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History Stations
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
If there is no organic pathology, the treatment is conservative: reassurance, counselling, CBT, tinnitus retraining therapy, white noise generators for masking, and hearing aids for SNHL. Audiology colleagues are often very helpful for managing thee patients and offering tinnitus therapy.
Vision and hearing
Published in Ajay Sharma, Helen Cockerill, Lucy Sanctuary, Mary Sheridan's From Birth to Five Years, 2021
Ajay Sharma, Helen Cockerill, Lucy Sanctuary
A proactive enquiry of concerns and risk factors, and hearing checks are part of the children's surveillance programme due to the impact of impaired hearing on the development of language, reading and behavioural regulation. Awareness of the observable hearing behaviour and risk factors (Box 10) forms the basis for proactive inquiry from parents and a referral to local audiology services.
Hearing Screening: Teleaudiology and Its Application with Children in Africa and Europe
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
Piotr H. Skarzynski, Mark Krumm, Weronika Swierniak, Stavros Hatzopoulos
Contemporary audiology and otolaryngology practices typically include both early identification and preventive measures to assist patients experiencing hearing impairment. The desired outcome with these practices is that hearing disorders are detected and treated in their early stages. Teleaudiology technology provides a means to identify and monitor hearing loss in many groups (including children) where hearing healthcare is not easily accessible. Even with minimal Internet connectivity, teleaudiology services can be used to provide mass pediatric screenings and examinations. Therefore, teleaudiology (used in conjunction with other telemedicine strategies) can be employed in alignment with national health policies and to increase accessibility while decreasing costs of hearing healthcare. The Institute of Physiology and Pathology of Hearing located at the World Hearing Center in Kejatany, Poland, has a history of innovative programs utilizing telemedicine and teleaudiology. One of the priority activities developed by this institute is a screening program for children of all ages in collaboration with numerous national centers in Europe.
A qualitative study showing that a telecare tool can have benefits before and during the initial hearing assessment appointment
Published in International Journal of Audiology, 2023
Eithne Heffernan, David W. Maidment, Melanie A. Ferguson
There were two participant groups: (i) adults with hearing loss, and (ii) audiologists. The adults with hearing loss were patients and the audiologists were employees of Adult Audiology Services, Nottingham University Hospitals NHS Trust, UK. They were a sub-sample recruited from the patients and audiologists who were involved in the RCT to assess the benefits of using the WIMH Tool (Maidment et al. in revision). The adults with hearing loss had been part of the intervention group in the RCT and thus had used the WIMH Tool irrespective of whether or not they had opted to receive hearing aids. They later discussed the Tool with their audiologist during this appointment. The audiologists had received training on how to discuss the Tool with patients by a trained audiologist who was involved in a previous study assessing the Motivation Tools (Ferguson et al. 2016).
Cochlear implant outcomes in patients with Meniere’s disease: a large case series
Published in Cochlear Implants International, 2022
Hala Kanona, Cillian Forde, Anne M. Van Rooyen, Peter Keating, Jane Bradley, Alfonso Luca Pendolino, Nishchay Mehta, Joseph G. Manjaly, Sherif Khalil, Jeremy Lavy, Shakeel R. Saeed, Azhar Shaida
Profound bilateral hearing loss may occur in patients with Meniere’s Disease (MD) due to end-stage disease or loss of hearing following ablation of the inner ear. Many studies have demonstrated that patients with MD undergoing cochlear implantation (CI) may develop comparable or above average auditory performance scores compared with non-MD patients. (Lustig et al., 2003; Manrique-Huarte et al., 2018; Mick et al., 2014) as well as improved tinnitus scores (Mick et al., 2014; Vermeire et al., 2014). Following discussions with audiology colleagues both locally, and at national level within the British Cochlear Implant Group, it is widely recognized that this particular cohort of patients do present challenges with respect to post-operative programming due to ongoing distortions in auditory perception. Evidence based on small case series confirms high levels of auditory fluctuations, which manifest as variations in cochlear implant performance (Holden et al., 2012; McNeill and Eykamp, 2016; Samy et al., 2016). High levels of impedance have also been noted in patients with active MD which has necessitated adjustments in implant mapping on a long-term basis following initial rehabilitation (Holden et al., 2012; McNeill and Eykamp, 2016; Samy et al., 2016). This, in turn, may adversely impact quality of life and place greater demand on audiology-led services.
Experienced hearing aid users’ perspectives of assessment and communication within audiology: a qualitative study using digital methods
Published in International Journal of Audiology, 2022
Bhavisha J. Parmar, Kinjal Mehta, Deborah A. Vickers, Jennifer K. Bizley
By definition, many patients presenting at an audiology department will have some form of hearing loss. Therefore, it is imperative that audiology departments are as accessible as possible. However, a recent survey revealed that assistive communication devices were only available in 64% of audiology reception areas (Jama et al. 2020). The current research presents specific communication barriers experienced by hearing aid users including poor communication accommodations for patients and time constraints within public audiology services limiting adequate care and communication. Interviewees felt all audiology staff should participate in adequate and ongoing professional training regarding communication strategies and deaf awareness, as well as simulated hearing loss in order to better understand and empathise with the communication barriers patients encounter. Moving forward, it would be beneficial to involve patients in audiology service development and evaluation to improve accessibility for patients with hearing loss.