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43 Cards in this Set

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Aural Rehabilitation can also be known as...
audiologic rehabilitation
aural/auditory/hearing (re)habilitation
(re)habilitative audiology
educational audiology
pediatric auditory habilitation
Rehabilitation is...
restoring lost function
typically for adults
acquired HL
Therapy that is centered on children/infants with congenital or pre-lingual onset HL and is focused on building skills not present beforehand is called
Habilitative therapy
"Professional interactive processes actively involving the client with hearing loss to achieve better communication and minimize the resulting problems"
Aural Rehabilitation
AR Providers include:
Audiologist, SLPs, educators of the deaf.
May also involve psychologists, social workers, teachers, parents, etc.
Components of AR include:
- diagnosis/quantification of JL
- amplificational and assistive technologies
- auditory and visual communication training
- communication strategies
- counseling
- communication partner training
Communication Status
Overall Participation Variable
Related Personal Factors
Environmental Factors
C.O.R.E. AR Model

Assessment Component
Counseling and psychosocial aspects
Audibility and amplification aspects
Remediation of communicative ability
Environmental coordination and participation improvement
C.A.R.E. AR Model

Management Component
How is communication status assessed, and what is assessed before rehabilitation?
Audiometric tests and self reports

Visual ability
Language ability
Previous Rehabilitation
Overall communication ability
Speech production skills
What are the overall participation variables assessed before AR?
Social
Vocational
Educational
Psychological
Attitude towards Rehabilitation:
Type I
strongly postitive!
(2/3 - 3/4 of all patients)
Attitude towards Rehabilitation:
Type II
positive expectations with slight complications
Attitude towards Rehabilitation:
Type III
negative towards rehabilitation, but willing
Attitude towards Rehabilitation:
Type IV
reject hearing aids and management altogether
What are some of the related personal factors that may affect how AR is internalized?
personality, lifestyle, race, gender, culture, life style, age, profession, social background, past and current experiences
What are some environmentally-factored BARRIERS to AR?
insurance barriers
financial barriers
transportation barriers
AR environmental factors in terms of SERVICES can be described as:
services that are available
ease of access to services
social structures and services in the workplace
Facilitators and acoustic conditions are ____ of the rehabilitative assessment procedure.
environmental factors
Relaying information about audiogram to client and significant others.
Interpretational Counseling and Psychosocial aspect of AR
Providing information about amplification options, communication choices, prognosis, etc.
Informational Counseling and Psychosocial aspect of AR
What are some of the counseling and guidance procedures of AR?
providing counseling about impact of hearing loss
supporting family members, spouse, parents
How would one influence acceptance, understanding, and goal setting in patients during AR?
helping patient/family move from grief to acceptance of HL
setting appropriate goals for management an amplification
Cochlear implants are an options for which hearing impaired population?
children and adults with severe to profound bilateral hearing losses
________ is sometimes referred to as "hearing aid evaluation" (though it is now broadened to include all forms of amplification).
Amplification/ Hearing Instrument Fitting
An FM system is an example of what kind of listening device?
assistive listening device
A smoke alarm systems are an example of what kind of listening device?
alert and warning assistive device
An alarm clock is an example of a __________.
tactile assistive listening device
t/f:
Parent groups, home, and the internet are examples of AR service locations.
true
t/f:
Individuals do not need to know the purpose, functions, maintenance, or limitations of amplification devices they may be using.
false
t/f:
A telephone amplifier is an example of a communication assistive device.
true
_________ remediate communication activities include speech training, speechreading training, auditory training, and language intervention [for kids].
Personal skill building
What are some tactics to control communication situations that should be recommended to an individual receiving AR services?
assertive communication behavior
awareness of environmental conditions
self-advocacy
strategies to handle communication breakdown
t/f:
AR philosophy should be based on realistic expectations, some situations are going to be difficult communication environments.
true
t/f
pre and post self report measures are useful in measuring rehabilitation progress and outcomes
true
an example of vocational environmental coordination would be:
utilizing agencies that assist in providing support in the workplace
Extensive coordination with other professionals (SLPs, teachers, tutors) is necessary when improving communication participation with ____.
children
For adults, which individuals should the AR provider work with in the realm of educational participation improvement?
physicians, social workers, psychologists
t/f
An individual's spouse and friends should be included in rehabilitation process.
true, especially the spouse
Advocacy groups and self-help organizations, as well as structured and informal social gatherings are examples of ______.
community context for AR
AR service locations include:
- university/college/tech schools
- schools of the dead
- public/private schools
- private practice
- hospitals and medical facilities
- ENT clinics
An audiologist must know which 3 things before beginning aural rehabilitation?
(1) characteristics of hearing impairment
(2) effect of the hearing loss on the persons
(3) previously needed competencies need for audiologic rehabilitation
Prevalence of HL/deafness in the US
1% of population deaf (1 million)
29 million heard of hearing
What are the variables under communication status in the CORE model?
-audiometric tests and self reports
-visual ability
-language ability
-previous rehabilitation
-overall communication ability
-speech production skills