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Audiologic Management

Audiologic Management. SPA 4302 Summer 2007. Patient Histories. Nature of Complaint Previous evaluations, treatments Ear infections/surgeries _______________ Dizziness/______________problems Tinnitus _______________ General Medical Medications, other substances. Otolaryngologists

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Audiologic Management

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  1. Audiologic Management SPA 4302 Summer 2007

  2. Patient Histories • Nature of Complaint • Previous evaluations, treatments • Ear infections/surgeries • _______________ • Dizziness/______________problems • Tinnitus • _______________ • General Medical • Medications, other substances

  3. Otolaryngologists _______________ Speech-Language Pathologists _______________ Cover letter Report, including Pts name history info audiometric results impressions recommendations Referral to Other Specialists

  4. Criteria for medical referral • 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. • _________________

  5. Audiological Counseling • The “Well patient model” • Emotional Counseling • ______________ • Affirm their feelings • Informational Counseling • What we know about this type of HL • What can be ___________ • What can be ___________ • What other resources are available

  6. Some Distinctions (from the WHO) • ____________: anatomical, physiological, or psychological abnormality • ____________: Inability to perform useful functions • ____________: Manner in which a person is disadvantaged in doing what they would like to do.

  7. Management: Adult Hrg. Impairment • Audiological Rehabilitation • ________________ (hearing therapy) • Dispensing ALDs or hearing aids • ____________________ • Education about Hearing and Hearing Loss • Communication Strategies • ________________ • Involves more than just the pt.

  8. Management: Childhood Hrg. Impairment • Counseling: Parents grieve • Auditory Training • Speechreading • Educational Choices • Amplification Choices • hearing aid • implant • nothing

  9. The Deaf Community

  10. Management of Tinnitus • ___________: sounds audible to the pt apparently arising from the ear or brain. • Can have various contributors • Can range from ______ to _____________ • Treatments: • biofeedback • ______________ • Tinnitus Retraining Therapy • ______________

  11. Hyperacusis • Poor tolerance for loud sounds • Often accompanies severe tinnitus • Old term: ____________ – fear of sounds • “_____________” – strong dislike of loud sound • desensitization exercises

  12. Vestibular Rehabilitation • ___________ repositioning maneuvers • for Benign Paroxysmal Positional Vertigo • Vestibular Rehab exercises • Habituation • Adaptation • Substitution

  13. Multicultural Considerations • ___________: • English not the primary language for all our pts. • Therapy materials? • How fluent should the therapist be? • Social structures: • ___________ vary • status of audiologist as professional • communicative demands/expectations

  14. Evidence-Based Practice • 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

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