<p><strong><sub>1 </sub></strong>Overview of Audiologic Rehabilitation 3<br>Ronald L. Schow,<br>Michael A. Nerbonne Chris A. Sanford<br>Introduction 4<br>Definitions and Synonyms 4<br>Providers of Audiologic Rehabilitation 4 Education Needs of Providers 5<br>Hearing Loss Characteristics 5<br>Degree of Hearing Loss and Configuration 5 Time of Onset 8<br>Type of Loss 8<br>Auditory Speech Recognition Ability 10<br>Consequences of Hearing Loss: Primary and Secondary 11<br>Communication Difficulties 11 Variable Hearing Disorder/Disability 11<br>Rehabilitative Alternatives 13<br>Historical Background 13<br>Contemporary Issues 16<br>Current Status 17<br>Procedures in Audiologic Rehabilitation: An AR Model-;CORE and CARE 19<br>Rehabilitation Assessment Procedures 22 Management Procedures 22<br>Settings for Audiologic Rehabilitation 24<br>Children 24<br>Adults 25<br>Elderly Adults 25<br>Summary and Summary Points 26 Supplementary Learning Activities 27<br>Recommended Reading and Recommended Websites 28 References 28</p> <p><strong><sub>2 </sub></strong>Hearing Aids and Hearing Assistive Technologies 33<br>Holly Kaplan<br>Alice E. Holmes<br>Introduction 34<br>History of Amplification 34<br>Hearing Aid Components 35<br>Microphone 36</p> <p><strong>PART ONE: </strong>Fundamentals of Audiologic Rehabilitation 1<br>Amplifier (Digital Processor) 36 Receiver 37<br>Batteries 37<br>Hearing Aid Styles 38<br>Behind-the-Ear 38<br>Receiver-in-the-Canal 39<br>In-the-Ear/In-the-Canal/Completely-in-the-Canal 39 Extended-Wear Hearing Aids 39<br>The Earmold 40<br>Who Is a Hearing Aid Candidate? 41<br>Degree of Hearing Loss 42<br>Degree of Communication Disability 42 Motivation to Use Amplification 42<br>Hearing Aid Fitting Protocol 42<br>Selection 42<br>Quality Control 44<br>Fitting 45<br>Hearing Aid Orientation 47 Verification/Validation/Outcome Measures 49<br>Pediatric Fittings 51<br>Special Fittings 53<br>Contralateral Routing of the Signal (CROS) Fittings 53 Bone-Conduction Hearing Aids 54<br>Bone-Anchored Devices 54<br>Middle Ear Implantable Hearing Aids 56<br>Cochlear and Brainstem Implants 57<br>Hearing Assistive Technology, or When a Hearing Aid May Not Be Enough 57<br>Types of Assistive Devices 57<br>The Role of the Audiologist in Assistive Listening/Hearing Assistive Technology Systems 61<br>Verifying and Validating the Fitting of HATS 61<br>The Bottom Line: Cost Management and Payment for Hearing Aids and Hats 61<br>Concluding Remarks 62<br>Summary 62<br>Supplementary Learning Activities 63<br>Recommended Reading and Recommended Websites 64 References 65<br><strong><sub>3 </sub></strong>Cochlear Implants 69<br>Alice E. Holmes<br>Introduction 69<br>How Does a Cochlear Implant Work? 70 History of Cochlear Implants 71 Current<br>Systems 71<br>The Cochlear Implant Team 74 Who Is a Candidate? 74<br>Deaf Culture and Cochlear Implants 79<br>Treatment Plans for Cochlear Implant Recipients 79 Variables Affecting Performance 83<br>Bilateral Hearing with Cochlear Implants 83 Auditory Brain Stem Implant 84<br>Electroacoustic Stimulation 85<br>Summary Points 86<br>Supplementary Learning Activities 87<br>Recommended Reading and Recommended Websites 87 References 88</p> <p><strong><sub>4 </sub></strong>Auditory Stimulation in Communication 93<br>Michael A. Nerbonne<br>Ronald L. Schow Kristina M. Blaiser<br>Introduction 93<br>A Communication Model 94 Auditory Perception 95<br>Development of Auditory Skills 95 Basic Perception Abilities 95 Acoustics of Speech 95<br>Speech Perception and Comprehension 100 Speech <br>Perception and Hearing Loss 101<br>The Auditory Training Process 105<br>Definition and Application of Auditory Training 105 Early Efforts in Auditory Training 105<br>Current Approaches to Auditory Training 107 Candidacy for Auditory Training 107<br>Assessment of Auditory Skills 107<br>Methods of Auditory Training 112<br>Summary Points 122<br>Supplementary Learning Activities 122<br>Recommended Reading and Recommended Websites 123 References 123</p> <p><strong><sub>5 </sub></strong>Visual Stimuli in Communication 127<br>Nicholas M. Hipskind<br>Introduction 127<br>Factors Related to Speechreading 128<br>Speaker 128<br>Signal and Code 130 Environment 134<br>Speechreader 135<br>Speechreading and Hearing Loss 137<br>Assessment of Speechreading Ability 137<br>Visual Assessment and Speechreading Evaluation140 <br>Hearing Loss and Dependence on Vision 140 <br>Traditional Speechreading Methods 141<br>Recent Trends in Speechreading Instruction 142<br>Manual Communication 148<br>Types of Manual Communication 148<br>Summary Points 153<br>Supplementary Learning Activities 153 Recommended Reading 153<br>References 154<br>Appendixes 157<br>Language and Speech of the Deaf and Hard of Hearing 167<br>Kristina M. Blaiser Gabriel A. Bargen<br>Introduction 167<br>Communication Options for Families of Children Who Are Deaf/Hard of Hearing 168<br>Systems Emphasizing Listening and Spoken Language 168 Manual--Visual Systems 168<br>Systems Combining Visual and Auditory Information 169<br>Hearing as the Foundation for Speech and Language 170 Factors Affecting Speech and Language Acquisition 174<br>Language Characteristics of Children with Hearing Loss 176 Impact of Hearing Loss on Language Components 177<br>Language Assessment 180<br>Formal Language Measures 180<br>Language Sample and Narrative Analysis 183<br>Speech Development in Children with Hearing Loss 183<br>Speech Characteristics 184<br>Speech Assessment 186<br>Summary and Summary Points 188 Supplementary Learning Activities 189<br>Recommended Reading and Recommended Websites 189 <br>References 190<br>Psychosocial Aspects of Hearing Loss and Counseling Basics 195<br>Kris English<br>Introduction 195<br>Psychosocial Aspects of Hearing Loss 195 Growing Up with Hearing Loss 196 <br>Acquiring Hearing Loss as Adults 201 About <br>Being Deaf 204<br>Deafness with a Capital “D” 204<br>“Knowing Is Not Enough”: Counseling Basics 205<br>Important Distinctions 206<br>What We May Think Counseling Is 206 <br>What Counselors Say Counseling Is 207 <br>The Counseling Process 207<br>When to Refer 210<br>Does Counseling Make a Difference? 210 Concluding Remarks 211<br>Summary 211<br>Supplementary Learning Activities 211 Recommended Reading 212<br>Audiologic Counseling 212 Psychology of Deafness 212 Deaf Culture 212<br>Recommended Websites 212<br>References 213<br>Appendix 215<br>Audiologic Rehabilitation Services in the School Setting 217<br>Kris English<br>Introduction 218<br>Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Loss 218<br>Hearing Loss and Learning 218 Mandated by Law 219<br>Key Components of IDEA 220 Least Restrictive Environment 220<br>The Individualized Education Plan 223 Types of Communication Modalities 223<br>AR Services Provided in Schools 225 <br>Screening and Assessment 226 <br>Management of Amplification/Audition 226<br>Direct Instruction and Indirect Consultation 227 <br>Evaluation and Modification of Classroom Acoustics 228 <br>Transition Planning to Postsecondary Placements 230 <br>How Services Are Provided 231<br>AR Service Providers in School Settings 231<br>Teachers 231<br>Audiologists 231<br>Speech-Language Pathologists 232 <br>Related Support Personnel 232<br>Services for Children with Auditory Processing Problems 233<br>Diagnosis/Assessment of APD 234 Remediation of APD 235<br>“A Day in the Life” of an Educational Audiologist 236 Summary 237<br>Supplementary Learning Activities 237 Recommended Reading 238<br>Recommended Resources 238<br>Software 238<br>Websites 238<br>References 238<br>Appendix 241</p> <p><strong><sub>9 </sub></strong>Audiologic Rehabilitation for Children 247<br>Mary Pat Moeller<br>Ronald L. Schow Mary M. Whitaker<br>Introduction 247<br>Prevalence of Loss and Level of Service 248<br>Contemporary Efforts to Strengthen the Evidence Base in Audiologic Rehabilitation 249</p> <p><strong>PART TWO: </strong>Comprehensive Approaches to Audiologic Rehabilitation 330<br>xiv Contents<br>Terms and Definitions 250<br>Profile of the Client 251<br>Hearing Loss 251<br>Age 251<br>Other Disabling Conditions 252<br>Rehabilitation Settings and Providers 252<br>Identification and Assessment Procedures with Children 252<br>Early Identification 252<br>School Screening 254<br>Medical and Audiologic Assessment 254<br>Aspects of AR: Early Intervention for Parent--Infant and Preschool 255<br>Rehabilitation Assessment: IFSP 255 <br>Management 256<br>Aspects of AR: School Years 285<br>Rehabilitation Assessment: Individualized Education Plan 285 Management 286<br>Concluding Remarks 298<br>Summary 298<br>Supplementary Learning Activities 299<br>Recommended Reading and Recommended Websites 299 <br>References 300<br>Audiologic Rehabilitation across the Adult Life Span: Assessment and Management 307<br>M. Kathleen Pichora-Fuller Ronald L. Schow<br>Introduction 308<br>Profile of the Adult Client 310<br>Hearing Loss across the Life Span 310 Help Seeking and Screening 311<br>Profile of the Older Adult Client 312<br>Auditory Aging 312<br>Physical, Psychological, and Social Aspects of Adult Aging 314 <br>Personal and Environmental Factors 316<br>Retirement, Leisure, and Economic Status 318 <br>Living Environments 319<br>Model for Rehabilitation 320<br>CORE Assessment 322<br>CARE Management 323<br>Feedback Based on Outcome Measures 324<br>Importance of the Conceptual Framework to AR Practice 324<br>Rehabilitation Settings 325<br>Research and Teaching Settings: Universities 325<br>Military and Veterans Administration Medical Centers 326 <br>Community Centers, Agencies, and Consumer Groups 326 <br>Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialists 327<br>Rehabilitation Assessment 327<br>Assessing Hearing Loss and Consideration of Comorbid Health Conditions 328<br>Assessing Activity and Participation and Considerations of Social Factors 329<br>CORE Assessment Summary 333<br>Rehabilitation Management 334<br>Counseling and Psychosocial Considerations with a Health-Promoting Approach 335<br>Amplification and Instrumental Interventions to Achieve Audibility 343 <br>Remediation for Communication Activities 356<br>Environmental Interventions to Improve Participation 359<br>Other Important Issues in the Scope of AR Practice 361<br>Vestibular Assessment and Management 361 <br>Tinnitus Assessment and Management 364<br>Summary and Summary Points 366 <br>Supplementary Learning Activities 368<br>Recommended Reading and Recommended Websites 369 <br>World Health Organization (WHO) Resources 369 <br>Consumer Associations and Resources for the Public 370 <br>Websites about AR Tools 370<br>References 371 <br>Appendix A to G 383</p> <p><strong>PART THREE: </strong>Implementing Audiologic Rehabilitation: Case Studies 393</p> <p><strong><sub>11 </sub></strong>Case Studies: Children 395<br>Mary Pat Moeller<br>Catherine Cronin Carotta<br>Introduction 395<br>Case 1: Matthew-;Early Intervention, Multiple Disabilities 396<br>Background Information 397<br>Intervention Plan 397<br>Environmental Coordination and Participation 399 <br>Assessment: Postimplantation 399<br>Psychosocial and Counseling Aspects 400<br>Assessment and Intervention Postdiagnosis of Autism Spectrum Disorder 400<br>Communication Rehabilitation Adjustment 401 <br>Summary 401<br>Case 2: Annie-;Routes to Spoken Language Following Cochlear Implantation 402<br>Background Information 402<br>Aural Rehabilitation Plan: Preimplantation 403 <br>Aural Rehabilitation Plan: Postimplantation 403 <br>Intervention Outcomes 405<br>Summary 406<br>Case 3: Amber-;Issues Affecting Educational Placement 407<br>Background Information 407<br>Assessment Findings 409 Recommendations for Management 410 <br>Follow-Up Assessment 410<br>Case 4: Greg-;Late Identification of a Child Who Is Hard of Hearing 411<br>Background Information 411<br>Communication Assessment 413<br>Management 415<br>Intervention Outcomes 416<br>Summary 416<br>Case 5: Sam-;Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention Problems 417<br>Assessment 418<br>Management 420<br>Chapter Summary and Summary Points 423 <br>Supplementary Learning Activities 423 <br>Recommended Website 424<br>References and Recommended Reading 424</p> <p><strong><sub>12 </sub></strong>Case Studies: Adults and Elderly Adults 427<br>Michael A. Nerbonne<br>Jeff E. Brockett Alice E. Holmes<br>Introduction 428<br>Case 1: Dr. M.-;Progressive Hearing Loss 428<br>Case History 428<br>AR Assessment 429<br>Management 429<br>Summary 431<br>Case 2: Mr. B.-;Hearing Loss, Depression, and Successful Hearing Aid Use 431<br>Informational Counseling 431<br>Rehabilitation Assessment 431<br>Rehabilitation Management 432<br>Summary 435<br>Case 3: J.D.-;AR Featuring a Significant Other 435<br>Introduction 435<br>Informational Counseling 435<br>Rehabilitation Assessment 436<br>Rehabilitation Management 437<br>Summary 441<br>Case 4: Mrs. R.:-;Cochlear Implant User 441<br>First Evaluation 441<br>Rehabilitation Assessment 442<br>Second Rehabilitation Assessment 443<br>Post--Cochlear Implant Rehabilitation Management 444 <br>Summary 445<br>Case 5: Mrs. E.-;Nursing Home Hearing Aid User 446<br>Case History 446<br>Diagnostic Information 446<br>AR 446<br>Summary 447<br>Case 6: Ashley-;New Technology for an Experienced User 447<br>Introduction 447<br>Informational Counseling 448<br>Rehabilitation Assessment 448<br>Rehabilitation Management 449<br>Summary 452<br>Case 7: Ms. C.-;Dizziness Issues 452<br>Introduction 452<br>Rehabilitation Assessment 453<br>Informational Counseling 454<br>Rehabilitation Management 455<br>Summary 455<br>Chapter Summary Points 455 Supplementary Learning Activities 456<br>Recommended Reading and Recommended Website 456 <br>References 456<br>Author Index 000<br>Subject Index 000</p>