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

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

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. _________________

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 other resources are available

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.

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.

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

The Deaf Community

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  ______________

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

Vestibular Rehabilitation ___________ repositioning maneuvers  for Benign Paroxysmal Positional Vertigo Vestibular Rehab exercises  Habituation  Adaptation  Substitution

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

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