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19 Cards in this Set
- Front
- Back
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What are the two axes on the range of hearing spectrum? |
Acoustic sensitivity (no sound to excessive sound) and living skills. |
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In the absence or limitation of auditory information, what kind of sensory information do those with hearing loss rely on instead? |
Visual cues |
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What are the six sources/causes of hearing loss? |
Progressive Medical Traumatic Surgical Functional Congenital |
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Describe the characteristics of progressive hearing loss. (4) |
- Often idiopathic - Possibly hereditary - Often at 20-30 years - More severe than presbycusis (hearing loss caused by age) |
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Describe the characteristics of medical hearing loss. |
- Can be caused by fevers, ototoxic medications - Can be overnight, or fluctuate over 10-15 years |
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How does traumatic hearing loss usually arise? |
By sudden head injury |
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How does surgical hearing loss usually arise? |
Through the removal of tumours on the auditory nerve; normally sudden and somewhat foreseeable (Note: there are now surgeries aimed for preserving as much as the auditory nerve as possible) |
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Describe the characteristics of functional hearing loss. |
- Can arise through disorders in central processing, or through conversion disorders which are psychological. - Can also be malingering or factious |
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Describe the characteristics of congenital hearing loss. |
Marked by the onset of the loss, attributed to many of the other listed causes. |
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What is a commonality between deafened people and hard of hearing people? |
They both have a history with the hearing world. |
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What is a commonality between deafened people and deaf culture? |
They both rely on visual information. |
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What is a commonality between the hard of hearing and deaf culture? |
They both need equity. |
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What is a difference between deafened people and hard of hearing people? |
They both experience limits of T-switches and lipreading. |
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What is a difference between deafened people and deaf culture? |
American Sign Language fluency, as well as cultural history. |
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What is a difference between the hard of hearing and deaf culture? |
ASL vs. text vs. amplification (revisit) |
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List the common communication preferences for this population (6). |
Amplification/implants: changes sound to electric impulses that stimulate the auditory nerve Lipreading: understanding the current context/topic is important here Sign Language Handwriting/Transcription Visual/gestural communication (ie. putting finger up to signal "one minute") Proxy communication (relying on someone else) |
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Name some of the communication fundamentals while interacting with this population. (6) |
- Face the individual - Give them your attention - SPEAK NORMALLY, no exaggerating they're not a friggen child - Maintain eye contact - Make sure the environment is well lit so they can see the signs/lips - Be prepared to communicate in writing |
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What must you be cautious about when you are interacting with a deaf person using an interpreter? |
You must be cautious about not engaging the interpreter in the conversation -- they are not a participant and this makes things confusing. |
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Describe the implications for a physical therapist when working with a deaf/hard of hearing person. |
- Expect some difficulty changing or making appointments -- beeps you hear on their phone is NOT a fax. Keep the patient's preferred contact method in mind, and ensure all office personnel are aware of it - Haggling over lack of accommodations - Understand the consequences/laws for not providing accommodations (ie. not removing a barrier). Establish communication accessibility - Don't rely on family to collect medical history. Collect missing pieces of medical history by providing the individual with appropriate/matching accommodations. - Don't discuss treatment plan with family; advise the patient directly via their preferred communication style. - Information provided without these accommodations is NOT informed consent - they must understand the treatment completely - A lot of these patients will tell you they understand when they actually don't to avoid looking "dumb" or to avoid irritating you -- schedule extra time with them or ask them to repeat the instruction to you - People with hearing loss tend to be ignored by medical professionals -- show them the same amount of respect you would for any other patient |
