term that describes relying on visual signals only provided by the speaker's face
lipreading
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
Pre-awareness, Awareness, Movement, Diagnosis, Rehabilitation, and Resolution make of this?
The 6 steps of patient's journey in Aural Rehabilitation
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
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)
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
A communication style where the patient states "it's other people that mumble. They need to speak up!"
Aggressive Communication Style
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)
the softest word a person can repeat/sign/point to a picture
Speech Reception Thresholds
form of indirect, additional, or unplanned learning. Without consistent auditory access, a DHH child will present with language and social delays
incidental learning
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
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.)
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
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.
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
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
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
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
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
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
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
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)
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
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
service (or direct service)