AH Children
Why is it important to understand that most babies born with hearing loss have parents with normal hearing?
Parents with normal hearing expect babies with normal hearing; therefore, they may experience stages of grief. We are to counsel them as related to the communication disorder. If we help parents reach acceptance, their child will be more successful.
TRUE/FALSE
Overall, those with significant hearing loss and hearing aids have better speech than those with cochlear implants
FALSE
What is the difference between lipreading and speechreading?
Lipreading is VISUAL only and speechreading is VISUAL and AUDITORY
Which auditory skill is when the listener understands the meaning of the auditory signal?
DISCRIMINATION
COMPREHENSION
AWARENESS
IDENTIFICATION
COMPREHENSION
TRUE/FALSE Speechreading training will result in a large improvement (%) of the utterance that is understood
Who is usually the case manager in the school setting, if available?
Teacher for Deaf/Hard of Hearing (DHH teacher)
TRUE/FALSE Children with hearing loss and CIs have better literacy skills than those with hearing aids, but still are not necessarily at grade level.
TRUE
What is true about why lipreading is difficult? Mark all that apply
A.Some words and some sounds look the same with auditory cues
B.Sounds occur in sequence slower than the eyes can resolve them
C.Dialects can change how words look
A.Some words and some sounds look the same with auditory cues
C.Dialects can change how words look
Which task is more difficult?
A.The clinician asks the child questions about the food when playing in a kitchen set in the clinic room.
B.The clinician asks the child questions about food when sitting a table in the clinic room
B.The clinician asks the child questions about food when sitting a table in the clinic room
TRUE/FALSE
SYNTHETIC auditory training focuses on understanding the meaning of the utterance versus the recognition of each individual sound
TRUE
CONVEYED: Spoken English
RECEIVED: Lipreading (visual) and auditory
What is one of the reasons children with significant hearing loss have pragmatic issues?
1.Less practice (fewer conversational partners)
2. Lack of incidental listening
3.Less formal instruction from parents
What is one way the person with hearing loss can improve their environment for speech reading?
Face-to-face
3-6 ft ideal
Reduced noise and reverb
Well-lit
Few visual distractions
In consonant training (AUDITORY TRAINING), which is the most difficult to perceive?
A. Manner
B. Place
C. Voicing
PLACE
Imagine that you are an audiologist or speech-language pathologist on an evaluation team in the schools for a child with hearing loss. What is a psychosocial concerns you would be looking for during the evaluation?
What are two ways to reduce NOISE in a classroom?
What are two different ways to reduce REVERBERATION in a classroom?
NOISE: Reduce noise from air handling units; padding or tennis balls on bottom of chairs; close windows; soft soled shoes; make quiet areas with bookshelves or dividers; close windows; cushions instead of chairs
REVERBERATION: carpet; window treatments; drop ceilings; angle whiteboards; cloth or hangings on the walls
What is a common vowel error for children with hearing loss?
VOWEL Substitutions, diphthongizations and neutralizations
CONSONANTS voice/voiceless confusions, omissions, substitutions, distortions, difficulties with consonant clusters, use more visual sounds
People with hearing loss want speakers to use clear speech. What are two of the components of clear speech?
Slower rate
Slightly longer duration of some sounds
Differentiated sounds
Key word emphasis
Pauses are clear
What is an activity for auditory skill of identification?
What is a DIFFERENT activity for the auditory skill of comprehension?
I SPY, SIMON SAYS, BOP-IT, TWISTER, READ CHILD STORY AND ASK QUESTIONS, WATCH A VIDEO AND ASK CHILD QUESTIONS
List two appropriate format accommodations that could be made in the classroom for a child with hearing loss. An example would be allowing them to have fewer words on a spelling test.
Abbreviated assignments; Interpreter; Alternative test format; Language simplification;Content enhancement;Modified grading; Content reduction;Paraphrasing;Copies of notes; Study guides; Extra credit; Flexible scheduling
What are two differences and two similarities between ASL and Manually Coded English?
DIFFERENCES: different grammar; ASL is not meant to be used while speaking English; ASL is its own language; ASL is part of the Deaf culture
SIMILARITIES: both use signs, gestures and facial expressions; both use fingerspelling
List two typical language errors when a child is born with hearing loss
Breathy, labored, staccato, arrhythmic, in appropriate stress, slower rate, inappropriate pauses, no coarticulation, inefficient breath control, voice quality, intensity issues
May overuse nouns and verbs and underuse adverbs, prepositions or pronouns; Simple subject-verb-object; Fewer words in sentences; simple sentences; Incorrect order; Difficulty with words with multiple meanings; difficulty with idioms; restricted vocabulary; more concrete than abstract; Use questions inappropriately;Difficulty initiating or maintaining conversations;Difficulty with turn taking;May tend to dominate conversations or avoid conversations
How do we know if speechreading is effective?
Patient report
AT can used in conduction with what two other types of therapy or training?
speechreading and speech-language therapy
What is a reason a child with profound hearing loss would have literacy deficits?
restricted language system
deficits in world knowledge
difficulty with decoding