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 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