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Introduction to Audiologic Rehabilitation


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Each chapter begins with "Introduction" and concludes with "Summary Points," "Recommended Reading," "Recommended Websites," and "References." I. FUNDAMENTALS OF AUDIOLOGIC REHABILITATION. 1. Overview of Audiologic Rehabilitation.Ronald L. Schow & Michael A. Nerbonne Definitions and SynonymsProviders of Audiologic Rehabilitation Education Needs of Providers Hearing Loss CharacteristicsDegree of Hearing Impairment and ConfigurationTime of Onset Type of LossAuditory Speech Recognition Ability Consequences of Hearing Loss: Primary and Secondary Communication Difficulties Variable Hearing Disability Rehabilitative Alternatives Historical BackgroundBirth of Audiology Difficulties in Acceptance of Audiologic Rehabilitation Current Status Procedures in Audiologic Rehabilitation: An AR Model Rehabilitation Assessment Procedures Management Procedures Settings for Audiologic Rehabilitation Children Adults Elderly Adults 2. Hearing Aids and Assistive Devices.H. Gustav Mueller, Earl E. Johnson & Anne S. Carter Introduction Hearing AidsBasic Components Controls and Features Hearing Aid Styles The Body Aid The Eyeglass AidThe BTEThe ITEThe ITC The CICSummary Specialized Filling OptionsCROS and BICROSBone Conduction and Implantable Hearing AidsTraditional Bone Conduction Devices Implantable Hearing Aids The EarmoldAcoustic Effects of EarmoldsLow-frequency Modification Mid-frequency ModificationHigh-frequency ModificationThe Earmold Impression Batteries Electroacoustic Properties The Selection and Filling of Hearing AidsStep 1: Selecting the Hearing Aid CandidateDegree of Hearing LossDegree of Communication Disability Motivation to Use Hearing Aids Step 2: Preselection MeasurementsPure Tone Thresholds Loudness Discomfort Level (LDL) Loudness Contour Testing Step 3: Hearing Aid SelectionHearing Aid StyleGain and Frequency ResponseMaximum OutputAutomatic Signal Processing (ASP)Programmable Hearing AidsDigital Signal ProcessingBinaural FittingsOther Considerations Step 4: VerificationInformal Rating of Speech Quality and IntelligibilitySpeech Recognition or Intelligibility TestingLoudness ScalingProbe Microphone Measurements Step 5: Postfitting Counseling, Orientation, and Outcome MeasuresPostfitting Counseling and Instrument OrientationFollow-up Visits and Outcome Measures Considerations for the Pediatric Patient Prefitting TestingFitting Considerations Verification of Fitting Postfitting Procedures Assistive Listening Devices and Other Communicative Devices Alerting/Signaling DevicesConcluding Summary Points 3. Cochlear Implants and Vestibular/Tinnitus Management. Alice E. Holmes & Gary P. Rodriguez How Does a Cochlear Implant Work? History of Cochlear Implants The Cochlear Implant Team Who Is a Candidate? Candidacy for Adults Candidacy for Children Deaf Culture and Cochlear implants Treatment Plans for Cochlear Implant Recipients Hook-up Follow-up Programming and Therapy Variables Affecting Performance Future Trends in Cochlear Implants Auditory Brainstem Implant Vestibular Rehabilitation Tinnitus Management 4. Auditory Stimuli in Communication.Michael A. Nerbonne & Ronald L. Schow A Communication Model Auditory Perception Development of Auditory Skills Basic Perception Abilities Acoustics of SpeechIntensity Parameters of SpeechFrequency Parameters of SpeechTemporal Parameters of SpeechTransitional CuesSpeech Perception and Comprehension Speech Perception and Hearing LossPhysical PropertiesRedundancy and Noise The Auditory Training ProcessDefinition and Application of Auditory Training Early Efforts in Auditory TrainingCarhart Current Approaches to Auditory Training Candidacy for Auditory Training Assessment of Auditory SkillsEvaluating Children Evaluating Adults Methods of Auditory TrainingErberDASLIISKI-HISPICEConsonant Recognition TrainingCommunication Training and Therapy 5. Visual Stimuli in Communication.Nicholas M. Hipskind Factors Related to Speechreading Speaker Signal and CodeVisemesVisibility Environment SpeechreaderAgeGenderIntelligencePersonality TraitsVisualSlcillsVisualAcuityVisual PerceptionHearing Speechreading and the Hearing impaired Assessment of Speechreading Ability Formal Speechreading TestsInformal Speechreading Tests Visual Assessment and Speechreading EvaluationHearing Impairment and Dependence on Vision DeafHard of Hearing Traditional Speechreading Methods Analytic and Synthetic Approaches Recent Trends in Speechreading InstructionChildrenAdultsInnovative Options Manual Communication Types of Manual CommunicationSigned English SystemsFingerspellingCued Speech Appendixes 6. Language and Speech of the Deaf and Hard of Hearing.Deborah S. Culbertson Introduction Language and Communication Factors Affecting Language Acquisition Language Characteristics of Preschool Children with Hearing Impairment Importance of Parent-Child Interactions Knowledge of Schema in Preschool ChildrenSemantic and Pragmatic Functions in Preschool ChildrenEarly Vocabulary in Preschool Children Language Characteristics of School-Age Children with Hearing Impairment Lexical-Semantic Skills of School-age ChildrenSyntactic-Morphologic Skills of School-age ChildrenPragmatic Skills of School-age ChildrenPlateau in Language Acquisition for School-age ChildrenPreliteracy and Literacy Issues Language Assessment Limitations and Cautions in Using Formal Language MeasuresEssential Conditions for Evaluating Language Abilities Communication and Language Management for Preschool and School-Age Children with Hearing ImpairmentStrategies for Developing Conversational SkillsPreliteracy and Literacy ActivitiesBilingual Education for Children Who Are Deaf Speech Characteristics, Assessment, and Management Hearing as the Foundation for Speech Sound DevelopmentEarly Vocalizations of the ChildSpeech IntelligibilitySpeech Characteristics, Assessment, and Management for individuals with Prelingual Hearing LossIndividuals with Mild to Moderately Severe Prelingual Hearing LossIndividuals with Prelingual Hearing Loss in the Severe to Profound Range Speech Assessment of Individuals with Severe or Profound Hearing LossMeasures of Speech IntelligibilityMeasures of Articulation and PhonologyPerceptual Assessment of Suprasegmentals and Voice CharacteristicsAcoustic and Physiologic DisplaysSpeech Management for Individuals with Severe or Profound Hearing Loss Speech Characteristics of Individuals with Postlingual Profound Hearing Loss 7. Psychosocial Aspects of Hearing Impairment and Counseling Basics.Kris English Psychosocial Aspects of Hearing Impairment Growing Up with Hearing LossSelf conceptEmotional DevelopmentFamily ConcernsSocial CompetenceSpecial Issues in AdolescenceSummary Acquiring Hearing Loss SelfconceptPsychoemotional ReactionsFamily ConcernsSocial ConcernsSummary About Being Deaf Being Deafened"Deafness with a Capital D" "Knowing Is Not Enough": Counseling Basics Important Distinctions What We May Think Counseling Is What Counselors Say Counseling Is The Counseling Process Help Patients (or Parents) Tell Their StoryHelp Patients Clarify Their ProblemsHelp Patients Take Responsibility for Their Listening Problems When to Refer 8. Audiologic Rehabilitation Services in the School Setting.Kris English Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Impairment Degree of Loss: Terminology Mandated by Law Key Components of IDEA Least Restrictive EnvironmentEducational OptionsLRE for a Child with HIThe Individualized Education Program The Communication Debate Oral-Aural ApproachTotal CommunicationCued SpeechUsing Sign Only AR Services Provided in Schools Screening and Assessment Management of AmplificationDirect Instruction and Indirect Consultation Hearing Conservation Evaluation and Modification of Classroom Acoustics Transition Planning to Postsecondary Placements How Services Are Provided AR Service Providers in School Settings Teachers Audiologists Speech-Language PathologistsRelated Support Personnel Services for Children with Auditory Processing Problems II. COMPREHENSIVE APPROACHES TO AUDIOLOGIC REHABILITATION. 9. Audiologic Rehabilitation for Children: Assessment and Management.Mary Pat Moeller , Ronald L. Schow & Mary M. Whitaker Prevalence of Loss and Level of Service Terms and Definitions Profile of the Client Hearing Loss Age Other Disabling Conditions Rehabilitation Settings and Providers Identification and Assessment Procedures with ChildrenEarly Identification School ScreeningMedical and Audiologic Assessment Aspects of Audiologic Rehabilitation: Early Intervention for Parent-Infant and PreschoolRehabilitation Assessment Management Environmental Coordination and ParticipationAudibility, Amplification, and Assistive Device IssuesRemediation of Communication Rehabilitation ActivityCounseling and Psychosocial Aspects Aspects of Audiologic Rehabilitation: School Years Rehabilitation Assessment: IEP Meeting Management Environmental Coordination and ParticipationAudibility, Amplification, and Assistive Device IssuesCommunication and Language Stimulation: School-age LevelCounseling and Psychosocial Aspects (Special Case) Appendix 10. Audiologic Rehabilitation for Adults and Elderly Adults: Assessment and Management.Kathy Pichora-Fuller & Ronald L. Schow Profile of the Adult Client Hearing Loss over the Life-span Profile of the Elderly ClientHearing LossPhysical and Mental Health and the Aging ProcessPersonal and Environmental FactorsEconomic Status and RetirementLiving Environments Model for Rehabilitation CORE Assessment Care Management Rehabilitation Settings University Programs Community Centers and Agencies Military Consumer Groups Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialists Rehabilitation AssessmentAssessing ImpairmentAssessing Activity and ParticipationCase HistorySelf-reportOutcome Measures CORE Assessment Summary Rehabilitation ManagementCounseling and Psychosocial Considerations Amplification and Instrumental Interventions to Achieve Audibility Is the Client Ready for an Instrument?Fit and Function of the InstrumentCounseling and Orientation to Instruments Remediation for Communication Activities Environmental Coordination and Participation ImprovementFurther Illustration of CORE and CARE III. IMPLEMENTING AUDIOLOGIC REHABILITATION CASE STUDIES. 11. Case Studies: Children.Mary Pat Moeller Case 1 Joey: Family-centered Intervention: Multiple DisabilitiesBackground InformationPrevious RehabilitationEnvironmental Coordination and Participation Communication Rehabilitation Adjustment Psychosocial and Counseling Aspects Case 2 Mike: Decision Making by a Student Related to Cochlear ImplantsBackground Information Aural Rehabilitation Plan: Pre-implant Aural Rehabilitation Plan: Post-implant Intervention Outcomes Summary Case 3 Amber: Issues Affecting Educational Placement Background Information Assessment Findings Recommendations for Management Follow-up Assessment Case 4 Greg: Late Identification of a Hard-of-Hearing Child Background information Communication Activity AssessmentManagement Remediation of Communication Activity: Auditory and Linguistic TrainingIntervention Outcomes Summary Case 5 Sam: Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention Background InformationEducational/Rehabilitative HistoryPsychological and Communication FindingsFunctional Auditory and Speech Production SkillsDiagnostic TeachingPutting it all together 12. Case Studies: Adults and Elderly Adults.Michael A. Nerbonne, Jeff E. Brockett & Alice E. Holmes Case 1 Dr. M.: Progressive Hearing LossCase History Audiologic Rehabilitation AssessmentManagementHearing Aid Evaluation and AdjustmentCommunication Training Summary Case 2 Mr. B.: Hearing Loss, Depression, and Successful Hearing Aid UseInformational CounselingRehabilitation Assessment Communication Status: Impairment Activity LimitationsOverall Participation VariablesRelated Personal FactorsEnvironmental Factors Rehabilitation ManagementCounseling and Psychosocial IssuesAudibility and Impairment ManagementRemediaie Communication ActivityEnvironment and Coordination: Participation Improvement Summary Case 3 JD: AR featuring a significant OtherIntroductionInformational CounselingRehabilitation AssessmentRehabilitation ManagementSummary Case 4 Mrs. D.: Cochlear Implant UserCase History Assessment Information Pre-CI ManagementCounseling and Psychosocial ConsiderationsCommunication RemediationCI Surgery Post-Cl Management Audibility and AmplificationAudiovisual Training for CommunicationCounseling and CoordinationSummary Case 5 Mrs. E.: Nursing Home Hearing Aid UserCase History Diagnostic Information Audiologic Rehabilitation Author Index Subject Index.

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