Download Audiology Notebook

FALL 2015
CSD 491 – Audiology
Monday and Wednesday 9:00-10:15 am
CTW Room 411
Course Instructor: Anne Olson, PhD, CCC/A
University of Kentucky College of Allied Health Sciences
900 South Limestone, Room 124 J
Lexington, KY 40536-0002
Contact Numbers: 859-494-2224 (Cell)
859-218-0572 (Office)
Contact e-mail: [email protected] (preferred method of contact)
Office Hours: Mon. and Wed. 10:30-11:30 am or by appointment, Room 124 J
Course Website: https://uky.edu/canvas
Course Description: Introduction to profession of audiology, instrumentation and assessment techniques for the
identification of normal and disordered auditory systems. Opportunities will be provided to obtain practicum experience
in the identification of and management of hearing disorders. This course helps meet the required ASHA standard in the
area of professional coursework in audiology and hearing disorders.
ASHA Standards: Satisfactory completion of this course is intended to assist students in meeting the following sections
of the ASHA Standards for the Certificate of Clinical Competence in Speech-Language Pathology, effective September 1,
2014
Standard IV-C: The applicant must have demonstrated knowledge of communication and swallowing disorders and differences, including the
appropriate etiologies, characteristics, anatomical/physiological, acoustic, psychological, developmental, and linguistic and cultural correlates in
…hearing, including the impact on speech and language
Standard IV-D For each of the areas specified in Standard IV-C, the applicant must have demonstrated current knowledge of the principles and
methods of prevention, assessment, and intervention for people with communication disorders
Standard V-B The applicant for certification must have completed a program of study that included experiences sufficient in breadth and depth to
achieve the following skills outcomes: Evaluation a. Conduct screening and prevention procedures (including prevention activities). b. Collect case
history information and integrate information from clients/patients, family, caregivers, teachers, and relevant others, including other professionals. c.
Select and administer appropriate evaluation procedures, such as behavioral observations, non-standardized and standardized tests, and instrumental
procedures. d. Adapt evaluation procedures to meet client/patient needs. e. Interpret, integrate, and synthesize all information to develop diagnoses
and make appropriate recommendations for intervention. f. Complete administrative and reporting functions necessary to support evaluation. g. Refer
clients/patients for appropriate services.
Course objective
ASHA
standard
addressed
Standard IV –
D and V-B
Knowledge
conveyed by
Knowledge and skill
acquisition demonstrated by
Class lectures,
readings,
discussion and
labs
Exam, Lab checkout, audiology
notebook, observation
Identify etiologies of common disorders and
syndromes related to the outer, middle and inner
ear and auditory system and their correlates.
Standards
IV- C, IV D
Exam, audiology notebook,
observation
Describe and perform basic hearing screening
procedures including non-diagnostic otoscopy,
pure tone air, immitance screening and
Otoacoustic Emission (OAE)
Standard V-B
Class lectures,
readings,
assignments and
discussion
Class lectures,
readings,
discussion, lab
assignments
Describe assessment /screening audiometric
procedures including how and why they are
conducted.
Audiometric skills check out
1
Describe audiometric findings in terms of degree,
type and configuration of hearing loss and
perception of speech and underlying etiologies
Standards
IV-C, IV-D
and V-B
Class lectures,
readings,
discuss,
assignments
Quiz, HW, exam, audiology
notebook , observation, skills
checkout
Expected Student Outcomes: At the end of the semester, by reading the text, attending class, participating in activities
and discussions, completing audiological lab assignments, performing a final audiological screening skills check out, and
completing exams, students will demonstrate progress toward the following learning outcomes.
.
1. Describe screening and assessment audiometric procedures including how and why they are conducted and
demonstrate ability to interpret such procedures.
2. Identify etiologies of common disorders and syndromes related to the outer, middle and inner ear and auditory
system and their correlates.
3. Describe and perform basic hearing screening procedures including non-diagnostic otoscopy, pure tone air,
immitance screening and Otoacoustic Emission (OAE).
4. Describe audiometric findings in terms of degree, type and configuration of hearing loss and perception of speech
and underlying etiologies.
Text: Survey of Audiology: Fundamentals for Audiologists and Health Professionals.(Second Edition) Debonis, D. and
Donohue, C. (2008) Allyn and Bacon Publishers ; ISBN# 978-0-205-53195-0
Chapter 1
*Chapter 2
*Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 11
Audiology…. …………………………….Read thoroughly
Acoustics and Clinical Application…… Read thoroughly pages 26-53
A&P of Ear …………………………….. Review as needed
Pure tone testing ……………………….. Read thoroughly
Speech Audiometry…………………….. Read thoroughly through page 149
Physiological Assessment of Ear……… Read thoroughly
Disorders…………………………………Read thoroughly through page 261
Pediatric Audiology…………………….. Read thoroughly
Screening………………………………… Read thoroughly
*Recorded lecture material will be provided that covers chapters 2 and 3
Additional Reference:
American Speech-Language-Hearing Association. (1994) Audiologic Screening.[Technical report]. Available at
www.asha.org/policy
How you will be evaluated:
1. Completion of 4 HW assignments: Audiology HW assignments will be discussed in class and listed on
Canvas.
2. Completion of 4 quizzes– Quizzes will be based on readings, lectures, case studies, and videos viewed. They will
take place either in class or online and announced in class. The tentative dates are listed in the syllabus.
3. Final Exam: Will be cumulative as the content throughout the semester builds on itself.
4. Completion of Audiology Notebook. This notebook will contain key topics in audiology that you will create to
use in your future counseling/education and professional interactions with patients and their families. Each
notebook should be well organized for future use and should AT A MINIMUM INCLUDE :
 Picture of ear with critical landmarks labeled
 Blank Audiogram with speech sounds, Count the Dot audiogram
 Definitions and examples of various types of HL illustrated on an audiogram
 List development of auditory skills
 Speech Cues available by frequency
2
 List and description of assessments used in audiology. Describe how it’s performed, why it is useful,
provide any normative values for interpreting results and a blank form (if appropriate) to help illustrate how
findings are reported.
o PTA- headphones, soundfield, otoscopy, Conditioned play audiometry, Visual Reinforced
audiometry, ABR, OAE, tympanometry, HHIE and SIFTER
 List of Degrees of Hearing loss and definitions (unless already provided on blank audiogram)
 Common Etiologies with symptoms, characteristics and audiometric findings for at least:
o Otitis Media, Otosclerosis, ET Dysfunction, TM Perforation
o NIHL, Meningitis, Presbycusis, Meniere’s Disease, Acoustic Neuroma, Diabetes, ototoxicity
o common syndromes related to hearing loss
5. Completion of Labs: Students will complete labs and bring to their skills check out in a folder with your name
on it.
o Lab 1 Otoscopy inspections x 2 classmates
o Lab 2 Pure tone air screening x1 adult and 1 child > 5 years old
o Lab 3 PTA & Bone x 1 classmate
o Lab 4 Tympanogram x 2 classmates
o Lab 5 Otoacoustic Emission x 2 classmates
o Lab 6 Screening Questionnaires
 Screening Instrument for Targeting Educational Risk (SIFTER) x 1 school age child
 Hearing Handicap Inventory (HHI-E or HHI-A) x 1 adult
6. Skills Check Out: Students will perform selected tests on a partner (PTA, OAE, tympanometry). These will take
approximately 30 minutes per pair to complete and will be scheduled early in the semester for Wednesday,
November 18th, Thursday November 19 or Friday, November 20 - these dates are tentative and subject to
change.
Additional responsibilities:
o Students are responsible for obtaining all class notes, printing out lectures and assignments. Daily lecture
materials, videos and HW assignments will be posted and submitted through Canvas
(https://elearning.uky.edu)
o Class attendance expected and monitored. It is in your best interest to attend and participate in class because
both are components of active learning. Active learners have been shown to retain information better than
passive learners. Attendance, tardiness and student participation will be taken into consideration when grades
are assigned.
o The opportunity for class and lab participation is provided through periodical group and individual daily
questions. It is in your best interest to participate with these
o If students are unable to take an exam or quiz at the scheduled time, they must discuss the reason for the
excused absence (in accordance with those outlined by the University Ombud) with the instructor in advance
before a rescheduling date can be determined.
Notes
o
o
o
If you have a documented disability that requires academic accommodations, please see me as soon as
possible during office hours in order to received accommodations in this course. You must provide me with a
Letter of Accommodation from the Disability Resource Center (Suite 407 of the Multidisciplinary Science
Building, 725 Rose Street, 0082. Phone: 257-2754, email address [email protected] for coordination of
campus disability services available to students with disabilities.
Undergraduate students will be provided with a midterm evaluation of course performance based on criteria in
syllabus.
Response to Student Communication: Responses to emails will be provided by instructor, usually within 48
hours. In an emergency, please call my cell or office phone listed above.
3
Student Conduct and Responsibilities
Excused Absences: Acceptable reasons for excused absences are listed in Student Rights and Responsibilities,
Section 5.2.4.2. Briefly, these include illness, death of someone in the student’s immediate family, University sponsored
trips, major religious holidays, and other circumstances the instructor finds reasonable.
Make-up Work: Students will be allowed to make-up work only with an excused absence.
Late Assignments: Will be graded with an automatic point deduction proportional to the assignment (25% per
day). Students with excused absences may turn in assignments late as long as approved by professor.
Cheating and Plagiarism: Students are expected to abide by the University of Kentucky Students Rights and
Responsibilities. Descriptions of what constitutes cheating and plagiarism are found in Sections 6.3.1 and 6.3.2. Be aware
that the minimum punishment for either of these offenses is an “E” in the course.
ADDITIONAL MEETING TIME OUTSIDE OF SCHEDULED CLASSES needed for Audiometric Skills checkout.
You will sign up for one of the times below.
Purpose
Skills checkout
Skills Checkout
Skills Checkout
Location
Audio suite
Audio Suite
Audio Suite
Date
Nov 18 (W)
Nov 29 (Th)
Nov 20 (F)
Time
30 minute slot between 2:00-4:00
30 minute slot between 8:30– 4:00
30 minute slot between 8:30- noon
GRADING
Class
#
1
Source
HW x 4
(5 points each turned in at the beginning of class
and graded)
LABS 1-6
Audiology Notebook
Audiometric Skill check out
Quiz x4 (50 points each)
Final Exam
Points
20
Total Points for CD 420
400
30
25
25
200
100
Date
Topic/Activity
Text
Aug 26
Aug 31
Profession of Audiology / Intro
Clinical Applications
(speech cues by frequency, threshold of
hearing, decibel scales, pathways of sound,
AC & BC)
Clinical Applications (air and bone
relationships, audiograms, degrees of HL,
symbols used, )
Labor Day
Ch 1
Ch 2
(26-34)
Clinical Applications
(speech sounds, environmental acoustics,
S/N, reverberation)
Equipment & Calibration (transducer,
masking, audiometric 0, headphones)
Ch 2
(45-53)
2
Sept 2
3
Sept 7
4
Sept 9
5
Sept 14
Scale
A: 360-400
B: 320-359
C: 280-319
D: 240-279
E: <240
Notes
Ch 2
(34-45)
NO CLASS
HW 1
Ch 4 (84-91)
4
6
Sept 16
Screening Otoscopy
Ch 11
7
Sept 21
8
Sept 23
9
Sept 28
Audiological Measures – Subjective
Pure tone air and bone
Audiological Measures – Subjective
Pure tone air
Group 1 – Audio Suite
Ch 4
(91-101
Ch 4
(91-101
See Canvas for
assignments
10
Sept 30
Group 2 – Audio Suite
11
Oct 5
12
Oct 7
Audiological Measures – Subjective
Masking in pure tone
Audiological Measures – Subjective
Masking in pure tone
See Canvas for
Group
Assignments
Ch 4
(101-124)
Ch 4
(101-124)
13
Oct 12
14
Oct 14
15
Oct 19
16
Oct 21
17
Oct 26
Audiological Measures – Subjective
Speech Audiometry
Audiological Measures – Objective
Immitance – Tympanometry
Audiological Measures – Objective
Immitance – Acoustic Reflexes
Audiological Measures – Objective
Otoacoustic Emissions
Group 1 – Audio Suite
18
Oct 28
Group 2 – Audio Suite
19
Nov 2
20
Nov 4
21
Nov 9
Audiological Measures – Objective
Aud. Evoked Potentials
Audiological Measures – Objective
Aud. Evoked Potentials
Disorders – Outer Ear
22
Nov 11
Disorders – Middle Ear
23
Nov16
Disorders – Inner Ear
24
Nov 18
Nov 18,
19 and
20-
Disorders – Inner Ear
Audio Suite
(sign up in pairs for one of these 3 dates)
25
Nov 23
Disorders – Inner Ear
26
Nov 25
Nov 30
Wednesday of Thanksgiving week
Disorders – CANS
27
28
29
Dec 2
Dec 7
Dec 9
Pediatric Audiology
Prevention
Review
Ch 5
(125-165)
Ch 6
(169-183)
Ch 6
(184-195)
Ch 6
(196-202)
Quiz 1
Lab1 otoscopy
Lab 2 pure tone air
Lab 3 Pure tone bone
Lab 1 otoscopy
Lab 2 pure tone air
Lab 3 pure tone bone
HW 2
Quiz 2
HW 3
Lab 4 (tympanometry)
Lab 5 (OAE )
Lab 4 (tympanometry)
Lab 5 (OAE)
Ch 6
(202-228)
Quiz 3
Ch 7
(233-238)
Ch 7
(238-248)
NO Face to Face Class but lecture
recorded for online reviewing
Ch 7
(248-258)
*Audio Skills Checkout
*Audiometric Notebook due on day of
your Audio Skill checkout
* All Labs due at your audio skills
checkout date
Ch 7
(248-258)
NO CLASS
Ch 7
(258-261)
Ch 8
Ch 8
Quiz 4
DEAD WEEK
DEAD WEEK
5
Dec 16
Wednesday, 8:00 AM
CTW 411
Final Exam
RUBRICS
Rubric for Labs - 30 points
5 points each Lab
Lab 1 PTA and Bone threshold test
(classmate )
Lab 2 Otoscopy ( classmate))
Lab 3 –PT A screen -( 1 child, 1 adult)
Lab4 Tympanometry (classmate)
Lab 5– OAE (classmate)
Lab 6 Screening Questionnaires
(HHIE and or SIFTER)
Rubric for Audiology Notebook - 25 points
Outstanding (3)
Good (3)
Poor / absent(1)
Audiograms with different degrees and
types of HL
Blank audiograms and audiograms
with speech sounds
Common etiologies and brief
descriptions of CHL and SNHL
List and description of development of
auditory skills
Speech Cues available by frequency
List and description of assessments
used in audiology.
Picture of ear with landmarks
Organization Future Use (indexed or
TOC )
Neatness for future professional use
6
Rubric for Skills Check Out: Demonstration of pure tone hearing screening, tympanometry,
OAE (25 points)
Adequate
Inadequate
PTA
Directions (1)
Headphone placement (1)
Seating (1)
Presentation method (1)
Recording method (1)
Start in better ear (1)
Explanation of audiogram and
result (5)
OAE
Directions(1)
Placement of probe(1)
Recorded result (1)
Interpretation of result(4)
TYPANOGRAM
Directions(1)
Placement of probe(1)
Ability to obtain a seal (1)
Interpretation of result (4)
7