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CHL
normal BC, abnormal AC, ≥ 10 dB air-bone gap
SNHL
abnormal BC and AC, no air-bone gap
Mixed Loss
abnormal BC and AC, ≥ 10 dB air-bone gap
What is normal hearing for adults?
-10-20 dB
What is normal hearing for pediatrics?
-10-15 dB
What is a slight loss for pediatrics?
16-25 dB
What is a mild loss for adults?
21-40 dB
What is a mild loss for pediatrics?
26-40 dB
What is a moderate loss?
41-55 dB
What is a moderately severe loss?
56-70 dB
What is a severe loss?
71-90 dB
What is a profound loss?
>90 dB
What is the speech banana?
describes the area on an audiogram where most sounds of average conversational speech occur
In what two areas in reference to the speech banana will NOT be heard?
above or to the right
What color on an audiogram indicates the right ear?
red
What color on an audiogram indicates the left ear?
blue
unmasked right AC
O
unmasked left AC
X
unmasked right BC
<
unmasked left BC
>
masked right BC
[
masked left BC
]
masked right AC
△
masked left AC
□
What are the 3 troubleshooting steps for hearing aids?
physical check, listening check, battery check
Bottom-Up Approach
improving the way sounds are detected by the ears
Top-Down Approach
improving how the brain interprets and makes sense of sounds
Informational Counseling
the nature of a diagnosis or situation, assessment and intervention considerations and techniques, prognosis, and community and print resources
Personal Adjustment Counseling
addresses feelings, emotions, thoughts, and beliefs expressed
What does SNR stand for?
signal to noise ratio
Sound loses ____dB with every _______ of distance from the source.
6; doubling
What is auditory processing?
what the brain does with what the ear hears
What are the 4 steps in the hierarchy of auditory processing and what do they mean?
awareness (knowing there is sound)
discrimination (recognizing similarities and differences)
identification (knowing what the sound is)
comprehension (being able to make meaning of the sound)
What are 4 ways to treat auditory processing disorders?
environmental modifications, assistive devices, compensation strategies, intervention
What are 3 examples of environmental modifications?
reduce noise, dampen noise, improve SNR
What are 4 examples of assistive technology?
personal HAs, FM, loop system, instructor mic
What are 3 examples of compensation strategies?
distraction free workplace, notetaker assistance, preferential seating
What are 4 characteristics of clear speech?
slightly slower, frequent pauses, slighted louder, precise articulation
What is misophonia?
extreme sensitivity to certain sounds
What is tinnitus?
sensation of ringing in the ears that is not due to an external source
What is hyperacusis?
oversensitivity to loud sounds to a point of extreme discomfort or pain
What does IDEA stand for? What is the main purpose?
Individuals with Disabilities Education Act; education for all children
What does IEP stand for?
Individualized Education Program
What is the purpose of the Rehabilitation Services Act Section 504?
prohibits disability discrimination to federally funded assistance programs, ensures equal access to education, healthcare, and employment
What does ADA stand for? What is the main purpose?
Americans with Disabilities Act; law to prohibit disability discrimination in all areas of public life and ensure accessibility and accomodations
What are vocational rehab departments?
help individuals with transition to employment and securing a job
What are the benefits of group aural rehab?
cost effective, time efficient, social interaction, improves outcomes, reduces return rates for hearing aids
What are the negatives of group aural rehab?
privacy concerns, less personalized sessions
Ling/Pollack
emphasis on auditory skills
Erber
promotes aspects of auditory hierarchy
Verbotonal
uses tactile cues; training in pitch, intensity, duration, pause time, intonation, and rhythm
What is the leading cause of deaf-blindness?
Usher Syndrome