Type of loss
What part(s) of the ear is/are affected in conductive HL?
Outer ear and/or middle ear
Word recognition score (or speech discrimination score) uses what kind of words at what level?
Uses monosyllabic words at a comfortable level (40 dB above SRT or PTA)
What is the tenet of congruence with self?
Clinicians act as themselves and don’t put on an air of professionalism
Why does a child with mild HL need hearing aids while an adult with mild HL is doing just fine without hearing aids?
1) children are still developing speech and language
2) children spend most of their day in a very difficult listening environment (classroom)
What is the number one item in our AR toolchest for those with hearing loss?
Amplification!!!
What part(s) of the ear is/are affected in sensorineural hearing loss?
Inner ear (cochlea or auditory pathway)
What is the goal of speech reception threshold testing?
(BONUS - what kind of words does SRT use?)
Goal is to find the threshold for the intensity that words can be repeated back correctly
Uses spondaic words (2 syllables with equal stress on both syllables)
What is the tenet of unconditional positive regard?
Assume patients know best and have the inner resources to overcome their communication difficulties
name 2 of the 4 factors of hearing-related (communication) disability.
1) hearing impairment
2) psychological issues
3) frequent communication partner
4) occupation/lifestyle
What is the most vital AR tool to help patients accept/understand their difficulties and advocate for themselves?
very simply: education and counseling
What type of loss will occur with old age (presbycusis)?
Sensorineural
Which part(s) of the ear does tympanometry evaluate?
Outer ear and middle ear
What is the tenet of empathetic understanding?
Listen to the patient’s concerns/feelings, reflect them back, and help them identify solutions
What is the (likely) difference between a conductive HL hearing disability and a sensorineural HL hearing disability?
Conductive is temporary/medically treatable, sensorineural is permanent
Name 3 of 6 items in our AR toolchest
1) education/counseling
2) amplification
3) speech reading
4) communication strategies
5) assistive listening devices
6) cochlear implants
What type of loss will occur with an active ear infection?
Conductive
What do you need in order to tell the TYPE of hearing loss?
Air conduction thresholds and bone conduction thresholds
Name 2 of 4 of Kris English's general principles to counseling
1) do not dominate talk time
2) match an emotional comment with an emotional response
3) surrender the role of expert
4) surrender conversational control to the pt
What is the hearing disability of someone with a unilateral loss?
may have difficulty with faint or distant speech, difficulty localizing sound, and difficulty in background noise
What would be the AR toolchest recommendation for a child with hearing aids who is struggling to hear their teacher in a noisy classroom?
assistive listening device
What type of loss might you expect with a type B tymp and a vast history of noise exposure?
Mixed!
noise induced is sensorineural
+
type B tymp is conductive
=
mixed
Name 4 of the 6 basic audiological evaluation tests (note: otoscopy should ALWAYS be done, but I am not including it in as one of the tests in an AE)
Impedance:
1) tympanometry
2) Acoustic Reflex Thresholds
Pure tone testing:
3) Air conduction thresholds
4) Bone conduction thresholds
Speech testing:
5) Speech recognition threshold
6) Word recognition score
What is an example of using a behavioral approach with an adult pt who is self conscious about wearing their hearing aids in public?
behavioral approach focuses on changing behaviors with the idea that emotional changes will follow.
ex: wear in front of a family member, then close friend, then group of friends, then at store, then at en event where you are talking to strangers
What is the hearing disability of an adult with a moderately severe loss?
What would be the AR toolchest recommendation for a patient who does not receive any benefit from hearing aids but does not want to learn sign language?
Cochlear implants