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Aural Rehab 1
Final Exam
| Question | Answer |
|---|---|
| What can hearing loss impact? | a person's ability to fully perceive all the sounds of speech, can hurt all aspects of a person's life |
| What is the purpose of aural rehabilitation? | to restore or establish a patient's ability to communicate |
| What are the main goals of aural rehabilitations? | alleviate the difficulties related to hearing loss and minimize its consequences |
| When is aural habilitation used? | When the patient was born without hearing |
| When is aural rehabilitation used? | When the patient lost hearing |
| What is the International Classification of Functioning, Disability, and Health (ICF)? | It is a classification developed by the WHO that considers the consequences of a health-related condition within the context of a pateint's environment and circumstances |
| When is the International Classification of Functioning, Disability, and Health (ICF) used? | to evaluated how a health condition affects the patient in every day life and how it can be alleviated |
| What type of sense is hearing? | distance sense |
| What are the key components of aural rehabilitation? | diagnostics and quantification of HL, technology, communication strategies, listening training, spoken language, informational counseling, psycho-social impact |
| When does the assessment of the hearing loss and speech recognition skills happen? | first in the identification of hearing loss and the aural rehabilitation process |
| When does the provision and explanation of hearing aids, cochlear implants, and/or other assisted listening devices occur? | second in the aural rehabilitation process, after the hearing loss has been identified and prior to beginning a (re)habilitative program |
| When does orientation, practice, and checks of devices that enhance hearing aids or cochlear implants on a daily basis occur? | after the diagnosis of a hearing loss and equipment is fit, It can be ongoing throughout treatment. |
| What happens when an Aud. or SLP helps a patient with structured and unstructured listening practice? | they help decide between sounds, auditory practice |
| When are strategies that can be taught to enhance overall communication with partners taught to a patient? | can be prior to receiving equipment for a hearing loss and after a diagnosis of hearing loss and equipment is fit. Could be ongoing throughout treatment |
| When does structured and unstructured listening practice with a patient occur? | after the diagnosis of a hearing loss and usually after equipment is fit. Can be ongoing throughout treatment |
| Who is the target audience when an SLP works to develop or enhance vocabulary, spoken language, speech production, and pragmatics language skills? | typically children or those with a pre-lingual hearing loss |
| When does an SLP work to develop or enhance vocabulary, spoken language, speech production, and pragmatics language skills? | After the diagnosis of a hearing loss and equipment is fitted. Can be ongoing throughout treatment (SLP) |
| When does a clinician address the psychological and social impact that hearing loss can have on the person with the HL and his/her family and friends? | At the onset of diagnosis and prior to receiving equipment. Also after diagnosis and equipment is fit, can be ongoing throughout treatment |
| Who can address the psychological and social impact that hearing loss can have on the person with the HL and his/her family and friends? | audiologist, speech language pathologist, possibly a counselor |
| What does a sound wave do so we can hear? | vibrates the ear drum and causes movement of the bones in the middle ear |
| What does the movement of the ossicular chain cause? | movement of the fluid in the cochlea |
| What does movement of the fluid in the cochlea cause? | movement of the hair cells |
| What does the movement of the hair cells cause? | activation of the auditory nerve |
| What does the auditory nerve do? | send a signal to the brain to be processed as sound |
| What is a conductive hearing loss? | a problem in the outer or middle ear affecting hearing loss |
| Would could be a cause for a conductive hearing loss? | ear wax, ear infections, ear drum perforation, not fully formed, issue in ossicular chain |
| What is the treatment for a conductive hearing loss as an SLP or AuD? | refer to an ENT |
| What is a sensorineural hearing loss? | A problem of the inner ear or auditory nerve affecting hearing |
| What causes a sensorineural hearing loss? | hair cells or nerve cells damage, infection, trauma, not fully formed, TBI, loud noise exposure, age, ototoxic medication |
| What type of hearing loss is permanent? | Sensorineural hearing loss |
| What are the categories of hearing loss? | degree, onset, causation, and time course |
| What is the degree of hearing loss? | defined by the pure-tone average, the average pure tone frequencies at 500, 1000, and 2000 Hz |
| What is the onset of hearing loss? | when the loss began |
| What is the causation of hearing loss? | what caused it |
| What is the time course of hearing loss | how quickly it progressed |
| What are the characterizations of the degrees of hearing loss? | mild, moderate, moderate-to-severe, severe, and profound |
| What is a pre-lingual onset of hearing loss? | before the acquisition of spoken language |
| What is the perilingual onset of hearing loss? | during the acquisition of spoken language |
| What is the post lingual onset of hearing loss? | after the acquisition of spoken language |
| What is the congenital onset of hearing loss? | present at birth |
| What is the acquired onset of hearing loss? | occurred after birth (prevocational, early or later working age, retirement age) |
| What are some common ACQUIRED causes of hearing loss? | ear infections, ototoxic medications, meningitis, measles, encephalitis, chicken pox, influenza, mumps, head injury, noise exposure |
| What are some common CONGENITAL causes of hearing loss? | autosomal Dominant or recessive hearing loss, genetic syndromes, prenatal infections, illnesses, toxins during pregnancy |
| What is the causation of conductive hearing loss? | obstruction in either outer or middle ear that prevents sound entry |
| What is the causation of sensorineural hearing loss? | disturbance in the inner ear, eighth nerve, brain stem, midbrain, or auditory cortex |
| What is the causation of a mixed hearing loss? | combination of conductive and sensorineural causations |
| What does progressive mean? | occurs over the course of several months or years |
| What does sudden mean? | individual loses hearing suddenly, possibly due to illness or injury such as head trauma |
| What is the most common birth defect? | hearing loss |
| What services are included for infants and children with hearing loss? | educational planning, accommodation in the classroom with assistive technology, support in transition from elementary to secondary/postsecondary school settings |
| What services are included for adults with hearing loss? | Aural rehabilitation services and support so they can make contributions in their community |
| What does an evidenced-based practice use to treat patients? | clinical expertise, patient values, and the best research evidence available |
| What is the five-step approach clinicians use in an evidence based practice? | ask a straightforward question, find best evidence to answer questions, critically assess evidence and decide if it applies to patient, integrate evidence with clinical judgment and patient values, and evaluate the performance of the plan |
| What is an audiogram? | a graph that shows the softest sound a person can hear 50% of the time at different frequencies |
| What is the softest sound on an audiogram called? | the threshold |
| What is the Y-axis of an audiogram? | hearing level or loudest the sound has to be so it is heard 50% of the time (decibel) |
| What is the x-axis of an audiogram? | frequency or pitch (hertz) |
| What is the audiometric zero? | the average lowest level of hearing for listeners with normal hearing |
| What does air conduction test? | the outer, middle, and inner ear as well as neural pathways |
| What does bone conduction test? | the inner ear and neural pathway |
| What color is the right ear on an audiogram? | red |
| What is the shape of the right ear on the audiogram? | circle (unmasked), triangle (masked) |
| What color is the left ear on an audiogram? | blue |
| What is the shape of the left ear on an audiogram? | x (unmasked), square (masked) |
| What devices does air conduction testing use? | supra aural headphones and insert headphones |
| What device does bone conduction testing use? | bone oscillator |
| What does an audiogram tell us? | the degree, type, and shape/configuration of hearing loss |
| What is the degree of hearing loss? | the lowest level the person can hear at each frequency |
| What is the type of hearing loss? | sensorineural, conductive, or mixed |
| What is the shape/configuration of hearing loss? | describes what the hearing loss looks like on the graph (helpful when writing reports) |
| What is the range of normal hearing? | 0-25 dB for adults, 0-15 dB for children |
| What is the range of slight loss? | 16-25 dB, CHILDREN ONLY |
| What is the range of mild hearing loss? | 26-40 dB |
| What is the range of moderate loss? | 41-55 dB |
| What is the range of moderately severe loss? | 56-70 dB |
| What is the range of severe loss? | 71-90 dB |
| What is the range of profound loss? | >90 dB |
| What are common issues for mild hearing loss? | may miss some speech sounds in quiet, some difficulty in noise (may miss up to 50% of words, consonants), hearing aids |
| What are common issues for moderate hearing loss? | difficulty in conversations in quiet, great difficulty in noisy situations, hearing aids |
| What are common issues for severe hearing loss? | very difficult time hearing speech, needs aid to understand, nearly impossible to converse in noise, cochlear implant |
| What are common issues for profound hearing loss? | will not hear speech, conversation without some form of aid is not possible, even with hearing aids it will be challenging, cochlear implant |
| What is sensorineural hearing loss? | originates in the inner ear or auditory nerve, air conduction and bone conduction loss, air bone gap is 10dB or less |
| What is a conductive hearing loss? | originates from the outer or middle ear, no bone conduction loss, air conduction loss, air bone gab greater than 10dB |
| What is a mixed hearing loss? | originates from the outer and/or middle ear AND the inner ear or auditory nerve, air conduction loss, bone conduction loss, and air bone gap greater than 10dB |
Created by:
hrshook0104
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