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Introduction to Audiologic Rehabilitation



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  • Introduction to Audiologic Rehabilitation
    Introduction to Audiologic Rehabilitation
  • Introduction to Audiologic Rehabilitation
    Introduction to Audiologic Rehabilitation
  • Introduction to Audiologic Rehabilitation
    Introduction to Audiologic Rehabilitation
  • Audiologic Rehab & Supersite PIN PKG
    Audiologic Rehab & Supersite PIN PKG


This highly regarded text has been substantially updated and revised, making it more user-friendly for both students and instructors. It is especially current in areas dealing with hearing aids, cochlear implants, and current approaches to providing relevant AR. The text begins with eight chapters introducing the fundamentalsamplification, including cochlear implants, auditory and visual stimuli, speech and language, and educational and psychosocial issues. Two comprehensive methods and procedures chapters follow, focusing on children, adults, and elderly adults. Finally, the well-documented and amply illustrated text concludes with two case study chapters. Students and professionals studying Aural Rehabilitation.

Table of Contents

Prefacep. xv
Contributorsp. xvii
Fundamentals of Audiologic Rehabilitationp. 1
Overview of Audiologic Rehabilitationp. 3
Introductionp. 3
Definitions and Synonymsp. 4
Providers of Audiologic Rehabilitationp. 4
Education Needs of Providersp. 5
Hearing Loss Characteristicsp. 5
Degree of Hearing Impairment and Configurationp. 5
Time of Onsetp. 8
Type of Lossp. 8
Auditory Speech Recognition Abilityp. 10
Consequences of Hearing Loss: Primary and Secondaryp. 11
Communication Difficultiesp. 11
Variable Hearing Disorder/Disabilityp. 12
Rehabilitative Alternativesp. 13
Historical Backgroundp. 14
Current Statusp. 17
Procedures in Audiologic Rehabilitation: An AR Model-CORE and CAREp. 18
Rehabilitation Assessment Proceduresp. 21
Management Proceduresp. 22
Settings for Audiologic Rehabilitationp. 24
Childrenp. 24
Adultsp. 25
Elderly Adultsp. 25
Summaryp. 26
Summary Pointsp. 26
Recommended Readingp. 28
Recommended Websitesp. 28
Referencesp. 28
Hearing Aids and Assistive Devicesp. 31
Introductionp. 31
Hearing Aidsp. 33
Basic Componentsp. 33
Controls and Featuresp. 34
Hearing Aid Stylesp. 36
Specialized Fitting Optionsp. 40
Bone Conduction Hearing Aidsp. 41
Implantable Hearing Aidsp. 41
The Earmoldp. 43
Acoustic Effects of Earmolds and Hearing Aid Shellsp. 43
Ear Impressionsp. 45
Batteriesp. 46
Electroacoustic Propertiesp. 47
The Selection and Fitting of Hearing Aidsp. 49
Selecting the Hearing Aid Candidatep. 50
Preselection Measurementsp. 52
Hearing Aid Selectionp. 52
Verificationp. 57
Postfitting Counseling, Orientation, and Outcome Measuresp. 58
Considerations for the Pediatric Patientp. 62
Prefitting Testingp. 62
Fitting Considerationsp. 62
Verification of Fittingp. 62
Postfitting Proceduresp. 63
Assistive Devicesp. 63
Assistive Listening Devices and Other Communication Devicesp. 64
Alerting/Signaling Devicesp. 72
Concluding Remarksp. 72
Summary Pointsp. 73
Recommended Readingp. 74
Recommended Websitesp. 74
Referencesp. 75
Cochlear Implants and Vestibular/Tinnitus Rehabilitationp. 77
Introductionp. 77
Cochlear Implantsp. 78
How Does a Cochlear Implant Work?p. 78
History of Cochlear Implantsp. 78
Current Systemsp. 80
The Cochlear Implant Teamp. 82
Who Is a Candidate?p. 82
Deaf Culture and Cochlear Implantsp. 86
Treatment Plans for Cochlear Implant Recipientsp. 87
Variables Affecting Performancep. 92
Auditory Brainstem Implantp. 92
Future Trends in Cochlear Implantsp. 93
Vestibular Evaluation and Rehabilitationp. 93
Causes of Balance Problemsp. 96
Medical Evaluationp. 97
Audiologic and Balance Testingp. 97
Vestibular Rehabilitationp. 101
Tinnitus Evaluation and Rehabilitationp. 103
Causes of Tinnitusp. 103
Evaluationp. 104
Treatmentp. 105
Summary Pointsp. 107
Recommended Readingp. 107
Recommended Websitesp. 108
Referencesp. 109
Auditory Stimuli in Communicationp. 113
Introductionp. 113
A Communication Modelp. 114
Auditory Perceptionp. 115
Development of Auditory Skillsp. 115
Basic Perception Abilitiesp. 116
Acoustics of Speechp. 117
Speech Perception and Comprehensionp. 122
Speech Perception and Hearing Lossp. 123
The Auditory Training Processp. 126
Definition and Application of Auditory Trainingp. 127
Early Efforts in Auditory Trainingp. 128
Current Approaches to Auditory Trainingp. 129
Candidacy for Auditory Trainingp. 130
Assessment of Auditory Skillsp. 130
Methods of Auditory Trainingp. 135
Summary Pointsp. 146
Recommended Readingp. 147
Referencesp. 147
Visual Stimuli in Communicationp. 151
Introductionp. 151
Factors Related to Speechreadingp. 152
Speakerp. 153
Signal and Codep. 154
Environmentp. 160
Speechreaderp. 160
Speechreading and the Hearing Impairedp. 163
Assessment of Speechreading Abilityp. 164
Visual Assessment and Speechreading Evaluationp. 166
Hearing Impairment and Dependence on Visionp. 167
Traditional Speechreading Methodsp. 169
Recent Trends in Speechreading Instructionp. 170
Manual Communicationp. 176
Types of Manual Communicationp. 177
Summary Pointsp. 183
Recommended Readingp. 183
Referencesp. 183
Appendixesp. 188
Language and Speech of the Deaf and Hard of Hearingp. 197
Introductionp. 197
Language and Communicationp. 198
Factors Affecting Language Acquisitionp. 198
Language Characteristics of Preschool Children with Hearing Impairmentp. 203
Importance of Parent-Child Interactionsp. 204
Language Characteristics of School-Age Children with Hearing Impairmentp. 207
Language Assessmentp. 210
Communication and Language Management for Preschool and School-Age Children with Hearing Impairmentp. 213
Speech Characteristics, Assessment, and Managementp. 218
General Considerationsp. 218
Speech Characteristics, Assessment, and Management for Individuals with Prelingual Hearing Lossp. 222
Speech Assessment of Individuals with Severe or Profound Hearing Lossp. 230
Speech Management for Individuals with Severe or Profound Hearing Lossp. 232
Speech Characteristics of Individuals with Postlingual Profound Hearing Lossp. 235
Summaryp. 236
Summary Pointsp. 236
Recommended Readingp. 237
Recommended Websitesp. 238
Referencesp. 238
Psychosocial Aspects of Hearing Impairment and Counseling Basicsp. 245
Introductionp. 245
Psychosocial Aspects of Hearing Impairmentp. 246
Growing Up with Hearing Lossp. 246
Acquiring Hearing Lossp. 252
About Being Deafp. 255
"Deafness with a Capital D"p. 257
"Knowing Is Not Enough": Counseling Basicsp. 258
Important Distinctionsp. 258
What We May Think Counseling Isp. 259
What Counselors Say Counseling Isp. 260
The Counseling Processp. 260
When to Referp. 264
Summaryp. 264
Summary Pointsp. 264
Recommended Readingp. 265
Recommended Websitesp. 265
Referencesp. 266
Audiologic Rehabilitation Services in the School Settingp. 269
Introductionp. 269
Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Impairmentp. 270
Degree of Loss: Terminologyp. 270
Mandated by Lawp. 272
Key Components of Individuals with Disabilities Education Act (IDEA)p. 273
Least Restrictive Environmentp. 274
The Individualized Education Program (IEP)p. 277
The Communication Debatep. 277
AR Services Provided in Schoolsp. 279
Screening and Assessmentp. 280
Management of Amplificationp. 281
Direct Instruction and Indirect Consultationp. 281
Hearing Conservationp. 282
Evaluation and Modification of Classroom Acousticsp. 283
Transition Planning to Postsecondary Placementsp. 285
How Services Are Providedp. 286
AR Service Providers in School Settingsp. 286
Teachersp. 286
Audiologistsp. 289
Speech-Language Pathologistsp. 289
Related Support Personnelp. 290
Services for Children with Auditory Processing Problemsp. 290
Summary Pointsp. 296
Recommended Readingp. 296
Recommended Resourcesp. 297
Softwarep. 297
Websitesp. 297
Referencesp. 298
Comprehensive Approaches to Audiologic Rehabilitationp. 301
Audiologic Rehabilitation for Children: Assessment and Managementp. 303
Introductionp. 303
Prevalence of Loss and Level of Servicep. 304
Terms and Definitionsp. 304
Profile of the Clientp. 305
Hearing Lossp. 305
Agep. 306
Other Disabling Conditionsp. 306
Rehabilitation Settings and Providersp. 306
Identification and Assessment Procedures with Childrenp. 308
Early Identificationp. 308
School Screeningp. 309
Medical and Audiologic Assessmentp. 309
Aspects of Audiologic Rehabilitation: Early Intervention for Parent-Infant and Preschoolp. 310
Rehabilitation Assessment: IFSPp. 310
Managementp. 311
Aspects of Audiologic Rehabilitation: School Yearsp. 341
Rehabilitation Assessment: IEPp. 341
Managementp. 342
Summaryp. 355
Summary Pointsp. 356
Recommended Readingp. 357
Recommended Websitesp. 357
Referencesp. 358
Appendixp. 364
Audiologic Rehabilitation for Adults and Elderly Adults: Assessment and Managementp. 367
Introductionp. 368
Profile of the Adult Clientp. 368
Hearing Loss over the Lifespanp. 368
Profile of the Elderly Clientp. 370
Hearing Lossp. 370
Physical and Mental Health and the Aging Processp. 371
Personal and Environmental Factorsp. 372
Economic Status and Retirementp. 372
Living Environmentsp. 373
Model for Rehabilitationp. 374
CORE Assessmentp. 376
CARE Managementp. 377
Feedback Based on Outcome Measuresp. 378
Conceptual Frameworkp. 378
Rehabilitation Settingsp. 379
University Programsp. 379
Community Centers and Agenciesp. 381
Militaryp. 382
Consumer Groupsp. 383
Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialistsp. 383
Rehabilitation Assessmentp. 383
Assessing Impairmentp. 384
Assessing Activity and Participationp. 385
CORE Assessment Summaryp. 393
Rehabilitation Managementp. 394
Counseling and Psychosocial Considerationsp. 396
Amplification and Instrumental Interventions to Achieve Audibilityp. 403
Remediation for Communication Activitiesp. 417
Environmental Coordination and Participation Improvementp. 421
Further Illustration of CORE and CAREp. 424
Summaryp. 426
Summary Pointsp. 427
Recommended Readingp. 428
Recommended Websitesp. 428
Referencesp. 429
Implementing Audiologic Rehabilitation: Case Studiesp. 435
Case Studies: Childrenp. 437
Introductionp. 438
Joey: Family-Centered Intervention: Multiple Disabilitiesp. 439
Background Informationp. 439
Previous Rehabilitationp. 439
Environmental Coordination and Participationp. 441
Communication Rehabilitation Adjustmentp. 442
Psychosocial and Counseling Aspectsp. 443
Mike: Decision Making by a Student Related to Cochlear Implantsp. 443
Background Informationp. 443
Aural Rehabilitation Plan: Preimplantp. 444
Aural Rehabilitation Plan: Postimplantp. 445
Intervention Outcomesp. 446
Summaryp. 447
Amber: Issues Affecting Educational Placementp. 447
Background Informationp. 447
Assessment Findingsp. 448
Recommendations for Managementp. 451
Follow-up Assessmentp. 451
Greg: Late Identification of a Hard of Hearing Childp. 452
Background Informationp. 452
Communication Activity Assessmentp. 453
Managementp. 457
Intervention Outcomesp. 458
Summaryp. 459
Sam: Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention Problemsp. 459
Assessmentp. 460
Managementp. 462
Summaryp. 466
References and Recommended Readingp. 466
Recommended Websitep. 466
Case Studies: Adults and Elderly Adultsp. 467
Introductionp. 467
Dr. M.: Progressive Hearing Lossp. 468
Case Historyp. 468
Audiologic Rehabilitation Assessmentp. 469
Managementp. 470
Summaryp. 471
Mr. B.: Hearing Loss, Depression, and Successful Hearing Aid Usep. 472
Informational Counselingp. 472
Rehabilitation Assessmentp. 472
Rehabilitation Managementp. 473
Summaryp. 476
J. D.: AR Featuring a Significant Otherp. 477
Introductionp. 477
Informational Counselingp. 477
Rehabilitation Assessmentp. 477
Rehabilitation Managementp. 479
Summaryp. 484
Mrs. D.: Cochlear Implant Userp. 484
Case Historyp. 484
Assessment Informationp. 485
Preimplant Managementp. 486
Postimplant Managementp. 487
Summaryp. 489
Mrs. E.: Nursing Home Hearing Aid Userp. 489
Case Historyp. 489
Diagnostic Informationp. 489
Audiologic Rehabilitationp. 489
Summaryp. 491
Summary Pointsp. 491
Recommended Readingp. 492
Referencesp. 492
Author Indexp. 493
Subject Indexp. 499
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