1. Aundra McCants HEARING LOSS: FAMILY SUPPORT CSDS 7149 MARCH 2, 2015

2. An Overview HEARING LOSS

3.  Hearing impairment: the decreased ability to perceive and/or process auditory information.  Hearing loss is characterized by the following: 1.Degree or severity 2.Onset 3.Type of loss 4.Auditory recognition ability WHAT IS HEARING LOSS?

4.  Degree or severity: the amount of hearing loss that has occurred. 1.Mild: difficulty with faint, distanced speech 2.Moderate: difficulty with normal speech 3.Severe: difficulties with loud speech without amplification 4.Profound: difficulties with all speech with amplification  Can vary across high and low frequencies  Typically, the greater the severity, the greater the communication, social, and emotional difficulties. SEVERITY OF HEARING LOSS

5. A.Congenital: hearing loss present at birth B.Acquired 1. Prelingual  Occurs before language and speech development. 2. Prelingual  Occurs while language and speech are developing. 3. Postlingual  Occurs after language and speech have developed. ONSET OF HEARING LOSS

6. There are three types of hearing loss that can occur. TYPES OF HEARING LOSS ConductiveSensorineuralMixed  Cause: damage to the outer or middle ear  Outcome: the inability adequately receive external sounds  Cause: inner ear or nerves  Outcome: prevents the brain from for receiving neural signals of sound  Cause: damage to the middle and inner ear  Outcomes: (1)the inability adequately receive external sounds (2)the inability to process those sounds

7.  The clarity in which speech is heard  Also referred to as: speech recognition, speech identification, and speech discrimination  Directly correlated with severity of hearing loss: the greater the severity, the greater the inability to recognize speech. AUDITORY SPEECH RECOGNITION

8. INFORMATIVE VIDEO: HEARING LOSS SIMULATION http://youtu.be/g_NbqGVWsqI

9. Section Review ALL OF THE FOLLOWING ARE USED TO DESCRIBE HEARING LOSS EXCEPT: A. SEVERITY B. TYPE C. ONSET D. DURATION

10. Section Review CONDUCTIVE HEARING LOSS OCCURS AS A RESULT OF DAMAGE TO THE ____ OR _____ EAR. A. MIDDLE, INNER B. OUTER, MIDDLES C. NONE OF THE ABOVE

11. FAMOUS FACES OF HEARING LOSS

12.  Former President of the United States  Diagnosed with high frequency hearing deficiency  Wears two in the canal hearing aids GUESS WHO!

13. Bill Clinton

14.  Actress  Catwoman  X-Men  Lost her hearing as a result of domestic violence.  80% deaf in left ear GUESS WHO!

15. Halle Berry

16.  Actress  Sister Act  Corrina, Corrina  Low frequency hearing loss GUESS WHO!

17. Whoopi Goldberg

18.  Member of the Beach Boys  Congenital deafness in his right ear GUESS WHO!

19. Brian Wilson

20. Hearing Loss RELATED DEFICITS

21. Communication The severity of deficits varies based on severity and onset of individual hearing loss.  Speech delays or disorders (children)  Pragmatic difficulties  Inability to recognize words with numerous sounds in the deficit frequency area (high or low frequency sounds) Social/Emotional  Depression  Isolation  Anxiety  Low self-esteem  Denial  Frustration DEFICITS

22. Section Review WHAT ARE TWO COMMUNICATION DEFICITS ASSOCIATED WITH HEARING LOSS?

23. Strategies and Suggestions FAMILY SUPPORT

24. COMMUNICATION STRATEGIES StrategyRationale 1.Speak slowly and clearly 2.Avoid covering your mouth during conversations Allows your communication partner to process auditory messages more efficiently. Repeat messages when necessary A.Assists your communication with understanding what is being said. B.Allows your communication partner to appropriately participate in the conversation. Hold conversations in quiet areas Increases your communication partner’s ability to process auditory information without competing noise. Face your family member when speaking A.Allows your communication partner to participate in lipreading if necessary. B. Allows the message to be more audible to your communication partner.

25. COMMUNICATION STRATEGIES StrategyRationale Do not make abrupt conversation topic changes A.Allows your communication partner to appropriately participate in the conversation. B.Causes your communication partner less frustration and confusion. Encourage your communication partner to use hearing aids/ assistive devices. Allows your communication partner to process auditory messages more efficiently. Encourage your communication partner to: 1.Inform you when your message is unclear 2.Use lip-reading 3.Ask for accommodations during conversations Affords your communication partner opportunities to be successful in conversations.

26. ENVIRONMENTAL STRATEGIES StrategyRationale Decrease the distance between you and your communication partner Allows your communication partner to process auditory messages more efficiently. 1.Decrease or eliminate background noises 2.Choose restaurants, social settings, etc. that are conducive for adequate conversation A.Assists your communication with understanding what is being said. B.Allows your communication partner to appropriately participate in the conversation. Ensure that there is adequate lighting in the conversation area Allows your communication partner visibility for lipreading, if necessary.

27. PSYCHOSOCIAL STRATEGIES StrategyRationale 1.Encourage your communication partner to attend counseling sessions. 2. Attend counseling sessions with your communication partner. A.Provides you and your communication to have additional support system. B.Allows you and your partner to learn new strategies that can be implemented in various settings. Encourage social interactions. Decreases depression and isolation tendencies. Role play Decreases anxiety related to participating in conversations Remind your communication partner that.. 1.Hearing loss is nothing to be ashamed of. 2.He or she can still have a meaningful, productive life. A.Increases self-esteem B.Decreases depression and isolation tendencies

28. Section Review LIST 1 COMMUNICATION STRATEGY AND 1 PSYCHOSOCIAL STRATEGY THAT CAN BE USED WITH YOUR COMMUNICATION PARTNER.

30.  Hearing Loss Association of America: http://www.hearingloss.org/ http://www.hearingloss.org/  Alexander Graham Bell Association for the Deaf and Hard of Hearing (AG Bell): http://nc.agbell.orghttp://nc.agbell.org  American Society for Deaf Children (ASDC): http://www.deafchildren.org http://www.deafchildren.org  American Speech-Language-Hearing Association (ASHA): www.asha.org www.asha.org  Association of Late-Deafened Adults, Inc. (ALDA): http://www.alda.org http://www.alda.org SUPPORT GROUPS

31.  http://www.hearingloss.org/content/video-series-learn-about- hearing-loss http://www.hearingloss.org/content/video-series-learn-about- hearing-loss  https://nihseniorhealth.gov/hearingloss/hearinglossdefined/v ideo/hb1_na.html?intro=yes https://nihseniorhealth.gov/hearingloss/hearinglossdefined/v ideo/hb1_na.html?intro=yes  http://www.audiologyonline.com/audiology- ceus/course/pediatric-hearing-loss-providing-effective-21938 http://www.audiologyonline.com/audiology- ceus/course/pediatric-hearing-loss-providing-effective-21938  http://www.foxnews.com/health/2015/02/02/revolutionary- treatments-for-hearing-loss/ http://www.foxnews.com/health/2015/02/02/revolutionary- treatments-for-hearing-loss/ INFORMATIONAL VIDEOS

32.  Nerborne,M.A., & Schow, R.L. (2013). Introduction to audiologic rehabilitation (6 th ed.). Upper Saddle River, N.J.: Pearson Higher Education.  Hedge, M.N. (2010). Introduction to communicative disorders (4 th ed.). Austin, TX: Pro-Ed.  Hull, R.H. (2001). Aural rehabilitation: Serving children and adults (4 th ed.). San Diego, CA: Singular: Thomson Learning.  http://ada.ky.gov/hearing_imp_def.htm http://ada.ky.gov/hearing_imp_def.htm  asha.org asha.org  http://www.aarp.org/health/conditions-treatments/info- 2014/celebrities-with-hearing-loss-photo.html#slide1 http://www.aarp.org/health/conditions-treatments/info- 2014/celebrities-with-hearing-loss-photo.html#slide1  http://www.hearingaids.com/hearing-loss-you/hearing-loss- you/10-famous-people-with-hearing-loss/ http://www.hearingaids.com/hearing-loss-you/hearing-loss- you/10-famous-people-with-hearing-loss/ REFERENCES