10 Chapter 10: Audiologic Rehabilitation across the Adult Life Span: Assessment and Management
Chapter Outline
- Introduction
- Profile of Adult Clients
- Hearing Loss across the Life Span
- Help Seeking and Screening
- Profile of the Older Adult Client
- Auditory Aging
Physical, Psychological, and Social Aspects of Adult Aging - Personal and Environmental Factors
- Retirement, Leisure, and Economic Status
- Living Environments
- Auditory Aging
- Model for Rehabilitation
- CORE Assessment
- CARE Management
- Feedback Based on Outcome Measures
- Importance of the Conceptual Framework to AR Practice
- Rehabilitation Settings
- Research and Teaching Settings: Universities
- Military and Veterans Administration Programs
- Community Centers, Agencies, and Consumer Groups
- Hospitals, Medical Offices, Private Practice Audiologists,
- Hearing Instrument Specialists
- Rehabilitation Assessment
- Assessing hearing Loss and Considerations of Comorbid Health Conditions
- Assessing Activity and Participation Considerations of Social Factors
- CPRE Assessment Summary
- Rehabilitation Management
- Counseling and Psychosocial Considerations with a Health-promoting Approach
- Amplification and Instrumental Interventions to Achieve Audibility
- Environmental Interventions to Improve Participation
- Other Important Issues in the Scope of AR Practice
- Vestibular Assessment and mangement
- Tinnitus Assessment and Management
Supplemental Learning Activities
Hearing Loss profile – Activity that allows you to select a hearing loss and then see what types of communication concerns might go along with that hearing loss
Hearing Loss Classification – Activity that helps you understand type, degree, and configuration of hearing loss
An example implemented in the public sector is Telescreen, a service now offered by Australian Hearing (http://www.hearing.com.au/telscreen). Innovations in screening and early identification of hearing loss in adults and other research on help seeking and adjustment to hearing loss should help rehabilitative audiologists develop new management approaches for adults living with hearing loss whose abilities, needs, and aspirations change over time and with life circumstances (see also Noble, 1998; Stephens & Kramer, 2010; Worrall & Hickson, 2003).
Consumer Groups An important hearing rehabilitation source may by found in such groups as the Hearing Loss Association of America (HLAA, formerly SHHH) (see http://www.hearing-loss.org/). SHHH started in 1979 and has a nationwide network of support groups for all persons who are hard of hearing. It can be described as a self-help, social, out- reach, and advocacy group.
This chapter discusses new innovations in hearing healthcare. Go to the text website and find links (also recommended below) for the Centre for Global eHealth Innovation, for Unitron, and for an Australian test website. Check out these websites to see if you feel they are helpful in AR. What cautions are advisable in the use of such sites?
Websites
- World Health Organization
- Self-help for Hard of Hearing People
- Client Oriented Scale of Improvement (COSI)
- IOI-HA in English and other languages
- APHAB
- Institute of Hearing Research Glasgow Hearing Aid Benefit Profile
Other Resources
- HIO BASICS (Hearing Aid Orientation)
- S.P.E.E.C.H
- C.L.E.A.R
