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Pediatric Case Studies, Hearing Assistive Technology: The Role of the Audiologist after the Fitting

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1.  What are examples of potential side effects of under fitting the hearing assistive technology of a child? delayed walking due to problems with the vestibular system behavior and attention problems, lack of or limited auditory, speech, and language development hearing aids cannot be underfit if they are appropriately first fit decreased overall stature

2.  Which hearing assistive technologies have the potential to be under fit? FM systems cochlear implants hearing aids all of the above

3.  With what frequency should the hearing aid(s) of a young child be (re)verified? Monthly With every new earmold, change in technology, or change in hearing level At initial fitting Annually

4.  Poor patient provider communication can potentially lead to what outcomes? Limited compliance, poorer outcomes, stress, and anxiety experienced by the patient Decreased stress due to decreased expectations High patient satisfaction and increased referrals Decrease in time spent with the patient over the long-term

5.  What is a primary variable impacting cochlear implant candidacy criteria? Length of time with hearing aid use Auditory progress with amplification Cochlear formation/malformation Degree and type of hearing loss only

6.  Identify one means to improve patient provider communication. Talk louder Use professional jargon Use a speech-hoop to ensure that they can understand speech Video models

7.  What is one reason it is important to continue to monitor a childs thresholds even after a reliable audiogram is obtained? To train the child For comparison to research studies Changes in the size of the external auditory meatus as the child grows may lead to changes in dB HL thresholds There is no need

8.  What benefits can older children realize if they have been long-term underfit but receive an optimal fitting at an older age? They get an upgrade in hearing device earlier Improvements in speech perception scores, comfort with device, and overall outcomes There are no improvements They will notice improvements in their balance and motor abilities

9.  Which of the following properties of a hearing aid is most predictive of child speech and language development? Feedback management Wide frequency bandwidth Nonlinear frequency compression Earmold type

10.  Which of the following is an objective measure that can be completed with persons who use cochlear implants? Loudness balancing Behavioral comfort levels Threshold measures ESRT