What is included with this book?
Sophia E. Kramer, PhD, is Senior Researcher and Psychologist at the Department of E.N.T. / Audiology / EMGO Institute for Health and Care Research at the VU University Medical Centre in Amsterdam, the Netherlands.
Foreword | p. viii |
Preface | p. x |
Acknowledgements | p. xiii |
Introduction | p. 1 |
The need for this book | p. 1 |
Terminology | p. 2 |
Layout of the book | p. 4 |
The World Health Organization classifications | p. 5 |
Theoretical/management models in the general rehabilitation literature | p. 8 |
Models of audiological enablement | p. 11 |
The Goldstein-Stephens model | p. 13 |
The role of positive experiences associated with hearing impairment | p. 19 |
Relevant measures in assessing patients' needs and the outcomes of interventions | p. 21 |
Development of a preliminary model appropriate to hearing impairment | p. 24 |
Conclusion | p. 25 |
Seeking help | p. 26 |
Introduction | p. 26 |
Becoming aware of hearing difficulties | p. 27 |
The decision to seek help | p. 31 |
Referral for hearing help | p. 36 |
Ethics/philosophy of adult screening | p. 38 |
Conclusion | p. 42 |
Types of hearing impairment and their consequences | p. 43 |
Introduction | p. 43 |
Basic anatomy and physiology and their implications | p. 43 |
Purposes and process of assessment | p. 47 |
Types of hearing impairment and their consequences | p. 50 |
Severity of hearing impairment | p. 54 |
Unilateral/asymmetrical hearing impairment | p. 55 |
Age of onset | p. 55 |
Genetic issues | p. 57 |
Progressive/sudden onset | p. 58 |
Conclusion | p. 58 |
The influence of other factors on assessment and goals of enablement | p. 60 |
Introduction | p. 60 |
Auditory symptoms | p. 60 |
General aural symptoms | p. 63 |
Vision | p. 66 |
Cognitive and intellectual factors | p. 67 |
Neuromusculoskeletal problems | p. 68 |
Conclusion | p. 69 |
Communication | p. 71 |
Introduction | p. 71 |
Ecological audiology | p. 71 |
Ramsdell's classification | p. 73 |
Attitudes of the Deaf | p. 81 |
Conclusion | p. 82 |
Social and emotional aspects of hearing impairment | p. 83 |
Introduction | p. 83 |
Participation in life | p. 83 |
Psychosocial dysfunction | p. 84 |
Psychosocial consequences of Deafness | p. 90 |
Demographic factors | p. 91 |
Conclusion | p. 94 |
Hearing impairment in the family | p. 96 |
Introduction | p. 96 |
Impact of hearing impairment on significant others | p. 96 |
Coping strategies | p. 98 |
Inclusion of significant others in enablement programmes | p. 100 |
Hearing impairment arising from genetic causes or with a familial basis | p. 100 |
Impact of having a family history of hearing impairment | p. 102 |
Discussion | p. 107 |
Conclusion | p. 108 |
The process of enablement at work | p. 109 |
Introduction | p. 109 |
Statistics | p. 109 |
Impact of hearing impairment on occupational performance | p. 110 |
Impact of work-related hearing impairment on significant others | p. 113 |
Vocational enablement | p. 114 |
Vocational Enablement Protocol (VEP) | p. 115 |
Discussion | p. 120 |
Conclusion | p. 121 |
Leisure and the wider social environment | p. 122 |
Introduction | p. 122 |
Prevalence | p. 122 |
Solitary versus interactive pastimes | p. 123 |
The role of leisure | p. 123 |
Opportunities for entertainment and leisure | p. 124 |
Community life | p. 125 |
Recreation and leisure | p. 126 |
Religion and spirituality | p. 131 |
Human rights, political life and citizenship | p. 132 |
Conclusion | p. 133 |
The process of enablement 1: Evaluation and decision-making | p. 134 |
Introduction | p. 134 |
The evaluation process | p. 134 |
Integration and decision-making | p. 156 |
Conclusion | p. 159 |
The process of enablement 2: Short-term remediation | p. 160 |
Introduction | p. 160 |
Instrumentation | p. 160 |
Strategy | p. 174 |
Ancillary help | p. 178 |
Conclusion | p. 180 |
Enablement 3: Ongoing remediation and outcome assessment | p. 181 |
Ongoing remediation | p. 181 |
Effectiveness of group programmes | p. 194 |
Outcome assessment | p. 196 |
Conclusion | p. 201 |
Overall conclusions | p. 202 |
Appendix: Longitudinal changes in enablement needs of older people with hearing impairment | p. 205 |
References | p. 209 |
Index | p. 237 |
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