24 terms

COMD 5330 Aural Rehab for adults

Characteristics of baby boomers
lose their hearing gradually; most have high frequency losses; most are mild to moderate that worsens with age
What factors influence the effect of a hearing loss as the baby boomer get older (Life Factors)
age; socioeconomic factors, attitude; gender; race; grieving cycle( denial, depression, anger and guilt,acceptance... people generally don't go through steps in order)
Hearing loss happens in 4 phases...
1. Pre-hearing loss: age, attitude, gender; etc
2. Onset of hearing loss: may not realize
3. Diagnosis: time when identified, reactions vary; time to decide on amplification, Assistive listening devices, "communication strategies", psychological counseling; look at the whole person using "PEMICS" ; this is the time to do the "communication handicap, and "communication disability".
4. Adjustment-counseling provides information, technology that have value; aural rehab happening in this stage; must show value
How to look at the whole person
perception- visual and hearing
motor skills-adjust hearing aids
communication skills (communication style)
social skills
What are the principles of managing a hearing loss? What do we need to recognize?
1. amplification is not a cure all
2. recognition of speech is most important
3. speech is bi-sensory
4. people learn by doing and practicing
5. people learn best in one on one situations
6. people change behavior best in a group
Model of aural rehab for evaluation
Model of aural rehab (remediation)
PACO- psychosocial. amplification, communication, overall coordination
What are the 4 essential components of rehabilitation?
#1. Effective amplification(helps more than anything)
#2. Auditory-Visual Integration (speech reading)
#3. Assertive Listening-"communication strategies"
#4. Consumer awareness- knowledge-knowing the laws
Group therapy should include 3 types of experiences.
#1. share feelings, experiences, successes, failures
#2. structured practice in speech reading, communication repair
#3. information on hearing loss, aids, issues
How do we access those with hearing loss?
We look at:
#1. communication handicap (questionnaire)
#2. communication disability(compared to normal)
#3. conversational fluency( how well can they carry on conversations)?
#4. style of communication (passive, agressive, assertive)
#5. expectations, knowledge
#6. hearing aid benefit
Two types of counseling
#1 informational counseling
#2 personal adjustment counseling
Goal of Aural rehabilitation
increase the probability that communication will occur
What is a communication handicap?
overall effect of a hearing loss on the person's overall well being-self assessment questionnaire
What is a communication disability?
how a hearing loss "deviates" from a normal hearing persons hearing; this speak of physical limitation
Conversational fluency
degree a person can participate in a conversation; not often assessed; mild to moderate loss doesn't affect the person too much;
What are the 3 styles of conversation?
passive, aggressive, assertive
What are the costs of hearing loss to the patient
*vocational status
*family member adjustments
*financial cost
*psychosocial well-being (badge of elderly)
What is the goal of aural rehabilitation?
to increase the probability that hearing will occur
How do we get information from patients so we can set up therapy goals and establish baseline measurements and educate?
*communication handicap through questionnaires
*communication disability- performance tests
*conversation fluency- good structured conversations?
*communication style- passive, agressive, assertive
*discuss expectations
*access benefit of hearing aid
*interviews (PEMICS is good here)
*daily logs
*structured communication experience
*observation in natural environment
*information from frequent partners
*expectations and knowledge
What does CARA stand for?
C communication status
A associated variables
R related conditions
A attitude
What does PACO stand for?
P psychosocial
A amplificatiion
C communication
O overall coordination
How long should group therapy last? How many people in a group is ideal?
6 weeks 2 hours per week
5-6 hearing impaired with spouses or friends
What are the 4 steps in the grieving process?
anger, guilt
What are the types of assessment
*daily logs
*structured communication experience
*observation in natural environment
*information for frequent speaking partners