4(a) early identification of hearing loss and invervention
-
Upload
isra-institute-of-rehab-sciences-iirs-isra-university -
Category
Health & Medicine
-
view
70 -
download
0
Transcript of 4(a) early identification of hearing loss and invervention
![Page 1: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/1.jpg)
Early Identification of Hearing LossImportance of Early Intervention
Early Identification of Hearing Loss
Dr. Ghulam SaqulainM.B.B.S., D.L.O, F.C.P.S
Head of Department of E.N.TCapital Hospital
![Page 2: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/2.jpg)
Early Identification of HearingLoss is Important Because . . .
![Page 3: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/3.jpg)
Hearing loss is the mostcommon birth defect
3 of every 1,000 babies born have permanent HL
InvisibleAverage age of diagnosis was
~3 yrs. before babies were screened Some were as old as 5 to 6 yrs.
![Page 4: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/4.jpg)
Does EarlyIdentification of
Hearing Loss ReallyMatter?
![Page 5: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/5.jpg)
Yoshinaga-ItanoLandmark Studies
Children identified with hearing loss before 6 months And who receive appropriate intervention demonstrate:
–Better receptive and expressive language–Better expressive vocabulary–Better personal-social skills
And maintain those skills within normal limits
![Page 6: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/6.jpg)
When Hearing Loss isIdentified Early
More improvement in language scores for those with–Moderate hearing loss– Profound hearing loss
Less improvement in language scores for those with–Moderately-severe hearing loss–Severe hearing loss
![Page 7: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/7.jpg)
When Hearing Loss isIdentified EarlyMore improvement in speech/articulation
skills for those withModerateModerately-severeProfound hearing loss
Little improvement in speech/articulation skills for those withSevere hearing
![Page 8: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/8.jpg)
Why would children with severehearing loss have less benefit fromearly identification?
Less improvement in technology for this group
– Limitations of hearing aids:distance, noise
– Dependent on FM
![Page 9: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/9.jpg)
Data Differs from previous data
![Page 10: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/10.jpg)
Here’s what earlyidentification can do ;
![Page 11: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/11.jpg)
Universal Newborn HearingScreening (UNHS)
Screen babies before 1 month of ageDiagnose HL by 3 months of ageAppropriate intervention by 6 mos.Culturally-competent family supportAll newborns have “medical home”
![Page 12: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/12.jpg)
Early Identification of Hearing LossImportance of Early Intervention
Importance of Early Intervention
![Page 13: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/13.jpg)
Total Language by Severity of Hearing Loss Before and After UNHS
![Page 14: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/14.jpg)
Speech Percentile by Severity of Hearing Loss Before and After UNHS
![Page 15: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/15.jpg)
Expressive Language Scores
![Page 16: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/16.jpg)
Why Does it Still Take So Long to StartIntervention and to Fit Hearing Aids?
Grieving processHealth of baby Family crisisProgressive hearing lossOtologic clearanceMiddle ear problemsNot enough pediatric audiologistsLack of continuity of services
![Page 17: 4(a) early identification of hearing loss and invervention](https://reader031.fdocuments.us/reader031/viewer/2022030317/58707d261a28ab57368b58bf/html5/thumbnails/17.jpg)
Early Identification of Hearing Loss
Early Identification of Hearing LossProtocol of Hearing Assessment according
to age