Communication Modes
True/False:
Families of children with mild to moderate SNHL have more parenting stress compared to parents of NH children?
True
An example of providing optimal visual cues may be:
Facing the listener when you're speaking; ensure the listener is looking at you when you're speaking.
Other.
Selecting a patient questionnaire/survey should be based on:
What you want to know about the patient and the reporting symptoms/difficulties.
What are some of the secondary effects of deafness?
- Delays in motor skills
- Visual processing differences
- Parental stress
- Psychosocial problems
- Behavior problems
Statistically, how much information do patients correctly retain following a counseling appointment:
1. Overall results indicate about 50% of information provided by healthcare providers is retained
2. Of the information recalled about half is remembered incorrectly
Types of communication modalities:
•Auditory-oral or aural/oral
•Auditory-verbal (AV)
•Total Communication
•Cued speech
•Manual
Visual cues contribute ___% to speech intelligibility:
50%
A modified-open set is:
A closed set task with a large number of finite responses (e.g. Mr. Potato Head activity)
Why is emotional attachment compromised for children who are D/HoH?
because they can't hear their parents, lack of reciprocity
Tips to help patients recall information may include:
1. Written materials, cartoons and pictures
2. Give specific recommendations
3. Use simple language
4. Provide the most important information first and repeat the most important information
5. Keep the amount of information to a minimum
How is the Tadoma method used, and what population is it most commonly used for in treatment?
1. Hand is placed on the face of the speaker with the thumb lightly placed on the speaker’s lips and the fingers spread on the cheek and upper neck (allows for feel of lips and vocal folds, f vs. v).
2. Individuals with dual sensory impairments may use senses of touch and movement.
Incorporating visual cues may increase the signal-to-noise ratio by __ to __?
15 to 20 dB = ~20% improvement
Auditory assessments should be conducted in:
1. The best aided condition
2. Each ear separately and each ear aided
3. At various loudness levels (soft, moderate, loud)
Do children who are D/HoH process simultaneously or sequentially?
Sequentially
The five stages of grief, as outlined by Kubler-Ross, (1969) are:
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Contributing factors for chosen communication mode:
- Parents/families history and goals for the child
- Severity of hearing loss
- Capacity of the child
- Oral-motor issues
- Accessibility
These patient specific factors will impact speech-reading skills:
1. Intelligence
2. Age
3. Degree of hearing loss
4. Gender
5. Visual memory
An example of an Open-set and Closed-set task might be:
Open-set - presenting monosyllabic words with no possible answers provided for contextual support.
*Gold-standard for assessing performance of patients with cochlear implants and hearing aids (Example tests: PBK-50, NU-6)
Closed-set - working on auditory-training drills, providing a given set in advance (context cards) (e.g. /pat/, /mat/, /bat/)
What did the Flanker task find?
The deaf participants made fewer errors than hearing participants, but their responses were slower.
Three examples of non-professional counseling might include:
Any of the following:
•A financial planner counsels on tax problems
•A teacher counsels on test-taking skills
•An audiologist counsels on hearing conservation
•An SLP counsels on strategies for developing speech/language
Advantages and disadvantages to a "Total Communication" modality may include:
Advantages
1. Using any means of communication (e.g. sign, voice, finger-spelling, lip-reading, writing, gesture)
2. Attempts to create a “least restrictive” learning environment, allowing the child to develop whatever skills are best suited to them.
Disadvantages
1. Criticized for not being truly TOTAL.
2. Criticized for not developing any ONE skill with complete competency.
Some tips to facilitate speech-reading include:
• Talk about real life events
• Know the topic at hand, this will help fill in the blanks
• Speech read for overall content instead of individual words
• After you have achieved some level of competency in quiet, add background noise
Assessment tools should be developmentally appropriate in terms of these two things:
Age and/or auditory development
The fovea comprises less than __ of retinal size, but takes up over __ of the visual cortex in the brain.
1%
50%
The difference between Psychotherapy and Counseling is:
Psychotherapy = Explores unconscious behavior patterns in order to alter ways of relating and functioning.
Counseling = Helps people develop "here-and-now” information and strategies for coping with life, decision making and current problems.