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Hearing Aids and Auditory Rehabilitation
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Many of the devices described can be used with headphones. These make them accessible to non–hearing-aid users and to people who need or prefer to be without their hearing aids temporarily, perhaps due to an ear infection.
Canine Audiology
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
Kristine E. Sonstrom, Peter M. Scheifele
Different stimulus transducers can be used to elicit auditory evoked potentials. Supra-aural headphones, insert earphones and bone stimulus transducers are three commonly used options. Disposable insert earphones are recommended to maintain infection control. These inserts are placed at the opening of the external ear canal. If supra-aural headphones are used, they can be removed from the headband and placed over the opening of the external auditory canal. Bone conduction stimulus transducers are used to rule out middle ear pathology and can be manually held over the mastoid process of the skull. Due to a zero attenuation with bone conduction testing, masking is recommended in the contralateral ear to isolate the ear being tested and ensure the response is not coming from the non-test ear.
Physical symptoms
Published in Aurora Lassaletta, Ruth Clarke, The Invisible Brain Injury, 2019
Aurora Lassaletta, Susana Pajares
I normally try to avoid headphones in general, even though I’m listening through them in stereo, because after a while I feel like they cause auditory overstimulation. At home, I prefer to listen to music from a distance, sitting in an armchair.
Implementation of perioperative music in day care surgery
Published in Acta Chirurgica Belgica, 2023
Muriël Reudink, Victor X. Fu, Kwint T. R. Mackenbach, Johannes Jeekel, Gerrit D. Slooter, Esther M. Dias
Implementation was deemed successful, given that adherence was over 80%. Furthermore, patient satisfaction was high and the attitude of health care providers towards the perioperative music intervention was positive, with minimal time and effort (less than 10 min) required by the latter to perform the intervention. A potential improvement point were the headphones used, which consisted of low-quality, disposable, over-ear headphones. As they were already standardly provided to each admitted patient, these headphones were considered to be safe for patient use and also reduced costs. Given the implementation success, we have continued to provide perioperative music and have procured headphones that offer improved audio quality. Furthermore, these are easy to clean and reusable, with the latter being important in an era of increased consumption and waste production by hospitals [14].
Trends in COSI responses associated with age and degree of hearing loss
Published in International Journal of Audiology, 2022
Hearing TV was the main problem reported by patients in this and other studies, becoming increasingly problematic with age. There was no measure of the degree of distress that TV listening problems caused individuals, nor the impact on their quality-of-life, but it was ranked first or second importance by about a third of all patients, suggesting that it is a significant issue for many and that it may be a broader issue amongst the elderly population. Some elderly patients in the study reported feeling socially-isolated and “housebound” and that TV was their “lifeline”, so lack of accessibility to TV can be highly distressing to some. Fortunately hearing aids appeared to be successful in helping with TV for most patients, and a similar consideration of distortion and compression should be applied, as discussed above. However, given the constraints on public services and need for increasing service efficiency, this begs the question of whether hearing aids are the best way to deal with the most common hearing problem if it is the only significant issue reported by an individual. Alternative devices, such as simple headphones, may be adequate for some. In the wider population, approaches such as Clean Audio (Shirley and Oldfield 2015) which offers a clearer speech signal with reduced interference from background effects, could potentially resolve many issues. The audiology profession, or its professional bodies and relevant non-governmental organisations, might consider what they are doing to support such initiatives and address the main issue faced by the hearing-impaired and elderly populations.
Audiovisual distraction as an anxiety-minimising adjuvant to regional anaesthesia in adult limb surgery: a service evaluation using patient reported experience measures
Published in Journal of Visual Communication in Medicine, 2021
Orlaith McMahon, Vassilis Athanassoglou, Svetlana Galitzine
Our service evaluation was completed well before the current COVID-19 pandemic. However, the COVID era of anaesthesia, with its re-appraisal of the potential benefits of RA over GA, makes our positive findings even more topical. The American Society of Regional Anaesthesia (ASRA) and European Society of Regional Anaesthesia (ESRA) have recommended RA over GA for patients with COVID-19 to reduce the risk of transmission (Uppal et al., 2020). Infection control within the theatre environment must be considered for all materials used. COVID-19 risk management requires that any materials exposed to aerosol generating procedures can be completely disinfected with approved antiviral agents between patients. At the time of service evaluation, patients could choose between using a departmental audio-visual device or their own personal phone/tablet. These devices were wiped with disinfectant wipes between patients. Going forward, however, disposable coverings may need to be considered and further infection control advice would be advisable. Sanitising of over-ear headphones between patients is more practical than in-ear varieties.