Auditory/Audiovisual Training
Communication Strategies
Aural Rehabilitation Journey
Audiological Evaluation & Hearing Devices
Pediatrics
100

term that describes relying on visual signals only provided by the speaker's face

lipreading

100

Person's role is to plan and prepare for each session by setting the ground rules, develop the agenda, and encourage members to participate

Facilitator's Role in Group AR

100

Pre-awareness, Awareness, Movement, Diagnosis, Rehabilitation, and Resolution make of this?

The 6 steps of patient's journey in Aural Rehabilitation

100

a type of digital technology that wirelessly transmits the signal (i.e. teacher's voice) to receiver (i.e. student's ear) and is compatible with a student's hearing aids

Digital modulation (DM) system

100

a newborn should be screened by one month, diagnosed by three months, and provided early intervention by 6 months

1-3-6 Guidelines set by Early Hearing Detection and Intervention (EHDI)

200

A way of speaking to enhance one’s intelligibility; it entails speaking with a slowed rate and good but not exaggerated enunciation of words

Clear Speech

200

A communication style where the patient states "it's other people that mumble. They need to speak up!"

Aggressive Communication Style

200

change at the level of the person brought about by an impairment at the level of body structure and function (e.g., a patient cannot easily engage in casual conversation)

Activity Limitation
200

the softest word a person can repeat/sign/point to a picture

Speech Reception Thresholds

200

form of indirect, additional, or unplanned learning. Without consistent auditory access, a DHH child will present with language and social delays

incidental learning

300

Lydia, age 45, is an experienced hearing aid user but had a recent decrease in hearing. She is struggling to hear her husband at home. She runs her own local business and doesn't have time to come into the office. What would you recommend to assist in understanding speech?

Web-Based Training, such as LACE, AngelSound, and clEAR. 

LACE would be an ideal program as the patient would get daily email reminder of the tasks she needs complete. Progress can be monitored by the clinician. 

Recommend for a f/u appointment in the office in the next 2-4 weeks to check in on aided speech performance/hearing aid programming and review LACE progress

300

You patient says "I have difficulty understanding speech in a noisy restaurant. Since I have to eat out a lot as part of my job, this is a big problem." 

Name facilitative communication strategies that would assist in this situation.

Talker: instruction to the talker (face me and talk slowly)

Listener (PHL) - provide feedback

Message - tailoring, PHL ready to recieve

Environment - modifications (i.e. sit in quiet part of the restaurant, good lighting, etc.)

300

Name the three items included in the "Assessment" portion in the development of the AR plan.

Hearing Impairment (hearing evaluation)

Hearing-Related Difficulties (activity limitations and participation restrictions)

Individual Factors



300

Anna, age 3 months, was recently diagnosed with severe hearing loss in both ears. Her parents are ready to move forward with hearing aid. Name the appropriate hearing aid style for Anna and why?

Behind the Ear (BTE) hearing aid with earmolds. Earmolds are easy and cheaper to make as the child grows. 

300

These items are included both a 504 plan and IEP and consist of preferential seating, seating away from noise, and gaining attention before speaking

Accommodations 

400
Phil, age 72, is a new hearing aid user, who has trouble understanding his preschool aged grandchild. Describe how Phil would be a good candidate for auditory training?

1. New Hearing Aid User - in order to acclimatize faster and assist the brain in reorganizing to auditory information to the new aid

2. Patient wants to engage more effectively in conversations with familiar communication partners

400

Johnny, age 89, is meeting for his Tuesday night Bingo with friends. Mary was discussing her grandchild's recent holiday play, but Johnny didn't catch the entire message stating "Huh?". What type of repair strategy should Johnny use for the talker?

Repeat

Rephrase

Simplify

Ask for the topic

400

Jill is starting to notice her husband, Jack, is turning up the TV and doesn't consistently respond to her questions. They are starting to stay home more often and are avoiding their usual outings with friends for at the gold course. Jill is experiencing a ___ regarding Jack's possible hearing impairment. 

third-party disability

400

At school, Bill and the SLP are reading a non-fiction book about spaceships. At first, Bill would name of planets. Now, Bill listens to the story orally answers questions about planets and stars. This is an example of a [x] task in the auditory skill development hierarchy.

Comprehension

Identification to Comprehension

400

Maggie, age 2;9, was newly identified with moderate SNHL in both ears. What are her expected/current speech and language skills (compared to normal hearing peers)?

reduced inventory of consonants and deletion of vowels in connected speech - infants may have delayed babbling

vocabulary was 50% lower/delayed than NH peers

delays in language development (possibly acquire less than 60% of language skills compared to NH peers)

significant discrepancy in social skills (at least 20 point variance) compared to NH peers

500

In your pediatric AT training session, the patient is working on identifying clothing, specifically with /s/ and s-blend sounds, such as shoe, shirt, sock, scarf, sweater, etc by listening to a story about Mr. Potato Head. The patient needs to identify the article of clothing and dress Mr. Potato Head along the way. Name the level and form/meaning type of training program.

Sentence Level & Meaning Oriented

500

Stephanie, age 38, has mild to moderate SNHL hearing loss and wears RIC style hearing aids. Stephanie works in a busy graphic design firm. She does well meeting with her clients one-on-one, but struggles in large staff meeting in the office. Name environmental facilitative strategies to aid in understanding a staff meeting.

Preferential seating

Ensure good lighting

Reduce background noise/sit away from projector fan

Sit near the presenter/manager

(HAT system use)

500

Jim was diagnosed with permanent hearing loss. He is listening to the audiologist describe the hearing loss and it's effect. Jim is asking questions about his next steps and recommendations about a hearing aid and it's features. Name this type of counseling.

Informational Counseling

500

Dale regularly attends religious services, but is having difficulty understand the presenter. Name different types of ALD devices to assist in this situation. 

If the Dale had hearing aids with telecoil and the church had a loop, Dale would benefit from activating the telecoil feature in his hearing aids.

Wireless FM system where the patient wears headphones connected to the receiver & the presenter would speaker into the microphone connected to the transmitter

Infrared system where Dale would wear headphones that are in line of sight of the transmitter connected to a microphone system

500
Sam, a second grader, has been evaluated for special education services. The team has determined a need in articulation and have written an IEP. The goal has been written as follows: Sam will produce /s/ and /sh/ sounds with 90% accuracy over three consecutive sessions. Is this a service or related service? Why?

service (or direct service)

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