• to restore or potimize a patient's participation in activities that have been limited b/c of a hearing loss
• intervention aimed at minimizing and alleviating the commun. difficulites assoc. with hearing loss
• reduce barriers to make comm. easier

1. Lifestyle
   1. jobs, desire, family
2. frequency of communication partners
   1. family, spouse, friends
   2. teach tem how to be sensitive
3. psychological factors
   1. self-image
   2. assertedness
4. social Faactors
   1. deaf families-cochlear implants
   2. older generations

Rehab Programs

1. need a  thorough audiological exam
2. dispense appropriate amplification device
3. case history

1. congential- at or during birth
2. prelingual- before onset of speech
3. perilingual- during onset of speech
4. postlingual- after onset of speech

Conductive Loss

Where?

How bad?

• occurs from pinna to TM
• outer- Auditory Atresia
• Middle- otitis media
• Middle Ear
  • malleus, incus, stapes- ossicular chain
  • eustacian tube
  • child wil
• child will have good speech discrimination
  
  • turning hearing aid up will help
• degree of loss won't be as great
  
  • max 50-60 dB loss, bones can compensate

Causes of Conductive Loss

• birth defects
• cold and allergies, infections
• hole in ear drum
• bad ossicular chain
• something in the ear
• cysts

many can be treated medically

by itself, can do speech

• head trauma
• birth trauma
• virus
• noise exposure
• drugs
• aging
• lack of oxygen

• the intolerance for loud sounds
• need different freq. amplified

• 8th Cranial Nerve Affected
• not sensitivity, but have clarity
  • sounds that are affected are sent through unclearly
• presence of relax or tone decay
  • the inability to maintain the audobility of puretone
  • like a warble, sound comes and goes
  • may not be a large degree of loss
    
    • but speech is very affected

• results are usually 10-20 dB straight across
• 250-500 Hz= Power, and 1000-3000Hz= speech intelligibility

• generally affect speech recog. the greatest (4K-8K Hz)

• doesn't really affect discrimination
• affects power

Saucer Shaped/Cookie Bite

• low and high are good
• usually have good thresholds and discrimination
• usually disabled person, mild to moderate loss

• determine how well they are hearing
• compare listening devices
• check speech recog. to see if it is deteriorating
• to monitor over time
• to determine need for auditory or speech reading training
• to evaluate appropriateness of educational placement
• determine if expected benefits have been achieved

• voiced stops
• nasals
• vowels

• bilabials- p,b, m, w
• labiodentals- f,v
• linguapalatal
• lingua dental

• localizing sounds
• difficulty hearing on impaired sides
• understands/differeniating in noisy situations

• the amt. of functional hearing that remains
  • what an audiogram will show you
  • esp. when dealing w/hearing aids