Nonverbal Aids : Verbal Aids : Hearing

Nonverbal Aids : Verbal Aids : Hearing 150 150 Tony Guo

 

Nonverbal Aids

Verbal Aids

Draw attention with hand movements.

Speak normally and slowly.

Have speaker’s face in good light.

Do not overexaggerate facial expressions.

Avoid covering mouth or face with hands.

Do not overenunciate.

Avoid chewing, eating, smoking while talking.

Use simple sentences.

Maintain eye contact.

Rephrase sentence. Use different words.

Avoid distracting environments.

Write name or difficult words.

Avoid careless expression that the patient may misinterpret.

Do not shout.

Use touch.

Speak in normal voice directly into better ear.

Move close to better ear.

Avoid light behind speaker.

Otosclerosis

  • The most common cause of bilateral hearing loss in young adults
    • Tympanum takes on a reddish blush (Schwartz’s sign)
    • Poor air conduction
    • Treated with medications that slow bone resorption, hearing aids, and surgery

Presbycusis

  • Hearing loss associated with aging

Type

Hearing change and prognosis

Sensory

Atrophy of auditory nerve, Loss of sensory hair cells

Loss of high-pitched sounds. Little effect on speech understanding.

Good response to sound amplification

Neural

Degenerative changes in cochlea and spinal ganglion

Loss of speech discrimination.

Amplified alone not sufficient

Metabolic

Atrophy of blood vessels in wall of cochlea with interruption of essential nutrient supply

Uniform loss for all frequencies accompanied by recruitment.

Good response to hearing aid

Cochlear

Stiffening of basilar membrane, which interferes with sound transmission in the cochlea

Hearing loss increases from low to high frequencies. Speech discrimination affected with higher-frequency loss. Helped by appropriate forms of amplification

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