Adult Rehabilitative Audiology (I) - 2023 PDF

WHAT IS ADULT REHABILITATIVE AUDIOLOGY? (I)  Overview Defining key terms Audiologist’s scope of practice  What do Audiologists do? Audiological rehabilitation – The What? & How?  Definition  Audiological rehabilitation goals  Audiological rehabil...

WHAT IS ADULT REHABILITATIVE AUDIOLOGY? (I)  Overview Defining key terms Audiologist’s scope of practice  What do Audiologists do? Audiological rehabilitation – The What? & How?  Definition  Audiological rehabilitation goals  Audiological rehabilitation  Expanded audiological rehabilitation  Key Terms Rehabilitation Holistic Patient care that helps The targeting of a whole instead of restore/maintain/improve functioning individual parts. For our patients, and abilities. These abilities may refer holistic management refers to the to physical, mental and/or cognitive. incorporation of disability, emotional, mental, social, familial and work factors that are related to their lives. Evidence-based Contextually Relevant Practice The practice and administration of Tools, methods and procedures that are clinical and rehabilitative strategies best suited for the target patient based on research and published population. This is based on factors literature. Evidence-based practice is such as: language, culture, socio- best practice and needs to be economic, age. continuous. Audiologist Scope of Practice  What do Audiologists do?  Audiologists assess and diagnose dysfunction in hearing, auditory function and vestibular related balance disorders.  Deliver audiologic habilitation/rehabilitation services including:  selecting, fitting, verification and dispensing of hearing aids and other hearing assistive devices  assessment and follow-up services for persons with cochlear implants and middle ear implantable devices  providing a comprehensive program of diagnostic, therapeutic services, devices, counselling, and other management strategies  Functional diagnosis of vestibular disorders and management of vestibular rehabilitation  Conduct research in all these fields of practice.  What do Audiologists do? prevention identification/ screening assessment/evaluation consultation diagnosis Clinical Services management counselling collaboration record keeping and report writing referral Communication needs Human rights Advocacy Social inclusion Education Public Education & Training Students Health Professionals  What do Audiologists do? Audiologists aim to improve quality of life by reducing the impact of impairments of body functions and structures related to hearing, auditory function and vestibular and related balance functions, activity limitations, participation restrictions, and barriers created by contextual factors. Audiological Rehabilitation The What? & How?  What is Audiological Rehabilitation? REHABILITATIV AUDIOLOGICAL E AUDIOLOGY MANAGEMENT AUDIOLOGICAL REHABILITATIO N HEARING AURAL REHABILITATIO REHABILITATIO N N  What? “Any device, procedure, information, interaction, or therapy which lessens the communicative and psychosocial consequences of a hearing loss” - Ross, M. (2001). “Aimed at restoring or optimizing a patient’s participation in activities that have been limited as a result of hearing loss and also may be aimed at benefitting communication partners who engage in activities that include persons with hearing loss” - (Gagne, 2000).  How? Each patient has different needs (diagnostic/emotional/social/familial/work-related), even ones that have the same degree and type of hearing loss First, we need to understand what the impact of hearing loss is in relation to the patient?  Assessment and diagnosis  Mapping of impact Hearing Loss Impact  How?  How do I as an Audiologist contribute positively to this person’s life  Their communication  Their health and wellbeing  What are the other influencing factors to the care I am providing? (cultural, religious, age-related?)  What resources do I have?  What skills do I have?  Who is the person? (Person-Centred Care)  Where are they from? (Contextually relevant care)  What is affected in their life (Impact of Hearing Loss Holistically)  Who else in their life is affected? (Third Party disability?) Audiological Rehabilitation  Basic foundation  Audiologists play large role in overall patient management.  Goals of audiological rehabilitation:  Minimise impact of hearing loss  Optimise patient functioning  Patient-centred care (what is important to the patient?)  Outcome of achieving this goal:  Reduced hearing-related disability - (Tye-Murray, 2009)  EXPANDED Audiological Rehabilitation CONSULTATION PATIENT DIAGNOSIS RELAY RESULTS Patient description of COUNSELLING Clinical procedures Appropriate language problem and areas PCC. Communication (adapted if necessary) level that are impacted partner counselling? HEARING SHARED PATIENT- PATIENT-CENTRED TECHNOLOGY FOLLOW-UPS CLINICIAN GOALS CARE Selection and fitting of Device adjustments. Thought out and Patient at the centre appropriate device Troubleshooting agreed upon of decision-making (HA/CI/BAHA) reasonable goals process ACCOMMODATIONS REGULAR RE- COMMUNICATION PERCEPTUAL AND ADVOCACY ASSESSMENTS PARTNER TRAINING TRAINING Work related, Annual HTs. Frequent Auditory training. University related. Management of other communication Modality? Costs? Patient – own symptoms (e.g. partner. (family/nurse) advocates tinnitus, vestibular)  To sum up…  Audiologists assess and diagnose dysfunction in hearing, auditory function and vestibular related balance disorders.  selecting, fitting, verification and dispensing of hearing aids and other hearing assistive devices  providing a comprehensive program of diagnostic, therapeutic services, devices, counselling, and other management strategies  Aimed at restoring or optimizing a patient’s participation in activities that have been limited as a result of hearing loss and may be aimed at benefitting communication partners who engage in activities that include persons with hearing loss  Goals of audiological rehabilitation:  Minimise impact of hearing loss  Optimise patient functioning  Patient-centred care  Outcome of achieving this goal:  Reduced hearing-related disability  End of Lecture 1  Over the semester we will go through in detail the audiological rehabilitation journey and the factors influencing it.  This course will facilitate your development as a REHABILITATIVE AUDIOLOGIST  Remember prescribed reading each week  Remember to do MCQ each week