Desensitisation……….. A long term perspective
Denny Fransman SLT/Audiologist
HALD SIG April 2010University of Leeds
Contents:Contents:
Morning session “How”Morning session “How” WhatWhat?? WhyWhy? ? WhenWhen? ?
Why would anyone be a Why would anyone be a “reluctant hearing aid wearer”“reluctant hearing aid wearer”
Tactile de-sensitisationTactile de-sensitisation
To increase To increase tolerance to tolerance to having a mould having a mould in earin ear
Auditory de-sensitisationAuditory de-sensitisation
Getting used to Getting used to amplified soundamplified sound
Why could mould be Why could mould be rejected?rejected?
unfamiliar sensationunfamiliar sensation
mould could be poor fitmould could be poor fit unable to verbalise discomfortunable to verbalise discomfort unable to remove???unable to remove???
general hyper-sensitivitygeneral hyper-sensitivity
no comprehension of functionno comprehension of function
Why could amplified sound Why could amplified sound be rejected?be rejected?
Used to relative silenceUsed to relative silence
No meaningNo meaning confusingconfusing frighteningfrightening unfamiliarunfamiliar
Poor audiometric data – poor aid settingPoor audiometric data – poor aid setting
Essential considerationsEssential considerations
Is the loss congenital or acquired?Is the loss congenital or acquired? If acquiredIf acquired
age of onsetage of onset
severity of lossseverity of loss
time lapse between onset and interventiontime lapse between onset and intervention
Regarding the learning disabilityRegarding the learning disability what does sound mean to this person?what does sound mean to this person?
Severity of Learning Disability (LD)Severity of Learning Disability (LD)
Other potential complicationsOther potential complications
Autistic spectrum disorderAutistic spectrum disorder HypersensitivityHypersensitivity Sensory integration problemsSensory integration problems Central auditory processing disordersCentral auditory processing disorders Hyper-reactivity associated with neurological Hyper-reactivity associated with neurological
damage e.g. cerebral palsydamage e.g. cerebral palsy
Back to basicsBack to basics
Why fit a hearing aid in the first place?Why fit a hearing aid in the first place?
What are the potential benefits of aiding ?What are the potential benefits of aiding ? Improvement in communicationImprovement in communication Environmental soundsEnvironmental sounds Pleasure or leisurePleasure or leisure
Is full time hearing aid use Is full time hearing aid use indicative of a successful indicative of a successful
outcome?outcome?
yes or no ??????yes or no ??????
Don’t loose sight of your Don’t loose sight of your objectives for aidingobjectives for aiding
Improve communication
Environmental sounds
Aiding objectives
Enjoyment
Questions ????Questions ????
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