Aural Rehabilitation: A Comprehensive Guide for Professionals and Students, Exams of Physical Medicine and Rehabilitation (PM&R)

Download Aural Rehabilitation: A Comprehensive Guide for Professionals and Students and more Exams Physical Medicine and Rehabilitation (PM&R) in PDF only on Docsity!

Aural Rehabilitation With

Complete Solutions Latest Update

What is Aural Rehabilitation (AR)? Answer: "Aural rehabilitation is intervention aimed at minimizing and alleviating the communication difficulties associated with hearing loss." (TyeMurray) The difference between "rehabilitation" and "habilitation" Answer: • Rehabilitation

• Restoring a lost skill
• Habilitation
• Developing a skill that was never present
• Primarily used in reference to children Why AR? Answer: • The consequences of hearing loss impact all aspects of a person's life.
• Hearing loss impacts a person's ability to converse, making it more difficult to establish intimacy and friendship.
• Aural rehabilitation seeks to restore a patient's ability to communicate. Goals and Outcomes of AR Answer: • Goals:
• Alleviate the difficulties related to hearing loss
• Minimize its consequences

• Outcomes:
• Enhanced conversational fluency (how smoothly conversation unfolds)
• Reduce hearing related disability (the loss of function imposed by hearing loss) The World Health Organization (WHO) and hearing-related disability Answer:
• The World Health Organization (WHO) developed the International Classification of Functioning, Disability and Health (ICF).
• A classification system that considers the consequences of a health-related condition within the context of a patient's environment and circumstances.
• Applied to patients with hearing loss, the focus is on how it affects the patient in everyday life and how a hearing-related disability might be alleviated.
• Activity limitation
• Loss of physical structure and function
• Change in level of activity
• Participation restriction
• Lifestyle change due to activity limitation
• The effects of those limitations on the broader scope of life Components of an AR Program Answer: • Diagnostics & Quantification of HL
• Amplification & Assistive Listening Devices
• Tinnitus Management
• Auditory Training
• Hearing Protection/Conservation
• Communication Strategies Training
• Information/Educational Training
• Personal Adjustment Counseling

• Psychosocial Support
• Frequent Communication Partner Training
• Speechreading Training
• Speech-Language Therapy
• In-Service Training Where does AR occur? Answer: • Aural rehabilitation can be provided in many settings:
• A university speech and hearing clinic
• An audiology private practice
• A hearing aid dealer's private practice
• A hospital speech and hearing clinic
• A school, community center, or nursing home
• An SLP's, or otolaryngologist's office
• Consumer organization meetings
• The home, sometimes through web-based communications
• VA hospital, or military or veteran center Who provides AR services? Answer: • Audiologists take the lead role in providing treatment for adults.
• SLP's and teachers of the deaf/hard of hearing direct treatment for children, especially in school environments.
• All must possess a detailed knowledge of auditory system function and disorder. Service Needs Answer: • 31.5 million people in the US have some degree of reduced hearing

• By 2015, an expected 700 million people worldwide will suffer from hearing loss.
• Estimate 40 million people by 2050
• ~80% have an irreversible hearing loss
• 1-3 out of 1000 infants has severe-profound HL
• There is currently a general shortage of speech and hearing professionals.
• Patients range from infants to elderly. Cost-effectiveness and Costs Answer: • Services today are provided in an environment of spiraling health care expenses and budget cuts.
• Research shows the quality of life of those with hearing loss improves greatly with aural rehabilitation services.
• Services and equipment can be pricey.
• Health insurance policies vary in what they will cover in terms of cost.