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Aural/Oral Quiz 5
Terms in this set (61)
What are the two types of adults?
- save money
- dislike carrying debt
What percent of Americans are over the age of 65?
Who is the fastest growing population?
What are the steps of evaluation found through case history?
- finding the problem
- listing the listening difficulties affecting your everyday life
- activities you have stopped/want to try
Why is getting medical data KEY?
if affects how affective their listening device is
What is one way you can test cognitive abilities informally?
getting them to recall their case history information
What are the auditory processing difficulties?
- reduced ability to discriminate two sounds
- difficulty in understanding
- difficulty in background noise
How does family and social contacts affect a person with hearing loss?
drives their feeling of being more/less a part of life and their motivation
What are the 5 personality traits of temperament?
cognitive abilities =
What are the 4 stages of motivation?
What are the factors that affect overall motivation?
- self esteem
- support from their environment
- degree of hearing loss
- other people's opinions
- their overall health
What are the parts of the health belief model?
perceived susceptibility =
susceptibility to acquire a hearing loss
perceived severity =
how severe the hearing loss seems compared to someone else's hearing
perceived self-efficacy =
belief in whether or not the patient can use intervention (i.e. hearing aid) or not
perceived barriers =
belief in financially being able to have a hearing loss
perceived benefits =
belief in enhanced conversation fluency
What are the steps of the group aural rehab programs after receiving a listening aid (or not)?
- recognize there's a hearing loss/related difficulties (leading to participation restrictions)
- awareness of ALDs
- consults with hearing and speech professionals for acquisition of ALD
- adaptation to using ALD and adapting behavior accordingly
What is helpful about a group aural rehab program?
- good for educating family members and family
- provide counseling
- communication strategies
What are the phases of the communication partner's journey?
- what's happening - feel like their being tuned out
- aware - of hearing loss
- persuasion - come to grips they have a hearing loss
- validation - validating hearing loss with aud.
- maintenance - have a more joyful outlook on hearing loss
What is the overall goal with older adults?
improve quality of life
- not focused on milestone like therapy
When are the effects of a hearing loss most pronounced?
children who have a congenital or early childhood hearing loss
What is children's speech described by?
- overall intelligibility
- suprasegmental production
- segmental production
What influences a child's speech characteristics?
- early hearing loss identification
- ALD used shortly after identification
- intervention (speech and language therapy) soon after
- motivated speaker
- raised in a favorable speech environment
- no other disabilities present with hearing loss
What is the most potent predictor of ultimate speech proficiency?
the child's ability to recognize speech
How can we tell of a child's overall speech intelligibility?
- how well a person with normal hearing can understand a child's speech
- how well the child articulates the segmental sounds of language/coarticulates
- how well a child articulates sounds produces suprasegmental aspects of speech
segmental errors =
phoneme or speech sound level
- fewer segmental errors typically means higher overall intelligibility
What is canonical babbling?
advanced form of infant babbling that consists of well-formed consonant-vowel combinations
- intonation, stress, tempo, rhythm, and amplitude fluctuations (silences)
pre-lingual deafness =
hearing loss symptoms are more prevalent
What are the 3 reasons for literacy deficits?
- reading and writing problems
- unfamiliarity with groups of related words and syntactic structures
- no understanding of some things means they will have misinterpretations/understandings
Where do any spoken errors also occur?
in their writing samples
Why do we assess speech and language?
- to evaluate progress (baseline to final data / effectiveness)
- accountability (insurance)
- determine if they need services
- can determine a diagnosis
- need for an intervention
- use assessment to write goals
What do children with hearing loss greatly benefit from?
reading and literacy therapy
- listening and spoken language (LSL)
What is the purpose of a speech and language evaluation?
- determine the need for intervention
- developing intervention goals
- evaluating progress and effectiveness of interventions
What are the principles to look at when doing a speech/language evaluation?
- task type
- mode of communication
- test procedures
- test norms
How do you assess speech skills?
- percent words correct score
- supra/Segmental speech production
*need to know how well you understand them in conversation when you are a stranger and a known person (like a caregiver)
How do you assess speech intelligibility?
speech sample is gathered FIRST
- imitate a series of isolated words/sentences
- -create a citation speech sample
- retell a story
- speak spontaneously using continuous speech
What are the factors that influence a child's intelligibility of speech?
- how well a child's speech is understood in conversation
- listening condition (did you really hear everything being said)
- speech materials
younger the child for intelligibility of speech =
breaks the domains down
older the child for intelligibility of speech =
How do you assess language skills?
- story retells
- spontaneous play session
Why do formal tests have an advantage?
it systematically assesses skills and competencies that might not surface during a language sample
Why are literacy evaluations important?
- test results can inform decisions about classroom placement and the need for support services
- inform the teacher about a child's strengths and weaknesses and helps the teacher target teaching efforts
How can you assess a child's reading skills?
- check their ability to hold a book correctly
- joins in saying common things like the big bad wolf huffs and puffs from the three little bears
How can you test a child's writing skills?
write a short paragraph or short narrative about a topic
- looking for organization, content, language use, and vocabulary use
What are the goals of speech therapy?
- increase various types of vocalizations
- expand phonetic/phonemic repertoires
- establish link between audition and speech production
-improve suprasegmental aspects of speech
- increase speech intelligibility
What is the auditory approach?
- child receives instructions and correction about their speech via the auditory modality primarily
What is the most efficient way to learn to talk?
to learn skills in an appropriate sequence and to build on an existing skill to develop a new one
What is the visual approach?
visuals paired with specific speech sounds or prosodic features
- sounds associated with a letter
What is the unisensory approach?
really focusing on the hearing piece
- covering your mouth during therapy
What is the multisensory approach?
- present instruction through more than one sensory modality
- auditory and speech training together to learn the sounds of the language
- emphasis on whole utterance and not individual sounds/syllables
What is the best approach to use?
What is the combined approach?
as the skill is learned formally then incorporate through hands on activities or play (the naturalistic setting)
- learning the parts of the plant (on a worksheet) guided learning (classroom activity / direct teaching) a more real-world setting (working in an actual garden)
What are the goals of language therapy?
- increase communication between parent and child
- promote understanding of complex concepts and discourse units
- enhance vocabulary growth, self-expression, and growth in use of language syntax and pragmatics
- increase word knowledge
- develop narrative skills
What is structured language therapy?
used for school-aged children
- focused on structured stimuli (SVO), children may learn to perceive language patterns and eventually produce them spontaneously
What is the naturalistic language therapy?
- language learned in everyday contexts to expand vocabulary and model syntax and pragmatics
- goals are based on information about the language development of children with normal hearing
must be normed on children as close to hearing function as your client
focusing on the developmental milestones (have they reached them / at the school age begin to work on the things related to the classroom)
assessment/intervention for hearing and not =
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