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Peripatetic Support Service. Hearing Impairment. Hearing Impairment may be –. Temporary – often glue ear Permanent – damage to auditory nerve A permanent loss made worse by glue ear Mild, moderate, severe or profound Worse in high or low frequencies Present in one ear or two
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Peripatetic Support Service Hearing Impairment
Hearing Impairment may be – • Temporary – often glue ear • Permanent – damage to auditory nerve • A permanent loss made worse by glue ear • Mild, moderate, severe or profound • Worse in high or low frequencies • Present in one ear or two • Present at birth or acquired later • Progressive
Should you be concerned? • ‘He hears when he wants to…’ • ‘She daydreams a lot…’ • ‘He’s just ignoring me…’ • Misunderstands instructions • Watches intently • Behaviour • Speech
Permanent Childhood Hearing Impairment • Permanent childhood hearing impairment is not a learning difficulty as such, but it can have a significant negative impact on a child’s speech and language development, communication skills, social integration and educational progress. • Poor test results indicate need for further investigation – tests not standardised on HI. • Prevalence is 1.33/1000 live births • Hearing aids usually help, but they don’t correct hearing the way glasses correct vision.
Temporary Childhood Hearing Loss • Usually glue ear • Common in under 5’s; usually outgrown • May affect speech development • May affect concentration • May affect behaviour • Hearing may fluctuate • Background noise makes things harder
Children with a hearing impairment understand more when • They sit within a few feet of a speaker • They can see a speaker’s face in good light • The better ear (if any) is towards the speaker • Hearing aids are working optimally • FM systems are used as recommended • Speakers use natural, clear speech • Background noise is kept to a minimum • They know the context of what is being said
Deaf Friendly Classroom Strategies • Have the pupil’s attention before speaking • Be sure your face is in good light • Speak clearly, using natural language • Don’t cover your mouth when speaking • Don’t turn your face away from the pupil when speaking • Use visual clues and information • Use handouts • Write down new language • Don’t assume comprehension – check discreetly
Particularly difficult times • Background noise e.g.canteen, technology, HE • Group discussion – one speaker at a time • Discussion – allow pupil to turn round • Change of topic • Listening and writing at the same time • Relay questions, comments • Using board • Taking down homework
Peripatetic Support Service for the Hearing Impaired • Children age 0 – 19, from diagnosis • Pre-school support • Teaching support • Non-teaching support • Advice to schools, parents • Assessment of children’s hearing - referrals • Training for schools, health personnel • Hospital and Community Clinics • ccea - exam modifications • Multi-agency working
Contact Peripatetic Support Service for the Hearing Impaired Fortwilliam Centre, Fortwilliam Park Joyce Smyth (Senior Teacher) Mary Gordon Jane Atkinson Kerry McAleer Anne Marie Kerrigan email joyce.smyth@belb.co.uk