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Comprehensive Audiologic Management of Patients: Approaches and Considerations

This document outlines a thorough approach to audiologic management, detailing patient histories, nature of complaints, previous evaluations, and treatments. Key areas include ear infections, dizziness, tinnitus, and general medical history. The text emphasizes the importance of audiological counseling, emotional support, and education about hearing loss, as well as recommendations for referrals to other specialists. It also discusses evidence-based practice and multicultural considerations, ensuring a holistic and patient-centered care model.

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Comprehensive Audiologic Management of Patients: Approaches and Considerations

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  1. Audiologic Management SPA 4302 Summer 2007

  2. Patient Histories • Nature of Complaint • Previous evaluations, treatments • Ear infections/surgeries • _______________ • Dizziness/______________problems • Tinnitus • _______________ • General Medical • Medications, other substances

  3. Otolaryngologists _______________ Speech-Language Pathologists _______________ Cover letter Report, including Pts name history info audiometric results impressions recommendations Referral to Other Specialists

  4. Criteria for medical referral • drainage from ears. • ____________. • unilateral hearing loss. • air-bone gap or other indication of ME problem. • _____________ cerumen or F.B. • history of recent change in hearing. • _________________

  5. Audiological Counseling • The “Well patient model” • Emotional Counseling • ______________ • Affirm their feelings • Informational Counseling • What we know about this type of HL • What can be ___________ • What can be ___________ • What other resources are available

  6. Some Distinctions (from the WHO) • ____________: anatomical, physiological, or psychological abnormality • ____________: Inability to perform useful functions • ____________: Manner in which a person is disadvantaged in doing what they would like to do.

  7. Management: Adult Hrg. Impairment • Audiological Rehabilitation • ________________ (hearing therapy) • Dispensing ALDs or hearing aids • ____________________ • Education about Hearing and Hearing Loss • Communication Strategies • ________________ • Involves more than just the pt.

  8. Management: Childhood Hrg. Impairment • Counseling: Parents grieve • Auditory Training • Speechreading • Educational Choices • Amplification Choices • hearing aid • implant • nothing

  9. The Deaf Community

  10. Management of Tinnitus • ___________: sounds audible to the pt apparently arising from the ear or brain. • Can have various contributors • Can range from ______ to _____________ • Treatments: • biofeedback • ______________ • Tinnitus Retraining Therapy • ______________

  11. Hyperacusis • Poor tolerance for loud sounds • Often accompanies severe tinnitus • Old term: ____________ – fear of sounds • “_____________” – strong dislike of loud sound • desensitization exercises

  12. Vestibular Rehabilitation • ___________ repositioning maneuvers • for Benign Paroxysmal Positional Vertigo • Vestibular Rehab exercises • Habituation • Adaptation • Substitution

  13. Multicultural Considerations • ___________: • English not the primary language for all our pts. • Therapy materials? • How fluent should the therapist be? • Social structures: • ___________ vary • status of audiologist as professional • communicative demands/expectations

  14. Evidence-Based Practice • Must provide __________ of service benefit • “conscious, explicit, and judicious use” of the best and current evidence available when making decisions about patient care • Uses _________________ and the most current research • Necessary to success: allow and encourage the patient’s viewpoints and preferences, elicit patient’s concerns, and help develop a level of reasonable expectation for success with the intervention

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