Aural Rehabilitation

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  • Aural rehabilitation
    • Prevalence HL in adults (action on hearing loss)
      • nearly double of the people with a hearing loss are of retirement age (65+)
        • ageing population
          • increase in health care
        • noise induced
        • 70% of over 70's have a hearing loss
      • at least four million people require hearing aids but dont have them
        • incidence
          • between 2011 and 2031 4.5 million new cases
            • advancements in technology
            • increased awareness
    • Reducing difficulties related to hearing loss and listening
      • goal is to maximise communication success in a range of situations
      • process
        • evaluation
          • assess hearing loss
        • re-mediation
          • management plan
    • Goldstein and Stephens model
      • evaluation
        • Patient interview
          • onset
          • degree of loss
            • eg how much have you notices has changed
              • ie watching TV
          • history of noise exposure
          • other medical conditions
          • Family history
          • recent history
            • ear infections, surgery, wax, ent
        • Physical status
          • visual problems
            • ear mould
            • buttons/ programmes
          • dexterity
            • buttons/ programmes
          • movement in arms and hands
            • cleaning, changing battery
        • language
          • English first?
          • only sign
          • use of interpretor or written communication
        • mental health status
          • mental health problems
            • tinnitus
          • memory problems
            • eg dementia
          • cognitive problems
            • prioritise important info
        • Lifestyle factors
          • extent of effect
          • views of rehab
        • motivation
          • did they chose to come
          • acceptance of loss
          • view of treatment
          • age
          • influence of family
        • expectation
          • realistic or unrealistic
          • aid or fix
        • Hearing assessment
          • PTA, tymp etc
      • Re-mediation
        • Aids
          • moulds
          • devices
          • 1 or 2 aids
          • Assistive listening devices
        • Fitting
          • ensure aid meets hearing loss
            • confirm at follow up
        • education
          • written and verbal
        • counselling
          • adjustments
            • ie make sure people know you have a hearing loss
        • referral
          • ie employment services
        • follow up
          • put on further programmes

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