Introduction to Audiologic Rehabilitation

Ronald Schow is Professor Emeritus at Idaho State University (ISU) where he has taught since 1975. Although semi-retired he continues to teach in the Audiology program in the Division of Health Sciences. Dr. Schow received his Bachelor of Science in Biology from Utah State University and then earned a Ph.D. in Audiology from Northwestern University in 1974, with Raymond Carhart as his major professor. Before coming to ISU, he taught at Illinois State University (1972-75). Dr. Schow is the co-author of numerous books and journal articles including “Communication Disorders of the Aged” and the five previous editions of Introduction to Audiologic Rehabilitation. He has been awarded Fellow status in ASHA and in the International Collegium of Rehabilitative Audiology, where he was inducted as one of the original charter members.

Michael Nerbonne is Professor Emeritus in the Department of Communication Disorders at Central Michigan University, where he taught from 1981-2011. Prior to that, he was a professor in the Department of Speech Pathology and Audiology at Idaho State University for eleven years. Dr. Nerbonne received his undergraduate degree from Michigan State University, where he also earned his M.A. and Ph.D. in Audiology. He has published widely during his career in audiologic rehabilitation and is a Fellow of ASHA.

Part One: Fundamentals of Audiologic Rehabilitation

1 Overview of Audiologic Rehabilitation Introduction

Hearing Loss Characteristics

Consequences of Hearing Loss: Primary and Secondary

Rehabilitative Alternatives

Procedures in Audiologic Rehabilitation: An AR Model–CORE and CARE

Settings for Audiologic Rehabilitation

Summary

Summary Points

2 Hearing Aids and Hearing Assistive Technologies

Introduction

Hearing Aid Components

Hearing Aid Styles

The Earmold

Who Is a Hearing Aid Candidate?

Hearing Aid Fitting Protocol

Pediatric Fittings

Special Fittings

Hearing Assistive Technology or when a Hearing Aid May Not Be Enough

Concluding Remarks

Summary Points

3 Cochlear Implants and Vestibular/Tinnitus Rehabilitation

Introduction

Cochlear Implants

Vestibular Evaluation and Rehabilitation

Tinnitus Evaluation and Rehabilitation

Summary Points

4 Auditory Stimulation in Communication

Introduction

A Communication Model

Auditory Perception

The Auditory Training Process

Current Approaches to Auditory Training

Summary Points

5 Visual Stimuli in Communication

Introduction

Factors Related to Speechreading

Speechreading and the Hearing Impaired

Manual Communication

Summary Points

Supplementary Learning Activities

Recommended Reading

References 197

Appendixes 201

6 Language and Speech of the Deaf and Hard of Hearing

Introduction 211

Communication Options for Families of Children with Hearing Loss

Hearing as the Foundation for Speech and Language

Factors Affecting Speech and Language Acquisition

Language Assessment

Speech Development in Children with Hearing Loss

Summary

Summary Points

7 Psychosocial Aspects of Hearing Loss and Counseling Basics

Introduction

Psychosocial Aspects of Hearing Loss

 “Knowing Is Not Enough”: Counseling Basics

Does Counseling Make a Difference?

Summary

Summary Points

8 Audiologic Rehabilitation Services in the School Setting

Introduction

Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Loss

AR Services Provided in Schools

AR Service Providers in School Settings

Services for Children with Auditory Processing Problems

 “A Day in the Life” of an Educational audiologist

Summary Points

Part Two: Comprehensive Approaches to Audiologic Rehabilitation

9 Audiologic Rehabilitation for Children: Assessment and Management

Introduction

Prevalence of Loss and Level of Service

Terms and Definitions

Profile of the Client

Rehabilitation Settings and Providers

Identification and Assessment Procedures with Children

Aspects of Audiologic Rehabilitation: Early Intervention for Parent—Infant and Preschool

Aspects of Audiologic Rehabilitation: School Years

Summary

Summary Points

10 Audiologic Rehabilitation for Adults and Elderly Adults: Assessment and Management

Introduction

Profile of the Adult Client

Profile of the Elderly Client

Model for Rehabilitation

Rehabilitation Settings

Rehabilitation Assessment

Rehabilitation Management

Summary

Summary Points

Part Three: Implementing Audiologic Rehabilitation: Case Studies

11 Case Studies: Children

Introduction

Case 1 Joey: Family-Centered Intervention: Multiple Disabilities

Case 2 Annie: Routes to Spoken Language Following Cochlear

Implantation

Case 3 Amber: Issues Affecting Educational Placement

Case 4 Greg: Late Identification of a Hard of Hearing Child

Case 5 Sam: Differential Diagnosis through Professional

Teamwork: A Tool for Solving Complex Intervention Problems

12 Case Studies: Adults and Elderly Adults

Introduction

Case 1 Dr. M.: Progressive Hearing Loss

Case 2 Mr. B.: Hearing Loss, Depression, and Successful Hearing Aid Use

Case 3 J.D.: AR Featuring a Significant Other

Case 4 Mrs. R.: Cochlear Implant User

Case 5 Mrs. E.: Nursing Home Hearing Aid User

Case 6 Ashley: New Technology for an Experienced user

Summary Points

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