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Transcript
Audiologic Management
SPA 4302
Summer 2007
Patient Histories
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Nature of Complaint
Previous evaluations, treatments
Ear infections/surgeries
_______________
Dizziness/______________problems
Tinnitus
_______________
General Medical
Medications, other substances
Referral to Other Specialists
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Otolaryngologists
_______________
Speech-Language
Pathologists
_______________
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Cover letter
Report, including
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Pts name
history info
audiometric results
impressions
recommendations
Criteria for medical referral
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drainage from ears.
____________.
unilateral hearing loss.
air-bone gap or other indication of ME
problem.
_____________ cerumen or F.B.
history of recent change in hearing.
_________________
Audiological Counseling
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The “Well patient model”
Emotional Counseling
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______________
Affirm their feelings
Informational Counseling
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What we know about this type of HL
What can be ___________
What can be ___________
What other resources are available
Some Distinctions (from the WHO)
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____________: anatomical, physiological, or
psychological abnormality
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____________: Inability to perform useful
functions
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____________: Manner in which a person is
disadvantaged in doing what they would like to
do.
Management: Adult Hrg. Impairment
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Audiological Rehabilitation
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________________ (hearing therapy)
Dispensing ALDs or hearing aids
____________________
Education about Hearing and Hearing Loss
Communication Strategies
________________
Involves more than just the pt.
Management: Childhood Hrg. Impairment
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Counseling: Parents grieve
Auditory Training
Speechreading
Educational Choices
Amplification Choices
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hearing aid
implant
nothing
The Deaf Community
Management of Tinnitus
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___________: sounds audible to the pt
apparently arising from the ear or brain.
Can have various contributors
Can range from ______ to _____________
Treatments:
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biofeedback
______________
Tinnitus Retraining Therapy
______________
Hyperacusis
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Poor tolerance for loud sounds
Often accompanies severe tinnitus
Old term: ____________ – fear of sounds
“_____________” – strong dislike of loud
sound
desensitization exercises
Vestibular Rehabilitation
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___________ repositioning
maneuvers
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for Benign Paroxysmal
Positional Vertigo
Vestibular Rehab exercises
 Habituation
 Adaptation
 Substitution
Multicultural Considerations
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___________:
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English not the primary language for all our pts.
Therapy materials?
How fluent should the therapist be?
Social structures:
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___________ vary
status of audiologist as professional
communicative demands/expectations
Evidence-Based Practice
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Must provide __________ of service benefit
“conscious, explicit, and judicious use” of the best
and current evidence available when making
decisions about patient care
Uses _________________ and the most current
research
Necessary to success: allow and encourage the
patient’s viewpoints and preferences, elicit patient’s
concerns, and help develop a level of reasonable
expectation for success with the intervention