant in children and adults
pre-op:
-etiology of HL
-complete medical history and physical exam
-imagine
post-op:
-biannual routine evaluation
-otological issues
-imaging
