Aural Rehab

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Aural Rehab
2013-03-05 23:05:59

Exam 1
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  1. Audiologic Rehabilitation
    Any activity, method, resource, technology, and/or device that facilitates and/ or enhances communication and participation in activities
  2. Incidence of HL
    • 38 million persons in US have HL
    • 1/1000 at birth
    • 1/25 with HL at 45+
    • 1/10 with HL at 60+
  3. Impairment
    is 'a loss or abnormality of body structure or physiological or psychological function'
  4. Activity limitation
    What you CAN do.
  5. Environmental Factors
    weather, occupation, acoustic background noise, visuals
  6. Personal factors
    Degree of HL, age, motivation, intelligence
  7. Participation Restriction
    'the nature or extent of a person’s involvement in life situations in relation to impairment, activities, health conditions, and contextual factors’

    What you DO do.
  8. Health related quality of life
    'the functional effect of an illness and its consequent therapy upon the patient.'
  9. Psychological factors
    attitudes, self-image, motivation and assertiveness, etc. gender, age, education
  10. Social Factors
    viewpoint of society; Architectural characteristics of environment; Cultural or social environment
  11. hearing impairment
    Partial/complete HL is one or both ears.  Can be any degree
  12. Deafness
    Complete loss of ability to hear from one or both ears
  13. Services included in Aural Rehab
    • Diagnosis & quantification of hearing loss
    • Hearing assistance technologies
    • Auditory training
    • Communication strategies training
    • Informational/educational counseling
    • Personal adjustment counseling
    • Psychological support
    • Communication partner training
    • Speechreading training
    • Speech-language therapy
    • Inservice training
    • Hearing Conservation
  14. Who can provide Aural Rehab?
    • Audiologists
    • SLP
    • MD
    • Social Worker
    • Educator
    • Interpreter
  15. Rehabilitation vs Habilitation services
    • Rehabilitation restores lost function
    • Habilitation helps to create a skill that was never there.
  16. Medicare
    for 65+
  17. Medicaid
    Under social security
  18. Vocational Rehabilitation
    State funded that reimburses Audiologist or SLP
  19. Evidence Based Practice
    • Practitioner considers info from: 
    • 1) current evidence available
    • 2) practitioner’s clinical expertise
    • 3) values of the client and family
  20. What are the steps to EBP
    • 1.) Determine clinical question
    • 2.) Find the evidence
    • 3.) Evaluate the evidence
    • 4.) Provide recommendation based on evidence with clinical expertise and present recommendation to patient/family and incorporate preferences
  21. Steps in HA process
    • Assessment
    • Treatment Planning
    • Selection
    • Verification
    • Orientation/Counseling
  22. Verification Process
    • Informal assessment
    • Aided testing (warbled tones, speech
    • discrimination in quiet/noise)
    • Rating of Loudness
    • Real Ear Measurement  
    • Client input  
    • Abbreviated Profile of Hearing Aid Benefit
    • (APHAB)
    • Satisfaction with Amplification in Daily Living
    • (SADL)