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Aural rehabilitation is:
Intervention aimed at minimizing and alleviating the communication difficulties associated with hearing loss.
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Conversational fluency:
Relates to how smoothly conversation unfolds.
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A hearing related disability is:
A loss of function imposed by hearing loss. The term denotes a multidimensional phenomenon.
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WHO:
The World Health Organization
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An impairment is:
A structural or functional impairment of the auditory system
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A handicap:
Consists of the psychosocial disadvantages that result from a functional impairment.
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nomenclature
A set of names used, or intended to be used, to designate things, classes, places, etc.; esp. a system of technical terms used in a science or other discipline.
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An activity limitation is:
a change at the level of the person brought about by an impairment at the levels of body structure and function.
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A participation restriction is:
an effect of an activity limitation that results in a change in teh broader scope of a patient's life; for example, a patient may avoid social gatherings.
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Frequent Communication Partners are:
persons with whom another often converses, such as a family member.
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Psychological factors:
pertain to an individual's attitudes, self-image, motivation,and assertiveness.
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Social factors
are the prevailing viewpoints of one's society.
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aural habilitation
is intervention for persons who have not developed listening, speech, and language skills.
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Audiologic rehabilitation
narrower breadth of services. Implies an emphasis on the diagnostic of HL and provision of listening devices.
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Where does aural rehabilitation occur?
- University, private practice, Hearing aid dealership, hospital, community center
- nursing home, school, otolaryngologist's office, SLP office, a home
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pure-tone average (PTA):
is average of the thresholds at 500, 1,000, and 2,000 Hz.
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Configuration
refers to the extent of the hearing loss at each frequency and gives an overall description of the hearing loss.
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An asymmetrical hearing loss is:
one in which the degree and/or configuration of loss in one ear differs from that in the other ear.
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Hard of hearing
means having a hearing loss; usually not used to refer to a profound hearing loss.
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Deaf
usually means having minimal or no hearing.
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prelingual
refers to a hearing loss acquired before the acquisition of spoken language.
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congenital
implies the hearing loss was incurred after birth.
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perilingual
refers to a hearing loss acquired during that stage of acquiring spoken language.
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postlingual
refers to a hearing loss incurred after the acquisition of spoken language.
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conductive loss
results from an obstruction within the outer or middle ear.
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microtia
is a congenitally small external ear.
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atresia
A congenital closure of the external auditory canal.
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ottis media
an inflammation of the middle ear, often accompanied by the accumulation of fluid in the middle ear cavity.
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sensorineural hearing loss
a type of hearing loss that has a cochlear or retro cochlear origin.
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meningitis
is a common cause of childhood sensorineural hearing loss caused by bacterial or viral inflammation of the meninges. The meninges are the membranous linings of the brain and spinal cord.
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encephalitis
in as inflammation of the brain.
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ototoxic drugs
are harmful to the structures of the inner ear and the auditory nerve.
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mixed hearing loss
a hearing loss that has both a conductive and a sensorineural component.
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progressive hearing loss is a hearing loss that increases over time.
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sudden hearing loss
is a hearing loss that has an acute and rapid onset.
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unserved population
refers to a group of patients in need of but not receiving services.
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underserved population
is a group of patients received less that ideal services.
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cost-effectiveness
it the relationship between the money spent and the benefits accrued.
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medicare
is a program under the USSSA that reimburses hospitals and physicians for medical care they provide to qualified people who are 65 years of older.
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Medicaid
is a program under the federal government to help people in need pay for medical costs.
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Evidence-based practice (EBP)
is clinical decision making that is based on the a review of the scientific evidence of benefits and costs of alternative forms of diagnosis or treatment, and a critical examination of current and past practices.
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outcome measure
indicates the amount or type of benefit experienced by either an individual or a group of individuals to a treatment or series of treatments, and/or indicates a response.
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randomized controlled trial
a control group chosen at random in order to alleviate the chance that the process of selection might effect the outcome.
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dependent variable
is the factor or item measured in an experiment.
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independent varible
is the experimental factor that is manipulated or influential.
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The 5 steps of Evidence based practice
- 1. Ask a straightforward question
- 2. Find the best evidence to answer the question
- 3. Critically assess the evidence and decide if the results pertain to your patient.
- 4. Integrate the evidence with your clinical judgment and the patient values and needs.
- 5. Evaluate the performance after having implemented your plan.
- In terms of measuring "outcomes" of a treatment or hearing aid device, is it possible to reasonably weight all of the variables (demographics, audiologic, cognitive, emotional, life-style, etc.) that influence hearing aid success? What constitutes "hearing aid success?
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