IDEA
Individuals with Disabilities Education Act
primary federal program that requires state and local aid to address requirements of children with disabilities in educational setting
part C services are provided through what
addresses the needs of child AND family
case history
current hearing loss
medical history
birth history
education history
family history
developmental history
specialists, surgeries, tubes, etc.
why they came in
did they pass their NHBS
ear infections
pain/drainage
tinnitus
dizziness
OK NBHS guideline
1-3-6 weeks
microtia
IEP
Individualized Education Plan
written legal document that provides details on special education and related services that a child needs to receive an education
collaboration of school and family
part B of IDEA
school based services
ages 3-21
FAPE (free appropriate public education)
ME effusion on physical otologic exam
false positives
vermix (birth goo) also causes false positives
risk factors for not passing NBHS
NICU stay longer than 24 hours
intrauterine infection (CMV, rubella)
jaundice IF paired with exchange
cleft palate
ossicular dysplasia
fixation
deformity
disarticulation of bones
IEP includes
child's current educational performance
goal for school year
how goals will be met with specific educational/related services
whether and how the child will participate in regular education programs
criteria for evaluating progress against goals
section 504 of Rehabilitation Act and ADA mandates
no discrimination
intermediary law for children not eligible for IEP
services such as FM systems
interpreters
captioning
top of head or forehead
both ears equally = normal
one ear louder = conductive ipsi, SNHL contra
red flags
anoxia/ashyxia
bacterial meningitis
congenital prenatal factors
deformed head/neck
elevated bilirubin
family history of hearing loss
low birth weight (less than 3 lbs)
blood transfusion
pain/drainage
CHL or MHL
ear pits/tags
sudden change in hearing
asymmetric/unilateral hearing
craniofacial
microtia/anotia/atresia/aplasia
foreign body
poor responses to auditory stimulation
speech delays
developmental delays
tinnitus
dizziness
cerumen occlusion
fenestra malformation
lack of oval window development
LRE
Least Restrictive Environment
child will be educated with children who do not have disabilities except when needed to provide special services
mainstreaming
5 stages of grief
denial
anger
bargaining
depression
acceptance
rinne
mastoid bone and front of ear
air louder than bone = normal
bone louder than air = conductive
follow up questions
why are you in today
any concerns
had a hearing test before
any ear surgery
family history of HL
mode of communication
receive any services
speech eval
babbling
expressive or receptive language
ear pain/tug on ears
drainage
ENT/audiologist
any syndromes/disorders
look at written history
observe family
specialists
balance problems
OME
inflammation of ME mucous or tympanic membrane
fluid in ME space
part C of IDEA
Addresses early intervention services up to 3 years old
grants to state to develop early intervention programs for infants and toddlers if they have developmental delays or a diagnosed condition that could impact development
Joint Committee of Infant Hearing
infants be fit with amplification 1 month after diagnosis of HL
CDC NBHS guidelines
1-3-6 months
atresia
absence of opening of ear canal
otitis externa
inflammation/infection of external ear canal
can cause hearing loss when combined with stenosis