Exam Preview

The Future of Clinical Care (Part 2): The Role of Fitting Software

---

1.  The COSI is an example of: Hygge, a Danish word for coziness and contentment Patient focused care Objective measures The “art” of audiology

2.  Data shows that MAPs are typically established with minimal changes by 2 years 1 week 5 years 3-6 months

3.  The primary goal of the initial activation appointment is: Audibility Achieving the patient’s ideal MAP Score of 100% on speech perception testing Conversing easily on a cell phone

4.  The new software platform was designed In isolation, by an engineer in Australia. To replace patient counseling during the appointment. By a large team of audiologists and engineers, including clinical audiologists in several countries. To be exactly the same as the previous platform because clinicians reported that our software was perfect.

5.  Patient-focused care was introduced into the new software by… Allowing the patient to stay on-air throughout the MAPping appointment Adding a program designed for talking to grandchildren Including a neurological screening tool Making the appointment 30 minutes longer

6.  In order to have good patient outcomes, a reasonable minimum clinic protocol could include: Speech perception testing on the day of the initial activation. MAPping appointment every 3 months for the life of the patient. Measure impedances at every appointment and speech perception tests at 3- and 6-months Measure all individual Ts at every appointment for the life of the patient

7.  Streamlined fitting is appropriate for initial activation because Measuring individual Ts and Cs is boring. It satisfies the goal of achieving comfortable audibility while minimizing stress on the patient and allowing the clinician to focus on the patient’s other needs. Patient responses are not reliable so there’s no point in trying It is the only option in the new software platform.

8.  The red highlighted area in the Adjustment screens: Is an evidence-based guidance tool for C-levels that will vary depending on implant and impedances Is exactly the same for everyone Is the gold standard and all MAPs should have C levels in this range Demonstrates the area to avoid

9.  AutoNRT based initial activation maps may be suggested as an option when An adult recipient is very reliable during programming and is making expected progress. A clinician would like to spend extra time creating a MAP When behavioral results are easily obtained It is very difficult to determine if behavioral testing is accurate due to poor reliability or lack of spoken language, such as a very young child.

10.  The guided fitting flow in the new software Will take an additional 45 minutes Has minimized the number of steps for each part of the fitting process, saving time for the clinician and reducing stress for the recipient Is very confusing Is only available for programming Nucleus 7 sound processors