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the Aural Rehabilitation Class PageAURAL REHABILITATION WITH ADULTS
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the Aural Rehabilitation Class Page
I. Philosophy
Consider.... the ___________ person -- not just as they sit in your clinic
Consider.... lifestyle including employment, hobbies/ recreation, social encounters, education
Consider.... family___________, monetary values, physical surrounding, physical and mental well-being
Consider.... emotional/mental/language ___________ and adjust treatment accordingly
Communicate directly with the ___________
II. Assessment
A. Case History
Include info re: Family, ___________, social, hobbies
The case history allows us to gain insight into the major concerns of the client
May get info about acceptance or denial of ___________
May get info re: significant barriers to accomplishing rehab goals
B. Audiological Evaluation
Typical battery:
___________
Bone Conduction
___________
Speech Recognition: quiet, noise, and aud/visual
Uncomfortable loudness levels: to set ___________ of Hearing Aid
C. Medical Evaluation
In addition to general health information, need ___________ evaluated
D. Hearing Handicap
Refers to the disadvantage experienced by the individual in activities of ___________ that are a result of Hearing Loss but not necessarily determined by the degree of the loss.
Goals of HH Assessment:
determine ___________ needs
determine the extent to which they are failing to meet these needs
determine how they cope with ___________ to meet needs
Hearing Handicapped Inventory for the Elderly (HHIE)
Ventry & Weinstein (1983)
___________
___________
___________
*Hearing Performance Inventory (HPI)
-Giolas Owens Lamb Schubert (1979)
-90 items - 6 sections rate answers from "practically always" through "almost never"
Sections of HPI
understanding speech
with ___________
without ___________
intensity
response to ___________ failure
personal/social
___________
A profile of performance is determined
Advantages:
very ___________;
developed as a result of several item analyses
started with ___________ items -- took the best 90
several studies done to evaluate ___________ and ___________
Disadvantages:
Lengthy
___________ somewhat involved
III. Rehabilitation Programs
A. Purpose
1. In general to maximize communication ___________
2. Ease adjustments that must be made re:
___________
___________
emotional/social/ vocational changes
3. NOT to restore communication skills to a ___________ level
B. Approaches
1. ___________ Approach
Combination of visual and auditory training
i.e. Garstecki
2. ___________ Approach
Strong emphasis on visual training analytic or synthetic, includes
syllable or sound sentence/
drill conversation practice
3. ___________ Approach
counseling-oriented method, emphasis on coping and reducing anxieties rather than speech reading
Coping Skills Class-Sam Trychin
Communication ___________
Right/Wrong Way Scenarios
Reactions to stress analysis
Cognitive Distortions
Using reinforcement to
___________ behavior
C. Variables in Conducting Rehabilitation
*size of group -- ___________, grouped by age if possible
*length of the session -- 1-2 hrs., ___________ weeks
*manner of presentation--
___________
discussion format
___________
lighting
___________
*Release criteria -- interview and watch for plateau
D. Obstacles to Aural Rehabilitation
*Getting the services to the people who need them
*___________
*Motivation of patient
*___________ to conduct Rehab
*Getting ___________ info if client not seen in your clinic
*Getting family involved
E. Special Populations
1. Geriatrics
Changes with aging:
___________ effects -- accommodation is reduced, depth perception is reduced
___________-- Glaucoma, Macular Degeneration, Cataracts are common problems
___________ -- Presbycusis: reduction in speech recognition beyond that expected based on pure tones
___________ sensitivity-- dexterity is often reduced;decreased elasticity of skin; dryness of skin
___________ Decline---
Learning/ Reaction Time/ Memory often decline but there's great individual variability
Time Reference is skewed---Just one Dr. appt. can consume one's energy for the week
2. Employable
Need ___________ to Texas Rehabilitation Commission (TRC) if hearing loss criteria are met and willing to work
Strong need to consider ....
___________ in the workplace
Implications of ___________
3. College Students
Consider .....
referral to TRC
assistive device in class
compliance with ___________
need for support group