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cna training videosheil my name if Paul hamper Graham
I am a speech language pathologist
and for the past 25 years I have been working
with hard of hearing about I'm hard of hearing and working
my style I keep speech eating and communication strategies cna training videos
in addition to doing educational presentations on hearing loss
throughout the community today
my colleague Diane contests and I'll
well be talking about hearing how it affects the individual
and the people communicating with them there were but also be
information about hearing aid and assistive
cna training videoslistening by hearing loss
is a common problem in modern society
this is still to the combined effects %uh no I
aging disease
drug and heredity hearing
is a complex them involving
sensitivity to the ear as well
cna training videos the ability to understand be all people
with hearing aids are different no
to are a lot hearing aids are not cna training videos
like colossal they help they do not correct
a bad hop individual hearts with hearing
depends on two things: the amount cna training video
residual hearing they have and I'm outta love word
recognition our understanding residual hearing
is the hearing that a person had with out there hearing a
on word recognition cna training videos
is determined by tap that will tell
a person what percentage of a hundred words they understand
everyone has a different percent
now we're going to give you an cna training videos
on fair hearing test you will hear
a lift and more that well simulate
a common high-frequency hearing loss like them in a column
left begin we're number one
who
word number two who word number three
more cna training video
word number four or
work number five more
we're number six mall
word number seven all
for any home work number nine
cool word number ten
wall
how did you go I'm sure not a you've got a hundred percent
just think this is how many cna training videos
up your patience here all the time with a hearing aid on
or not let me tell you
30 million people have hearing loss but only one
6 above them have hearing a 15
outta thousand people under the BH
18 have a hearing of 25 percent
up people already age up 65
have a lot of hand ninety percent
up people over the age all roughly
that means one in 10 have a hearing of
these numbers are increasing cna training videos
every year now Mike I like will talk to you
about type and agree up hearing of hello
my name is Diane contraire and I'm a naughty Alysha
ideology to our health care professionals
to identify a that and manage
disorders about auditory balance and other neural system
I like the star by discussing
various types and degrees appear in law when an audiologist perform
a hearing evaluation they attain a crap this
crap display that individual Pacific we saw
and that collin audiogram you can
now see and audiogram a familiar sound
this crap shows a softer level cna training videos
that an individual came here various found
audiogram shows frequency and intensity
the following are some examples a different found at various frequencies
and intensities
all all all
all all all I'm
do
there 3 different types of hearing
the first hi is a sensorineural hearing loss
this type of hearing loss occurs in the inner ear
the auditory nerve at the park the brain
that receives nerve impulses from the auditory nerve the second type cna training videos
carry law is call the conductive hearing loss
this type of hearing loss occurs and the our ear
and or middle year something prevent
the sound waves from reaching the inner ear
the third tight up here in law islamic
carrying law mixed hearing loss
occur both in the outer are middle here
and in the inner here it's a combination
about conduct a and a sensorineural hearing loss
off and you have both allowed there cna training
and that clarity component to the hearing loss sometimes medical or
surgical
intervention can help but not crack
the type apparent of neck
I'm gonna talk to you about the specific degrees up here in law cna training
here in lot is classified by decree
ranging from the thought this level that an individual can hear sound to the
loudness level
an individual can hear thou normal hearing
ranges from they wrote to twenty death the ball a mild hearing loss
ranges from 21 to 40 decibel a moderate hearing loss
41 to 55 moderately severe hearing loss
from 56 the seventy and a severe hearing loss
71 the 90 decibels any profound hearing loss
is +91 decibel and higher hearing loss of gradual
other notices others noticed that
before the person then fell many
alter the dow deny hearing here are some other finds appearing last you may see
in your patient I live for
and wary expression frequently crap
a repetition myth
pronunciation upward turning one
here to the speaker point or speak
difficulty complaining that people
mambo or speak on clearly failure to respond when questioned
I'll after the shell are playing our radio or TV too loudly
their are cell many a motion no
reaction to hearing of
many people do not make that connection
between these feelings and they're hearing aw
they are frustration
frustration comes with the speaker
and the listener the listener is frustrated because they cannot get the
information cna training video
Anna speaker may be frustrated because they have to repeat the information
summer anxiety and discomfort
higher hearing folks who struggle to hear
all day may become maritime
impatient communication is a two-way street
an impatient can come on either side
hard of hearing person
many times PL I lost up competent
they think that when they miss
thing has that something about their brain while it is just
really something wrong with their years might have
self-pity get out
they had a hearing
people withdraw they withdraw from activities
because they can't keep up they may also be
and I'll they might say they're hearing loss cna training
is not bad enough to do anything about it they might blame others for mumbling
one person
suspect they have a hearing loss they should be seen by an audiologist
for a hearing evaluation ideologist
our health care professionals who identify
assess and manage disorders up
auditory balance and other neural system ideologist
hold a graduate or a Doctorate degree and the whole professional certification
from and accrediting body called Asha
the American speech language and Hearing Association
at also hold a state license
when you suspect that an individual has a hearing loss
you can make different referrals
to ensure the proper detection and management
that individual carry law you may
refer that individual to their primary care physician
who internet will refer that individual
to an audiologist for testing cna training video
a referral may also be made to an ear nose and throat position
that would include and order logic
evaluation and the hearing about you Asian up
the patient you may also referred directly
to an audiologist office that sometimes there than a hospital
a clinic or a private practice office
or you may refer them to the center
for the deaf and hard-of-hearing for full
ideological and speech evaluation
next like to talk to you about hearing aid
hearing aids come in a variety of shapes sizes cna training video
callers in tight most common style hearing aid as a behind
behind the ear hearing aid this hearing aid is one behind the ear
and coupled via in air mauled to the patient
here this can be used by patients with
mild to severe hearing loss a in the air style hearing aid is another common type
appearing in
this hearing aid is worn entirely in the ball that year
and partner that goes into the ear canal this hearing aid has been the most
popular type for twenty years
another type that hearing aid
is an in the canal hearing in this type of hearing aid
that entirely and to the external your now
with flight protrusion into the ball up the here
they are limited in power by either side
and used mainly by those with mild to moderate degrees at hearing loss
the sizeof the typeof hearing aid makes it more difficult
for some elderly patients to you next type but hearing aid
is completely in the canal hearing and this
style hearing aid said deep into the external
auditory canal this type of hearing aid
is designed it mainly from mild to moderate
hearing loss now we'll talk a little bit more
about some uncommon style hearing
the first tight is called a contrail at all routine
up signal hearing aid another on common style
hearing aid is called the bone conduction hearing it
another uncommon style a hearing aid as a body
a this is reserved typically for patients with profound hearing loss
another uncommon style I class hearing aids
this is hearing aids that are built into the Temple Bar
I Class A now we'll take a look at some specific part
a hearing aid first of all we have the microphone
the Sun the peace that picks up the acoustic signal from the environment
and changes that to an electrical signal
then the sound travel so the amplifier
the so the internal circuitry at the hearing aid that increases the magnitude
of the signal
next the sound travels through the receiver that converts the electrical
think now cna training videos
to an acoustical thing signal saying it into the here
there are some cases that are specific to a behind the ear hearing aid
that your hook are elbow the ear mold
and the to be an as seen here
another piece are part of the hearing aid the volume well
and the behind the ear hearing aid the volume we'll rotate
up and down and on the in that you're hearing aid
it can also act as a on-off switch
another component that contain an hearing aid
are what's called am T postal switch
that MT oath which stands for a microphone
telephone and of
what you see here are the battery doors
or the behind the ear he renamed
and next in hairstyle hearing it
it's important that hearing aid batteries are changed
every one to two weeks depending on the style hearing aid in individual had
it's often helpful to work over Attalla when changing the battery
Allah table so if the battery trop that it doesn't roll cna training video skills
the smaller the hearing aid the smaller the battery
and the faster that that battery will drain some hearing aids have
warning that will let an individual know when the hearing aid battery
is about to deplete other time the hearing aid will just stop
working one easy way to test the
as hold the hearing aid in your hand and
makeup best around the hearing aid if you hear
a with clean sound then you'll know that the battery
is working cleanin the hearing aid is also very important
making sure the hearing aid is free from waxing debris
and stays away from moisture or perspiration
are very important itself it's sometimes very helpful to have a battery tester on
hand to ensure that the batteries are functioning
and it's also important to have a brush
and the wax loo to clean out internal components up the hearing aid
another way to clean the hearing aid is you
of claw to wipe out to wipe off the external
part the hearing we have all heard at times a high-pitched whistling sound
coming from a hearing aid
this is called feedback in some instances
feedback as normal for example as I mentioned earlier when the hearing aid
have popped in your hand that is a No
as a time when the hearing aid should be normally with lane cna training videos
or if you place your hand up next to the hearing aid
that another time when the hearing aid will with all
if feedback occurs when the individual's brain hearing aid
and there's nothing that you can tell that instigating that feedback
it's important to check the feeding up the hearing aid in the ear
it may be loose and that's what caused the hearing aid to with all
so check the feeding them push the hearing aid in another thing to do with
check
the volume for the cracked setting up the hearing aid
if it's set to loud it also may be less lame
another cause us feedback
is that there's excessive waxer debris in the ear canal
so have someone look in the ear canal to make sure there's not too much wax
president and of course make sure that there is an
object that's too close to the hearing aid
that's produced in the feedback next we're gonna take a look
at the insertion and removal hearing it for
concerning a behind your style hearing aid all of them back
on the ear lobe with one hand and hold
the air mall Ave hearing aid between your index finger and palm
insert the canal portion up the air mold
first then see the top of the ear mold by pushing
it in in one or two places hope the hearing aid itself
up in over-the-top love that year when inserting it in
you're hearing aid call up the back on the your load with your hand
crypt the hearing aid with your thumb in your forefinger
insert the canal portion first and then see the body of the hearing aid
by pushing it in with your thumb in one or two places
another device you may encounter as
call the cochlear implant cochlear implant
are surgically implanted electronic devices designed to provide enhanced
sound detection
for individuals with severe to profound hearing loss
who often cannot obtain adequate benefit from hearing it
communication it's a two-way street
and it is up to both speaker and the list
there to cooperate in
caregiving situation it's important
that that caregiver understand the strategy
before beginning to talk to
any hard of hearing person get the attention
of that person can be done
and number play you can tap them on the shoulder
say their name if a person uses
collapses hearing a or
assisted day devices make sure they have a Mon
sure
to face the person and good life pick-up
but kill not shout many times I have
seeing people shouting into hearing a
of hard of hearing people speaks slowly
and clearly I've been asked many times
how can you speak more clearly I tell people cna training videos
there's a beginning and and T
each word useful for example
someone not brush in their hair they are brushing
their hair identify
the topic the for begin speaking
an example up this could be you come into the room
and say to a patient my mouth hurts so bad
I had for root canal today the patient Ohio
better to identify the topic
at the dentist today I had
for root canal and my mouth hurts badly
that that leads to some sort of Association
re play rather than repeat
I miss under said threatened or were
it's very important to eliminate
turned down are moved away from background I'm
a television is the most obvious for my background I
but there can be air conditioner
small heating unit medical equipment
that could interfere with communication
do not eat small
she ok I am are abstract your face
when talking to the Hard of Hearing
it's good to you if the person looks like they are not understanding what
you're saying
that you of them what can be done
to make communication Ethier
don't be afraid to write no reviews
body gesture cna training video
ask questions to verify understanding
stay away from yes no question like
sure niece coming tonight at a
to visit versus
what time is your niece coming
this make the client tell you the time
in a bear fine form
cooperate if the personal request
clarification sometimes that become
differ Cup when you're working at in a hurry
and have that after for the third time to repeat
when people I yell are tired
shorten your conversation
listening is a hard job when your heart hearing
its very tiring appears
fair I'm comfortable your concentration will be
I'll where get closer to the person
and give them some time to respond
if you remember that on fair hearing care
if you're hearing things that found our little bit
mumbling you're gonna need a little extra time
figure out what that word mean
it is very important to alter the environment
to benefit a hard appear in person
for example if you're pushing
a person down the hall in a wheelchair
and you need to ask him a question stop
the wheelchair stand in front of them
ask them the question when you're talking to a patient
in a bad do not sit next to them
make sure they can see your face clearly
and perhaps a share next to the bad is more appropriate cna training video
a patient may come into your setting who is a member of the deaf community
in the deaf community sign language
communication in these cases
some other strategies I'll mention now will be most helpful
if the person uses sign language
make sure you have a qualified fine language
interpreter present it might be helpful
also to have a dry erased for
our paper and hand next to the person's
bad to write them a math I'm yeah
maintain I can using gestures
embodying if also
very important to get the person's attention
before you start talking them helpful to
include Vishal information for example
pictures at outline make sure
that is a good lie speak nationally
and not exaggerate your mouth movement
another status she
with the death and the hard of hearing could be
real time captioning this is a meeting
other support group for hard of hearing people
that heart reporter you see
in the foreground is typing every word
sad onto a stream for good communication
die and will now continue with various a festive
listening devices to enhance the quality of life
up individuals with hearing loss stop listening devices
are designed to specifically help people here batter and a variety of difficult
listening situations
a system listening devices can also include
various pirate or a or visual alerting systems
hospital kits are used to did crease frustration
by an individual with a hearing loss well they're hospitalized
they include dry race for and
different communication tip cards for the employee's
that are working with that patient the following
assistive listening devices can be used alone
or with a personal hearing aid to overcome
the negative effects a background noise distance
and reverberation these devices
give the listener and improved signal to noise
ratio mean that the intended signal
often speech is heard over
undesirable thing now which is often Noi
the first device I'm gonna talk about us
called the pocket talker this is a personal amplifier
that can be used for one-on-one communication our TV listening
next and FM system cna training video
and FM system consists of two components:
that transmits found to each other via radio waves
the speaker where's a transmitter and the microphone
and the listener where's a receiver that picks up
the radio waves from the transmitter at them systems are often used for large
group meetings
or situations where the speaker is at a great distance from the listener
in parenthesis out our systems that transmits sound
by invisible light beams the receiver
must be with indirect light at the transmitter to pick up the thing now
these are great for TV lesley Anne our small group meeting
next I'm going to talk about
some telecommunication equipment first serve all
cordless amplified telephone increase the ease of communicating
for an individual with the hearing loss on the telephone
cordless telephones allow the individual to move freely
and bring the phone with them to various
rooms in their whole accorded amplified telephone
is seen here both corded and cordless telephones
have various levels of the amplification available cna training
and adjustable tone and volume controls to facilitate listening
another telecommunication device is a voice
carry over telephone the boys carry over telephone
allows individuals who are hard-of-hearing
speak to another person and read
the incoming message on the screen
TTY are taxed telephone is the telecommunication device
use by individuals who are deaf and cannot hear and the
phone to communicate with another party
both individuals must have special text telephone
to communicate with each other via visual text message
or one individual can use let's call the relay operator
who will relay the message from one text phone
to a user who is using a traditional telephone
another type of telecommunication device its attacks
telephone text telephones allow individuals
or death and cannot hear on the phone to communicate with another
party with the youth a visual display
other system listening devices a classified as saying million alerting
devices
these devices were developed to alert individuals
for flashing lights or vibration to the president's up emergency signal such as
smoke
or fire alarm crying baby
telephone ring doorbell an alarm clock
closed captioning allows individuals that are hard of hearing
or death to watch television well seen
what's being spoken displayed across the bottom
the screen in taxed cna classes videos
also very important that you protect you're hearing
avoid loud rock concert club
and loud activity or limit time spent there
always where hearing protection devices such as cna classes videos
hair plugs air must in noisy environments cna training videos
keep the volume turned down when listening to your Walkman your stereo
radio our television it's important to protect
carrying because it is precious
up cna training videos