Thursday, May 01, 2008

Spring 08 Week 12

An elderly male came in for a hearing aid check. He reported having problems with the dome of his Oticon Delta falling out of his ear when he opens his mouth wide or moved too much.
A retention wire was added to the right hearing aid to keep the receiver and dome in the ear canal. He practiced inserting his hearing aid with success.

He has normal sloping to severe sensorineural hearing loss in the right ear and a normal sloping to profound sensorineural hearing loss in the left ear. Hewas recently fit with an Oticon Delta 4000 in his right ear. Extremely poor speech discrimination in his left ear merited a monaural fitting. He received a10mm Delta dome, (size 3) and has expressed satisfaction with the new fit. He had previously been seen in the clinic for feedback problems; however, feedback has reportedly subsided with the new dome.

This was a perfect patient with little problems and great benefit from his hearing aids. After the session, he talked about how others should come to the clinic for amplification and for aural rehabilitation. I found an article that discussed another option for providing aural rehabilitation which includes peer-mentoring. This would allow the audiologist to provide assistance without being overwhelming and the peer would have some common experiences to share. This is a wonderful idea for those who do not have to meet AR competency requirements.

Shafer, D.N. (2005). Improving access for aural rehabilitation. ASHA Leader.

http://web.ebscohost.com.www.libproxy.wvu.edu/ehost/pdf?vid=1&hid=3&sid=23ebca0f-e4c5-4b29-b448-44c4140450b7%40sessionmgr2

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