Aural Rehab Final Exam

When do we employ facilitative strategies?

strategies implemented before communication begins to set up for better conversation

4 areas influenced by facilitative strategies

1. environment

2. talker

3. message

4. listener

Environment facilitative strategies

constructive strategies - get closer, go somewhere quieter, improve lighting

Talker facilitative strategies

instructive strategies - look at me, don't cover your face, slow down, talk louder

Message facilitative strategies

message tailoring strategies - use simpler language, use fewer words, less rich imagery, open vs closed questions

Listener facilitative strategies

adaptive/anticipatory strategies - arrive early, read ahead, assistive devices//think positive, remain calm, use coping strategies

When do we employ repair strategies?

strategies used after communication breakdown occurs

2 categories of repair strategies

1. specific

2. non specific

Specific repair strategies

tell the communication partner exactly what can be fixed - repeat message, indicate topic, elaborate, write it down

Nonspecific repair strategies

quick and easy ways to repair conversation - huh? what? pardon?

Maladaptive strategies

responses to communication difficulties that do not address the problems

Examples of maladaptive strategies

1. bluffing

2. blaming something else

3. withdrawal

4. aggression (rude, so they don't talk to you)

5. dominating conversation (so they know what the topic is)

Informational Counseling

"teaching"/training patient and frequent communication partners

Personal Adjustment Counseling

addressing the personal/social/emotional consequences of hearing loss

What is discussed at informational counseling?

testing procedures/results, types & causes of HL, HA options, need for other services

What is discussed at personal adjustment counseling?

let the patient talk about why they're here, what their goals are, what difficulties they experience

why do clinicians do more of one type?

clinicians tend to do more informational counseling because it is uncomfortable bc of lack of training/experience

4 auditory skills in order of difficulty

1. sound awareness

2. sound discrimination

3. sound identification

4. comprehension

Sound awareness

the ability to determine when sound is present

Sound awareness games - how can you make this easier/harder?

musical chairs

Sound discrimination

the ability to determine if sounds are the same or different

Sound discrimination games - how can you make this easier/harder?

same/different games

animal sounds

Sound identification

ability to label auditory stimuli

Sound identification games - how can you make it easier/harder?

Go Fish

point to the ___

Comprehension

ability to understand meaning of spoken language

Comprehension games - how can we make these easier/harder?

story + comprehension questions