Interprofessional Management : Hearing

Interprofessional Management : Hearing 150 150 Tony Guo

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

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