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SHS 496 MIDTERM QUESTIONS AND ANSWERS

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SHS 496 MIDTERM QUESTIONS AND ANSWERS

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SHS 496 MIDTERM QUESTIONS AND ANSWERS


Definition for Aural Rehabilitation - Answers - Any intervention procedures that help a
person with HL and their CPs achieve more success in activities of daily living which
have been affected by H:

Definition for Aural Rehabilitation - Answers - Any intervention procedures that help a
person with HL and their CPs achieve more success in activities of daily living which
have been affected by HL

Conversational Fluency - Answers - how smoothly conversation flows
- relates to sharing of speaking time

How is conversational fluency measured - Answers - MLT ratio: determine MLU of
speaking turn and get a ratio between two partners in a conversation

Assessment of CF - Answers - daily logs
questionnaires
interviews

WHO - Answers - World Health Organization
- An agency within the united nation system that is responsible for providing leadership
on global health issues

ICF - Answers - International Classification of Functioning, Disability, and Health

WHO-ICF Framework - Answers - A biopsychosocial framework: Allows us to define
and then treat the difficulties encountered by HH/D and their CP.

Focuses on how HL affects the person in everyday life, and how a hearing related
disability might be alleviated.

Parts: Health condition, activity, participation

Health Condition (WHO-ICF) - Answers - Biopsychosocial model of disease:
Bio - what's wrong physically
Psycho - how does it affect you?
Social - who?

Activity limitation (WHO-ICF) - Answers - Changes at the level of the person - what they
can/cannot do due to HL

Ex) inability to hear certain sounds

,Participation restriction (WHO-ICF) - Answers - Changes in scope of person's life in
society (effect on society) -> is there a lifestyle change due to HL?

Ex) not going to religious services or club meetings due to HL

Third-party disability - Answers - refers to changes in life of FCPs functioning that
accrue as a result of PHL

How may the behaviors and attitudes of the FCP impact the PHL? - Answers -
Communication is the centerpiece of intimacy, may affect relationships

FCP w/out HL must compensate for other partner's HL

AR Services for Adults by AuDs (6) - Answers - Assessment
Communication Strategies and Speechreading Training
Provision of Listening Devices
Counseling and FCP Training
Group AR
In-Service Trainings

AR Services for Adults by SLPs (4) - Answers - Auditory skills - analytic, synthetic

Compensatory strategies - anticipatory strategies, conversational repair strategies,
speechreading

Self-advocacy - environmental management, education of CP

Counseling - expectations, personal adjustment, information

Major components that are included in a typical AR plan - Answers - - Diagnosis and
quantification of HL
- Provision of listening devices
- Communication strategies, training, and HL-related counselling
- Assertiveness training, psychological support and counselling/instructions for family
and colleagues
- Auditory and speech reading training
- Intervention related to speech, language, and academic achievement
- Hearing protection
- Goals: minimize or alleviate hearing-related difficulties
- Auditory skills, compensatory strategies, self-advocacy, and counselling

Goals of Treatment in AR - Answers - Minimize or alleviate hearing-related difficulties
- This includes reducing restrictions of person's engagement in life activities or reducing
emotional consequences

Improved conversational fluency

, Improved feelings of self-concept
Better Quality of Life

Who provides AR? - Answers - AuDs usually

SLPs and TOD/HH may direct treatment for kids, especially for speech/language and
literacy goals and in school environments

What is a biomedical orientation vs. a person-centered approach to providing AR care?
- Answers - Biomedical: focuses on the physical organs and mechanisms of hearing,
rather than on the patient

Person-centered orientation: focuses on providing care that is respectful of and
responsive to a patient's preferences, needs, and values, and ensures the patient
values guide all clinical decisions

Why is the person-centered orientation approach to care important? - Answers -
Services meet specific needs of each individual - the AR plan has to be in terms w/ the
person who is receiving services, there is an internal component of therapy. You need
to meet them where they are and find a way to move them along to reach goals

Services provided are appropriate to person's perception of self

Services provided are appropriate to person's cultural values

Considers the person/family's background, current status, needs, and wants.

The design and delivery of appropriate interventions is made to accommodate person's
preferences needs and values

What are the 3 main setting where people spend time each day that need to be factored
into their AR plan? And why is this important? - Answers - Home and Family
Community (social)
Vocational

It's important to know the individual needs of the patient

What is meant by "patient journey" and why is it important? - Answers - A patient's
journey is the sequences of experiences and phases a patient passes through during a
treatment regimen

Stages:
Pre-awareness
Awareness
Movement
Diagnosis

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