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Testing the Frail, Elderly Patient

Brian Taylor, AuD

June 6, 2011


Question

I found the course Using Speech in Noise Tests to Make Better Hearing Aid Selection Decisions very helpful. I already use the QuickSIN in my practice and will add the ANL. I'm still trying to find quick easy tests for the frail elderly patient - it's very difficult to assess these patients with all the diagnostically necessary tests we need to do. Any help or advice is welcome!

Answer

I would advise you to use the BKB SIN (Bamford-Kowal-Bench) and conduct a subjective and objective run, sort of a modified PPDis (Performance-Perceptual Discrepancy test). This works reasonably well for the "frail" elderly. Sometimes the patient can't complete both parts of the test, and that's ok. It still gives you good information about the status of the auditory system.

Brian Taylor, Au.D., is the Professional Development Manager for Unitron. Brian is responsible for all Unitron initiatives related to enhancing our customer's expertise, professionalism, and effectiveness in the areas of hearing aid fitting, product selection, and practice development. Brian earned his Au.D from Central Michigan University and has over 15 years of clinical and practice management experience.


brian taylor

Brian Taylor, AuD

Director of Practice Development & Clinical Affairs

Brian Taylor is the Director of Practice Development & Clinical Affairs for Unitron. He is also the Editor of Audiology Practices, the quarterly publication of the Academy of Doctor’s of Audiology. During the first decade of his career, he practiced clinical audiology in both medical and retail settings. Since 2003, Dr. Taylor has held a variety of management positions within the industry in both the United States and Europe. He has published over 30 articles and book chapters on topics related to hearing aids, diagnostic audiology and business management. Brian is the co-author, along with Gus Mueller, of the text book Fitting and Dispensing Hearing Aids, published by Plural, Inc. He holds a Master’s degree in audiology from the University of Massachusetts and a doctorate in audiology from Central Michigan University.   Brian Taylor is the Director of Practice Development & Clinical Affairs for Unitron. He is also the Editor of Audiology Practices.


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