Term
-___ million Americans have hearing loss (__% of the U.S. population) -Hearing loss is the ___ most chronic health problem plaguing the elderly -Over the next 15 years, 78 million Americans will move into the ___ year-old age bracket and the prevalence of hearing loss will skyrocket |
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Definition
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-It is estimated that hearing aids are the treatment of choice for ___% of people with hearing loss (Only ___% of hearing loss is medically treatable) – Unfortunately, less than ___% of those individuals get hearing aids |
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Definition
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What does the hearing aid analyzer do? |
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Definition
It conducts an electroacoustic analysis: a very specific test that determines if a hearing aid is functioning according to manufacturer’s specifications. |
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Term
When is the hearing aid analyzer done? |
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Definition
-During patient check-ups -Anytime that the patient reports something isn’t working right -Anytime the SLP does a visual and listening check and it doesn’t sound right |
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Term
Real-ear probe-tube microphone measurement is determining how much the hearing aid is ___ in the patient’s ear. The patient wears the hearing aid and a microphone is placed __ to __ mm from the eardrum! |
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Definition
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Computer data base has every hearing aid patient’s ___ and hearing aid ___ |
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Definition
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-Every audiologists needs a ___ -It has special tools and equipment for working on in-house hearing aid ___ |
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Definition
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What is the hearing aid fitting process? |
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Definition
assessment and goal setting, technical aspects of treatment, orientation, counseling, and follow-up, and assessing outcomes |
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Term
What steps are involved in Assessment and Goal Setting? -Auditory ___ and ___ -Self-perception of ___ needs, performance, and selection of goals for ___ -___-___ needs assessment |
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Definition
assessment; diagnosis; communication; treatment ; Non-auditory |
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Term
Auditory Assessment and Diagnosis: -Diagnosis, ___, and ___ of hearing loss -Determination and need for ___ ___ to a licensed physician -Determination of need for ___ ___ as determined by the guidelines established by the Food and Drug Administration (FDA) -Provision of audiometric ___ and ___ options through appropriate patient and family/caregiver counseling -Determination of candidacy for ___ and counseling and patient’s attitude toward the ___ plan -Determination of ___ through needs assessment techniques |
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Definition
type; extent; medical referral; medical clearance; results; treatment; amplification; treatment; lifestyle |
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Term
What are the FDA Red Flags? -___ of the ear that was present at birth or caused by some type of trauma -Active ___ from the ear during the previous ___ days -___ or ___ progressive hearing loss during the previous 90 days -Sudden or long-term ___ -Sudden or recent ___ hearing loss during the previous 90 days -Air-bone gaps equal to or greater than ___ dB HL at 500, 1000, and 2000 Hz -Significant ___ (i.e., earwax) buildup or ___ ___ in the ear canal -Ear ___ or ___ |
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Definition
Deformity; drainage; 90; sudden; rapidly; dizziness; unilateral; 15; cerumen; foreign body; pain or discomfort |
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Term
-Patients remember less than ___% of information with informational counseling -the term counseling has been used to describe giving ___ information to a patient, such as detailed instructions about how to operate a hearing aid. Such a factual flow of information has been referred to as ___ counseling or ___ counseling. |
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Definition
50; factual; information; content |
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Term
Use Method of Explicit Categorization is presenting information to patients in specific, rank-ordered categories of...what? |
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Definition
-Recommendations -Diagnosis -Test Results -Prognosis |
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Term
In addition to the Method of Explicit Categorization, it is helpful to supplement verbal facts with ___, ___, and/or ___ information to help patients understand and retain information about their hearing loss and treatment options. |
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Definition
written, graphical, and/or pictorial |
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Term
Can you explain and use the Count-the-Dot Audiogram and Sounds on the Audiogram?? |
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Definition
There are 100 dots represent speech sounds and anything below the line represents speech sounds that they can’t hear |
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Term
You are a good hearing aid candidate if you... -Generally, if thresholds are greater than __ to __ dB HL –Audibility index of less than ___ –Demonstrated ___ limitations and ___ restrictions • COSI (client oriented scale of improvement) • HHIE –___ attitude: Attitude Type I and II –___ expectations |
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Definition
20 to 25; 86; activity; participation; Good; Realistic |
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Term
Who is the enthusiastic and motivated patient-dream patient? |
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Definition
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Definition
positive attitude but there is a complicating factor. Ex: Someone who has had a bad experience with a HA. |
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Expectations of Audiologists: -Be ___, courteous, and ___ -Suggest a referral to a ___ to rule out any medical conditions -Assess your hearing difficulties in several ___ -Define individual ___ for you -Offer a ___-day trial period -Provide an initial ___ session on how to handle and care for your hearing aids -Schedule multiple ___ appointments -Evaluate the ___ of your hearing aids |
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Definition
knowledgeable; accommodating; physician; environments; goals; 30; orientation; follow-up; benefits |
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Term
Expectations of Hearing Aids: -___more than you expected -Fit ___ -Allow you to hear ___ speech audibly, ___ speech comfortably, and loud speech without ___ -Not filter out noise ____ -Provide some protection from ___ sounds -Deliver sounds that at first may seem ____ (e.g., your own voice and footsteps) -Require ___ from time to time -___ or ___ if the earmold or hearing aid are not seated properly |
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Definition
Cost; comfortably; soft; conversational; discomfort; completely; loud; different; repairs; Whistle; feedback |
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Term
Expectations of Themselves: -Require presentation of the same information about and practice of new skills with your hearing aids more than ___ prior to feeling comfortable with the situation -Require a period of ___ with your hearing aids -Experience some difficulty in ___ situations -Buy ___ -Benefit from an ___ ___ for new hearing aid wearers -Purchase hearing aids about every ___ years |
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Definition
once; adjustment; noisy; batteries; orientation group; 5 |
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Term
Is there any way to measure expectations? |
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Definition
It is the Expected Consequences of Hearing Aid Ownership |
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Term
Non-auditory Needs Assessment: Goal: Does the patient have any ___ that need consideration for hearing aid treatment? Ex: Physical-Ex: ___? Psychological-Ex: ___ |
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Definition
characteristics; visual and dexterity; cognition |
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Term
Technical Aspects of Treatment: -Hearing Aid Selection: Some decisions are made for the ___; some are made by ___ audiologist and patient -___: preference, loss, and non-auditory factors -What can the patient ___? -Quality Control: Does it ___ properly? |
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Definition
audiologist; both; Style; afford; work |
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Term
Technical Aspects of Treatment: -Fitting and Verification: Physically, does it feel right? Does it make Soft speech ___? Conversational speech ___? Loud sounds ___? -Real-ear probe-microphone measurement: Does it provide enough ___? |
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Definition
audible; comfortable; tolerable; gain |
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Term
What is the basic goal for all hearing aids? |
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Definition
Amplifies at their most comfortable listening level Does not reach their loudness discomfort level |
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Gain is... -tells you how ___ the hearing aid is -Is how many ___ the hearing aid adds to the signal |
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Definition
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Gain: -Input + Gain =___ -Gain = Output __ Input |
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POGO Method: 1/2 gain rule-hearing aid will provide half gain at a specific ___ -Have a ___ frequency correction factor |
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Definition
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What are reasons that prescriptive methods have a low frequency correction factor? |
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Definition
-minimize upward spread of masking -a lot of people don't like the barrel effect |
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Term
What is important to know about prescriptive methods? -There are maybe a ___ of them -They all have some form of the ___ gain rule and ___-frequency correction factor -The key is to make the sound loud enough to make sure the hearing aid: Amplifies at their most ___ listening level and does not reach their loudness ___ level |
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Definition
dozen; ½; low; comfortable; discomfort |
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Term
Hearing aid orientation group: ___ to ___ week group sessions with new hearing aid wearers and their significant others |
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Definition
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Tips for Groups: -Group by ___ and ___ -Require ___ other attendance -Older patient group is most common: Schedule for ___ to ___ hours with “snack time”, ___ morning (elderly more alert), and ___ (attendance at walk ins) -Use ___: Attendance at all sessions earns something |
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Definition
age; circumstance; significant; 1 ½ to 2; Late; mid-afternoon; incentives |
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