AR Intro
What is conversational fluency?
How smoothly conversation unfolds and how easily communication is exchanged.
What is onset of hearing loss?
prelingual (C or A), perilingual (A), Postlingual (A)
What is flat?
no real description needed
Normal to near normalthresholds in allfrequencies except 3K,4K, and/or 6K Hz, wherethere is a pronouncedreduction in thresholds
What are the phases of an AR plan?
Diagnosis - PERSON:Suspects hearing lossIs screened or referred for diagnostic evaluation Receives formal diagnosis
Treatment - PERSON:Is fit with appropriate amplificationReceives assistive device technology, if needed
Rehabilitation - PERSON:Learns to manage listening technologyEngages in ongoing aural rehabilitation to manage listening challenges
What are hearing related challanges?
Loss of function due to discomfort, physical dysfunction, emotional distress and the Inability to perform typical activities in a variety of environments (work, school,extracurricular, leisure, etc.)
What is the time course of hearing loss?
progressive - gradual change over months or years
sudden - rapid or abrubt change
What is sloping?
Gradual slope into the high frequencies.
Why does knowing the configuration help?
Excellent to use as a counseling tool when overlayed with thespeech banana because it BEGINS to help to explain: -audibility of speech sounds -what amplification can/cannot do
What is a hearing screening?
With large groups, the purpose is to separate those who are likely to have hearing loss from those who are unlikely to have it
-Goal is to identify if an individual needs additional testing
-NOT to be confused with a diagnostic appointment (aka hearing evaluation)
What are the psychosocial aspects of hearing loss?
denial, frustration, anxiety, withdrawal, isolation, depression
What are the different locations of hearing loss?
conductive - outer/middle ear issue
sensorineural - inner ear
mixed - combination
auditory neuropathy - auditory nerve
What is precipitous?
What is precipitous?
steep - drastic drop from one frequency to the next; usually in the high frequencies
What are causes of asymmetry?
shooter's ear, noise exposure, ear infection, impacted ear wax, Meniere's disease, otosclerosis, acoustic neuroma
What is air conduction and how is it administered?
Signal must pass through outer and middle ear to stimulate inner ear/auditory nerve
Delivered via headphones, insert earphones, or sound field speakers*Test one ear at a time with most air conduction signals
What is a third party disability?
the disability of family members due to the health conditionof their significant other
What is laterality?
unilateral - one ear
bilateral - both ears
What is a cookie bite?
loss is most pronounced in the mid frequencies with improved thresholds in the low and high frequencies
What is bone conduction and how is it administered?
Signal bypasses external and middle ear and directly stimulates inner ear/auditory nerve
Delivered via a bone oscillator; usually placed on either mastoid bone or the forehead Bone conduction signals go to both ears at the same time; often must “mask” to test ears separately
What is providing culturally-sensitive support?
family dynamics, community and societal rules and relationships, language and communication styles, opinions about healthcare and educational institutions, and views about diability.
What is symmetry?
symmetrical - thresholds are very similar between ears
asymmetrical - thresholds are quite different between ears
- rule of thumb is more than 100 db different at three frequencies
What is a reverse slope?
loss is pronounced in the low frequencies, with improved thresholds in the mid and/or high frequencies.