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70 Cards in this Set

  • Front
  • Back
increases in HI cases
-1960's due to rubella
three common views of deafness
-disability, disorder, impairment
-logistical problem
-social/community culture
hearing loss IDEA
-permanent or fluctuating hearing loss
deafness in IDEA
-hearing impairment so severe that child impaired in processing linguistic info through hearing
-with or without amplification
Deaf culture characteristics
-being deaf
-using ASL
-attending residential deaf school
-deafness not a disability that should be fixed, but an identity
number of people with hearing loss
34 million
-highest among older people
-1.5/1000 school age
comorbidity with HI
-33% of HI
-LD, ADHD, MR, EBD
when HI happens
-congenital (loss present at birth)
-acquired or adventitious (after birth)
-pre or postlingual more important
prelingual HI causes
-over 50% b/c of genetics, recessive gene (90% deaf kids have hearing parents, even if both parents have the gene only 1/4 chance of deaf child)
-infection/illness
-maternal diabetes
-prematurity
-toxemia during pregnancy (dangerously high blood pressure in mother)
-anoxia (lack of oxygen) before, during, or after birth
-malformation of ear structures
-
postlingual HI causes
-bacterial meningitis
-otitis media (ear infection that affects 3/4 children by age 3)
-ototoxic drugs
-measles
-encephalitis
-chicken pox
-influenza
-mumps
-head injury
-repeated exposure to loud noise
types of hearing loss
-conductive - out or middle ear problem prevents sound from being conducted to inner ear (not fully developed parts, disease, wax buildup), often improved through hearing aids
-sensorineural - inner ear or nerve pathway
-bilateral vs unilateral
-fluctuating
degrees of hearing loss
-0-15 normal
-16-25 slight
-26-40 mild
-41-55 moderate
-56-70 moderately severe
-91+ profound
deaf children with parents who are deaf develop language...
at same rate as english speaking peers
cognitive characteristics of HI
-no different
academic characteristics of HI
-depends on language exposure
-reading issues (2nd language - 18 yo's at 4th grade level,words just groups of symbols rather than sounds, parents don't read to them and don't have good ASL vocabulary)
-writing - secondary form of linguistic expression to signing, mechanics difficult
-math - higher than writing and reading (18 yo's at 6th grade), experiential deficits (don't overhear commercials and conversations about money etc)
social/emotional characteristics of HI
-don't learn by example of incidental learning (fewer interactions, not close friends)
-parents often do things for them rather than try to explain, so they aren't independent
behavioral characteristics of HI
-lag behind in recognizing causes of peer actions
-different understandings and usages of facial muscles
evaluation processes for HI
-audiological
-case history
-physical exam of ear
-pure-tone audiometry test recorded on audiogram
-tests of middle ear function
-proper hearing aid
-all normal SPED tests
eligibility for HI services
-inability to recognize most words at a conversational level in a quiet room without assistive devices
-significant receptive or expressive language delay
-impairment of speech articulation, voice, or fluency
-significant discrepancy between verbal and nonverbal performance on intelligence test
-sig delay in development of reading skills because of language deficit or overall low academic achievement
-inattention or serious behavior problems related to hearing loss
determining placement for HI
-preferred communication needs of the child and family
-linguistic needs
-severity of hearing loss and potential for using residual hearing
-academic level
-social, emotional, and cultural needs, opportunities for peer interactions
early childhood services for HI
-as soon as born
-by state's department of health
-educate family, help baby communicate, help become full member of family
school services for HI
-23% in public school but out of classroom for over 60% day
-21% in public school and outside classroom under 21%
-only about 15% at private school, and 7 at residential
determining private or public school for HI
-student developing age appropriate communication skills
-making satisfactory academic progress
-have friends
-access to all components of educational process (lunch, recess, extracurriculars, sports)
high school completion for HI
-better than other disabilities AND nondisabled kids
-also more attend more school, but 71% drop out
-if can't find job, Social Security Administration Insurance covers them (53% unemployed 1 yr out of HS, but down to 19% by 10 yrs)
-more blue collar jobs and less promotions (even though same cognitive level - must be frustrating!)
interventions for HI
-pre- and post-teaching vocab and activities to clarify and make more concrete
-experiential ladder EMMPCSL (direct experience, tangible materials, models/objects, photos, charts/graphs/maps, simulations, lecture/discussion)
-swivel chair
-semicircular seating
-visual cues for when other student is talking
-demonstrate directions
-post due dates on board
-make models, role play, and art to display understanding
-teach units on social topics
-rules posted in sight
-modify test vocab to match ASL vocab
-use IEP goals as grading criteria
-visual schedule charts
-visual representations of knowledge (graphic organizers, charts, graphs etc)
universal newborn screening for HI
-mandatory in 42 states
-now ID's in first few months rather than 2 yrs
-otoacoustic emissions and auditory brainstem response
cochlear implants
-electronic device that directly stimulates hearing nerve in cochlea
-for severe and profound hearing loss
-receiver surgically implanted, size of quarter, under skin behind one ear
-electrodes - tiny wires surgically inserted into cochlea
-small headpiece just behind ear has microphone
-speech processor worn on body behind ear or on belt
-positive outcomes for children implanted early, with in tact cochlea, and other environmental support
-to develop spoken language skills
-8 hand-based cues to help distinguish sounds (p from b)
-can go wrong and lose more hearing (meningitis)
-not accepted in Deaf culture
bilingual bicultural approach for HI
-ASL primary language, english secondary
-incorporating Deaf heritage
-helps to be able to fit in with other deaf students
-transfer strategies
-metalinguistic knowledge of engish
-problems: parents not fluent in ASL
VI increased in what decades and why?
-1950's, RLF (retrolental fibroplasia) - incubators first invented for premies, but they had uncontrolled amounts of oxygen, caused underdeveloped blood vessels to grow into the retinas, now called retinopathy of prematurity
-1960's, rubella outbreak caused deaf-blindness
majority of VI receive education in...
public schools
percent of VI with other disability
65%
low vision
some vision but have difficulty accomplishing tasks, mild to severe
blind
no vision or only light perception, profound
congenital visual impairment
condition present at or near birth
adventitious visual impairment
condition acquired sometime after birth
IDEA VI
VI including blindness means impairment in vision that, even with correction, adversely affects child's educational performance. includes both partial sight and blindness
VI clinical definitions
-Social security benefits
-federal tax exemption, etc
-rarely used for school diagnoses
-legal blindness is 20/200 with corrective glasses in better eye
-also visual field restrictions of 20* - can't see anything but what's in a dinner plate sized hole at arm's length
strabismus, VI
muscles of eye don't hold them in proper alignment
amblyopia, VI
loss of vision from nonuse
cataract, VI
cloudy lens
aniridia
iris missing, too much light enters eye
glaucoma, VI
damage to optic nerve b/c aqueous humor isn't properly flowing
cortical VI
damage to part of brain dealing with sight, images not interpreted correctly
cognitive VI
-range from gifted to impaired
-lower range and variety of experiences (size, color, spatial limitations, can't touch the stars or fire or insects or mountains)
-lack of mobility, can also affect social
-interaction with environment - can't scan an environment and make a decision
academic VI
-braille reading rater slower than text (125/min vs 140)
supplemental materials VI
-braille
-magnifying glass
-closed circuit tv
-Kurzweil digicamera that reads
social emotional characteristics VI
-can't observe nonverbal communication, or display it
behavior VI
-socially immature, isolated, less assertive
-stereotypic behaviors/self stim
VI assessment
-functional vision assessment (efficiency in using vision)
-learning media assessment (overall approach to using sensory info for learning)
-clinical ow vision eval (determine what devices would be helpful)
VI young children
-home based program infants
-center based program preschool
VI elementary schooling
-consultant model - for students requiring few or no direct services (students involved in all gen ed, VI specialist helps teacher plan)
-itinerant teaching model - most widely used (student in gen ed class mostly, gets specialty services from VI specialist regularly)
-resource model - for more intense needs (separate room staffed by VI, still in gened as much as possible)
-special schools - typical school setting but geared towards needs, offer range of community options, often short placements
considering inclusion for VI
-most students in normal school with peers
-determine on individual basis
-need specific and planned instruction from VI professional
goals of VI inclusion
-all materials in appropriate media
-instructed with appropriate devices
-specialized instruction for VI
-environmental mods
-teachers understand needs
-modifications in testing
-collaborate to get ideas for inclusion
-nondisabled student learning about VI
VI grad rates, unemployment
very high grad (75%)
very high unemployment (74%)
VI interventions
-concrete experiences
-unifying experiences
-learning by doing
autism characteristics
-inability to relate typically to peers
-delayed speech and language development, failure to use developed language
-typical physical growth and development
-obsessive insistence on environmental similarity
-extreme fascination with objects
-stereotypic or repetitive behavior
-often think in pictures
-uses association
when did autism have current knowledge?
1970's
IDEA autism
-developmental disability in verbal and nonverbal and communication and social interaction
-evident before age 3
-repetitive and stereotypic behaviors
-unusual responses to sensory experiences
autism diagnosis uses...
-set forth using DSM
aspergers
-impairment in social interaction
-speak fluently by age 5 (some problems)
-demonstrate interest in others but challenged to act appropriately
-same as autism without language issues
prevalence of autism
-.18% of all students
-118,000 total
-actually 57/10,000
-same across race
-males 4-5x higher chance
autism causes
-not understood
-genes (but degree varies across families, so no single genetic factor)
-abnormalities in the cerebellum, which controls motor coordination, balance, and cognition
-frontal lobe (social and cognitive)
-temporal lobe (facial expressions, social cues, memory)
-fewer brain cells, higher cell density, or less volume in these areas
-environment can influence severity
-MMR shots?
cognitive autism
-well-developed rote memory (mimics comprehension)
-trouble retrieving memory (must be worded in a specific manner)
-theory of mind (don't understand that others have different thoughts, difficulty explaining emotions and behaviors, understanding how behavior affects others, predicting others' behavior, distinguishing fact from fiction)
-only one problem solving strategy
-motivation tough (only interested in small number of rewards, can change on whim)
social/emotional autism
-language development (50% nonverbal)
-proxemics - knowing socially acceptable distance to stand, eye contact
-no communicative intent
-echolalia - repeating words with no understanding
-pronoun reversals, no voice inflection (prosody = singsong voice)
-immaturity
behavioral autism
-self-stim behaviors
-generalization difficulties
-sensory issues (tactile, vestibular/balance, proprioception/body awareness, visual, auditory, gustatory/taste, olfactory)
autism assessment
-checking for characteristics
-cognitive, academic, adaptive skills
-developmental history, behavior observation
-psychiatrists use DSM checklists
-sensory assessment
early childhood autism
-systematic, individualized, supportive
where autism educated
-half primarily away from gened
-moving towards inclusion
autism inclusion principles
-environmental and curricular modifications and gen ed class support
-attitudinal and social support
-coordinated team commitment
-home-school collaboration
autism interventions
-planned but brief instructional periods
-lots of small group and one on one instruction
-visually presented (more processing time, more concrete)
-labeling items in classroom
-visual schedule, task cards, travel schedule
-home base (plan or review events, escape class stress, prevent meltdown, begin and return frequently)
-videotaped segments of appropriate behavior
-priming (familiarize before)
-PDA's for organization and time management
-discrete trial training (preschool, teacher prompts, student responds, teacher praises, shaping the behavior)
-prompting - cue (physical very intrusive, gestures, verbal, written)
-power card strategy for using special interests to facilitate socialization (has script)
-social stories
-SOCCSS (situation, options, consequences, choices, strategies, simulation)