This essay will illustrate the importance of effective communication during a hearing aid consultation based on a case study carried out at Queen Margaret University in Edinburgh, Scotland October, 2016 between myself and two colleagues.
These are the questions asked:
1. Reflect on the process of effective communication
2. Critique the case history form – how useful was it
3. Pay attention to how the information gathered is formatted and how useful this could be to another colleague working with this client in the future
4. Discuss individual management plan
5. Consider referral criteria – add GP letter
The initial section will describe my experience of playing the role of a hearing aid audiologist up to the stage of audiometric testing
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(Mehrabian 1972). A detailed and comprehensive case history will also enable other colleagues to understand the situation clearly at a later date.
Overall more counselling techniques should have been used before the test was carried out. Both parties should have been consulted on the effect the possibility of needing a hearing aid would have on them and why they felt that way.
The Individual Management Plan
Based on the information from the case history and the results of the audiogram I would explain to the client that as he is a new client of mine it is normal to refer him through his GP to an ENT consultant to establish the reason for his loss. I would gain his consent for this. After establishing how they both now felt I would put an initial management plan in place to help him at work, with or without the use of hearing aids.
After identifying what he was already doing I would suggest
1. GP referral due to unilateral sensorineural loss. (BAA Guidelines for Referral to Audiology of Adults with Hearing Difficulty,
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Pure Tone Audiometry was carried out for both ears. His right ear falls within normal limits and his left ear shows a relatively flat mild loss increasing to moderate loss at both 500 Hz and 2000 Hz. The Audiograms are inserted below for your information.
Impressions
From the testing that has been performed, there is indication that this is not only a sensorineural loss but also unilateral and beyond what would be classed as normal for someone of his age. However, without further testing it is not possible to fully define the nature of the hearing loss.
Recommendations
Further audiometric testing is required to adequately describe the nature of Mr Days hearing loss. Mr Day feels that a BTE hearing aid would be beneficial to him when he is on the pitch, however I feel it may be advisable to make a referral to an ENT consultant in the first instance. We have today reviewed some techniques of communication to help him in his daily practice, however a full management plan will be discussed once all testing has been completed.
Yours sincerely,
A.Student
Student
FACTS: Respondent, Davis, a licensed LPN for over ten years who also lives with hearing loss applied for admissions to Southeastern Community College. The Petitioner, requested Davis see an audiologist before accepting her to the RN program. The audiologist concluded that Davis required lip-read in order to fully understand audible communication. The school subsequently denied Davis entry, assuming her hearing loss would affect her ability to effective care for patients safely.
What I found most interesting about Jarashow’s presentation were the two opposing views: Deaf culture versus medical professionals. Within the Deaf culture, they want to preserve their language and identity. The Deaf community wants to flourish and grow and do not view being deaf as a disability or being wrong. Jarashow stated that the medical field labels Deaf people as having a handicap or being disabled because they cannot hear. Those who are Deaf feel as though medical professionals are trying to eliminate them and relate it to eugenics. It is perceived that those in that field are trying to fix those who are Deaf and eliminate them by making them conform to a hearing world. Those within the Deaf community seem to be unhappy with devices such
Mark started losing his hearing when he was about six or seven years old. This was manifested in confusion in music class, misunderstanding the words that the choir was singing, and discombobulation in noisy rooms. Eventually, it was noted that Mark’s hearing was deteriorating.
The case study regarding Sharon Duchesneau and Candace McCullough and their son Gauvin is a very complex scenario to try to analyze and figure out whether or not it was morally right for them to intentionally make their son born deaf. Deafness to some may be seen as a disability or handicap and to others may be seen as a cultural identity. There are a number of factors that are needed to determine whether it was morally justified what Gauvin’s parents had done. After reading the case study thoroughly and doing further research I have a strong opinion towards this situation and believe that it was morally wrong what Duchesneau and McCullough had done.
I was trusted, at my audiology placement, to explain the results of audiograms, counsel patients and caregivers about their hearing aids during the initial fittings and follow-up appointments, and to inform about various strategies to improve communication. Spending time with clients, making them feel at ease, and assisting with their inquiries in person and on the phone was a responsibility I enjoyed immensely. The Audiologist commented
Age is also a common cause of hearing loss, Over time the hair cells in the cochlea gradually gets damaged, hence hearing deteriorates.Hearing loss occurs in old people as by this time most of the hair cells are damaged.
Communication is the most important tool to being a good health provider. This assignment analyses an interview between a student from Perth Institute of Business and Technology, who acts as a health care professional and another student who takes up the role of a patient. The areas of communication focused in this analysis are interviewing skills, listening skills and questioning skills. There are examples provided for each aspect followed by suggestions and recommendations for future practices. However, the information in this assignment is fictitious.
In this assignment, I am going to review four cases, which will require a number of different communication skills focusing primarily on; developing a therapeutic relationship, communicating assertively, communicating effectively with an individual with a disability/impairment and communicating with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient.
People who are hearing impaired experience issues at school, work, and in their personal life. Although there are varying degrees of hearing impairments, there are several accommodations that could be made to support individuals with hearing loss. Each individuals is unique therefore, accommodations may vary from person to person. The March of Dimes defines a hearing impairment as “the decreased ability to hear and discriminate among sounds.” There are several degrees of hearing loss but the most important thing to remember is that any individual with a hearing impairment will need accommodations that a person without a hearing impairment won’t. People often have preconceived ideas about people with disabilities and that can cause them to overlook their talents.
...ut a 7 years old girl which loss her ability to understand speech. She had a normal hearing and understood various environmental sounds. Her brain was computerized using axial tomography but the result was normal. But electroencephalogram showed wave activity from her left side of the temporal leads. She was diagnose as having verbal auditory agnosia. The treatment consisted of diazepam therapy. Diazepam therapy orally began with taking 2 mg diazepam every day. Diazepam is commonly used to treat anxiety,panic attacks,insomnia and some other medical issues. One year later, her impaired auditory was dramatically improved. The dichotic listening test revealed a left ear advantage for both environmental sounds and spoken words. The results seemed to suggest that in this patient the right hemisphere might be functioning as a speech center instead of the left one.
National Institute on Deafness and Other Communication Disorders. (November 2002). Retrieved October 17, 2004, from http://www.nidcd.nih.gov/health/hearing/coch.asp
Hearing loss is a major global public health issue. Hearnet (2017) defines hearing loss as “a disability that occurs when one or more parts of the ear and/or the parts of the brain that make up the hearing pathway do not function normally” (para. 1). There are many different types of hearing loss, which can have multiple causes, giving each individual experiencing the issue a unique hearing loss case. These types include Auditory Processing Disorders, when the brain has problems processing sound information; Conductive Hearing Loss, a problem with the outer or middle ear which prevents sound making its way to the inner ear; and Sensorineural Hearing Loss, when the Cochlea or auditory nerve is damaged and cannot
This essay will explore the medical model of disability as well as the social model of disability by providing an in depth analysis of the views and explanations that outline each perspective. It will examine and establish the connection of the two models in relation to Deaf people. Furthermore it will illustrate how Deaf people are defined according to each outlook, as well as the issues and concerns that arise from these perceptions. This essay will consider the medical model and the social model to compare the ideas and objectives of the given articles; Caught in the Deaf Trap by Karen Van Rooyen, A Brave New World of Sound by Thandi Skade, Fake Interpreters: A Violation of Human Rights and lastly Professor Graham Turner’s; 10 lessons from the tale of the ‘fake’ interpreter.
Those not thoroughly educated in communication tend to confuse the terms “hearing” and “listening.” Although they appear to mean the same thing, utilize the same body part, and are both required for functional communication, there is a great difference between these two actions. Hearing involves the perception of sound using the ears, while listening is based upon giving attention to the sound being perceived. Additionally, because these concepts are different, there are also several different ways of improving hearing and listening. Thus, there are several differences between these two concepts, and it is important to signify these differences in order to practice effective communication.
For this assignment, our class was instructed to spend two to three days with impaired hearing. To do this, I obtained some regular green foam ear plugs and wore them while going about my daily routine. The plugs gave me a decent 30dB loss in my “mid” and “upper” frequencies. At first, I did not see how it would be possible to walk around with ear plugs in all day. I started to think what my other instructors would think, but being an audio arts and acoustics major, most hardly batted an eye. Truthfully, I thought I would put my plugs in when I wanted to jot notes down for my journal, but that was not the case. My ears became acclimated to the loss and I could keep them in for most the day. The purpose of this exercise was to reinforce the point our professor had been teaching us all semester; living with hearing impairment is possible, but incredibly challenging.