Interprofessional Management : Hearing

• July 15, 2020
• Tony Guo
• no comments

Interprofessional Management

Nursing Assessment

• Health Promotion
  • Ototoxic substances—drugs
  • Ototoxic substances—industrial chemicals
    • Toluene, carbon disulfide, mercury
  • Monitoring is important
  • Discontinuing drug may be indicated
• Assistive devices and techniques
  • Hearing aids
    • Fit by a specialist
    • Provide amplification, sound lateralization, speech discrimination
    • Require a motivated, capable user for optimum success
  • Speech reading
    • Lip reading
    • Visual cues associated with speech facilitates understanding for 40% of
      spoken words
  • Sign language
    • For those with profound impairment
    • Sign language is not universal
    • American sign language (ASL) is used in the United States and in English-speaking areas of Canada
  • Amplification devices
  • Alerting systems
  • Texting systems
  • Closed caption
  • Specially trained dogs
• Implantable hearing device or aid
  • Fully implantable
    • Nothing externally visible
  • Partially implantable
    • Have an external component worn behind or in the ear
• Cochlear implant
  • For severe to profound sensorineural hearing loss in one or both ears
  • Ideal candidates became deaf after acquiring speech and language
  • Provides sound
  • Improves lip-reading ability
  • Enables monitoring own speech volume
  • Decreases feelings of isolation