Faculty of Engineering and Applied Science
INSTITUTE OF SOUND AND VIBRATION RESEARCH
BSc Audiology Year: 2003-04




Module Specification




Unit/Module Code: Module Title:
AR1 Principles of rehabilitation for adults with hearing difficulties



1.Basic Information
 
Department responsible for the module ISVR
Programme BSc Audiology 
Timetable Year 1 Semesters 1 and 2
Session 2003-04
Credit Value 10 credit points (=100 hours) Level C
Pre-requisites None
Co-requisites PC1, DD1, MP1, HA1, SP1, CP1
Module Lecturers Ms E Payne
Contact ep@isvr.soton.ac.uk
Formal Contact Hours Lectures (21 x 45mins/wk) = 15.75 hours
Private Study Hours Up to 85 hours own study time
Coursework  
External Examiner Mr A J Phillips 
Last Approved  
Last Revision  
Course Web Site www.isvr.soton.ac.uk/audiology/BScAud.htm 
 
 
2.Description
 
2.1Aims
 
  The aims of this module are to:
  • give you the background knowledge and a detailed understanding of the auditory rehabilitation process including assessment of patients to determine candidacy for rehabilitation, selection, prescription, fitting and use of basic linear hearing aids, patient follow-up, verification and evaluation of the auditory rehabilitation process.
  • enable you to apply your theoretical knowledge and comprehension as an Audiologist to all aspects of the rehabilitation needs of adult patients.
  • enable you to develop skills to critically evaluate and analyse information from books, web based learning and relevant scientific literature.

2.2Objectives (teaching)
 

 
The objectives of this module are to:
  • describe the prevalence of hearing difficulties and the range of rehabilitation needs of adults with acquired hearing loss.
  • describe the clinical assessment of this patient group including consideration of audiological, physical and psychosocial aspects.
  • give you an overview of the range of approaches to managing adults with hearing impairment, enabling you to determine appropriate clinical management of this patient group or to pursue research in an auditory rehabilitation related field.
  • describe the structure and performance of linear hearing aids and earmoulds, understanding and applying the factors involved in their selection and evaluation, and awareness of the practical skills required for their fitting and follow-up.
 
2.3Objectives (planned learning outcomes)
 
 Knowledge and understanding
Having successfully completed the module, you will be able to demonstrate knowledge and understanding in the following areas:
  • Prevalence of hearing difficulties.
  • audiological, physical, psychological and social considerations in the assessment of individual patient's requirements in order to determine candidacy for rehabilitation.
  • Awareness and understanding of the management options including the selection, fitting and instruction in the use of linear hearing aids and earmoulds.
  • Awareness and understanding of the need for verification and evaluation of the rehabilitation process and the means by which this can be achieved.
 
 Cognitive (thinking) skills
  Having successfully completed the module, you will be able to:
  • synthesise all the relevant information you have obtained about each individual patient and, with reference to the evidence base, recognise and select appropriate techniques for successful assessment, management planning, verification and evaluation of the intervention.
 
 Practical, subject-specific skills
Having successfully completed the module, you will be able to:
  • carry out a detailed and appropriate history, assess impairment, disability and handicap using appropriate measures. At a basic level, you will be able to plan a customised rehabilitation programme including appropriate consideration of earmould type and modification, hearing aid type, prescription fitting rules and real ear measurement techniques in order to fit hearing aids, verification and evaluation of the intervention.
 
 Key transferable skills
Having successfully completed the module, you will have skills in:
  • patient handling, history taking, patient management, communication skills.
  • the use of technical apparatus including computer based procedures.
 
 
2.4Teaching and Learning Activities
 
 Teaching methods include
 
  • One 45 minute lecture per week in a formal classroom setting. Typical class size is 30 students. During these lectures there may be small group work with 4 students per group discussing salient issues with feedback from each group to the whole class.
  • You will need to work in your own time and in timetabled independent learning sessions in order to supplement lectures and practical skills. In addition to the information resources available to you, you will be able to meet with the module co-ordinator for assistance.
 
 
 Learning activities include
 
  • Working in your own time and in timetabled independent learning sessions you are expected to read supporting texts outlined in the book list and make reference to appropriate academic journals in order to support lectures.
 
 
2.5Methods of Assessment (summative assessment)
 
 BSc Audiology
      Assessment Methods Number % contribution to final mark Comment
      Assignments    Deadline - End of semester 1 
      Exam (2h)    100   

 
2.6Feedback to students during module study (formative assessment)
 
  • tutorial assistance from module co-ordinator as required. Module co-ordinator adopts an “open door” policy.
  • example examination papers with guidelines to answers are made available.
  • ad hoc question and answer sessions and topic tests during lectures.
 
2.7Relationship between the teaching, learning and assessment methods
 
  • the examination tests your knowledge and understanding defined above. You will be examined on your ability to analyse and synthesise information acquired in lectures supplemented by your independent learning. There will be a choice of question in the examinations.
 
3.TOPICS COVERED
 
LECTURE 1
  • Prevalence of hearing difficulties
  • Introduction to adult auditory rehabilitation - What is aural rehabilitation?
  • Overview of rehabilitation planning
LECTURE 2
  • Patient assessment History taking / interview
  • Assessment of audiological, physical, psychological and social considerations
LECTURE 3
  • Patient management Overview of management options
  • Hearing aid candidacy Audiological, physical, psychosocial considerations
LECTURE 4
  • Introduction to linear hearing aids and their components
LECTURE 5
  • Electro-acoustic characteristics of linear hearing aids, gain, maximum output.
  • Tone controls
  • Output limiting using peak clipping
  • Distortion
  • Effectiveness and limitations of basic technology
LECTURE 6-7
  • Specification and measurement of linear hearing aid performance - couplers, hearing aid test boxes.
  • International standards and data sheets - measurement of FOG, RTG, Frequency response, MO, distortion
LECTURE 8-9
  • Hearing aid selection
Monaural or Binaural
Which ear to fit?
Technical considerations LECTURE 10 - 11
  • Impressions, Earmoulds, earmould modifications
LECTURE 12, 13, 14
  • Prescription and fitting of linear hearing aids - basic rationale. NAL-RP prescription rule, CORFIGs

LECTURE 15
  • Hearing aid fitting
Hearing aid orientation - Use and control of a hearing aid
Fitting and removing
Care and maintenance
Acclimatisation
Trouble shooting problems LECTURE 16 - 17
  • Real ear measurements - background, equipment, pre-measurement procedures, measurement procedures, practical considerations.
LECTURE 18 - 19
  • Verification of HA performance - Use of REMs with prescription rules
LECTURE 20
  • Evaluation of the rehabilitation process - aided performance, self report measures.
LECTURE 21
  • Post fitting management: follow-up - individual, group, volunteer visit.
 
4.RESOURCES
 
 Core Texts

  AUTHORS TITLE/EDITION/DATE PUBLISHER UNI. LIB Class Mark E.J. Richards Library

1.Harvey DillonHearing Aids (2001) Thieme Medical PublishersWV270DIL 2 copies

2.R E SandlinTextbook of Hearing Aid Amplification (2000) Singular Publishing Group, London 1565933990WV274ALL 2 copies on order

3.T H VenemaCompression for Clinicians (1998) Singular Publishing Group 1565939735WV274Ven 1 copy 1 copy


  Secondary Texts

  AUTHORS TITLE/EDITION/DATE PUBLISHER UNI. LIB Class Mark E.J. Richards Library

1. R E SandlinHandbook of Hearing Aid Amplification Vol 1: Theoretical & Practical considerations Singular Publishing Group, London 1565933990 2 copies (1 ref only)

2. Vol II: Clinical Considerations and Fitting Practices (1995) 1565934008 2 copies (1 ref only)

3. J KatzHandbook of Clinical Audiology 4th Edn (1994) chapters 43 & 46, 5th Edn (2002) chapters 35-37 Williams & Wilkins Baltimore 0683045482WV270KAT 1 copy QWV270C AT 2 copies

4. 3rd edn (1985) (with W L Gabbay) ch 43 & 44 0683045490WV270 KAT 1 copy 4 copies (1 ref only)

5. H G Mueller, D B Hawkins, J L NorthernProbe Microphone measurements - Hearing Aid Selection and Assessment (1992) Singular Publishing Group, California 1879105683TK7882.H3 MUE 3 copies 1 copy (ref only)

6. M C Martin (ed)Speech Audiometry 2nd edn (1997) Whuur Publishers Ltd 1-897635-12-5WV272 MAR 1 copy

7. M ValenteHearing Aids: Standards, Options and Limitations (1996) Thieme Medical PublisherTK7882.H3 VAL 1 copy

8. M ValenteStrategies for selecting and verifying hearing aid fittings (1994) Thieme Medical PublisherTK7882.H3 VAL 2 copies


 
 Other library support
 
The ISVR’s E.J. Richards Library houses some relevant journals. 
 
 Staff required
 
Module co-ordinator 
 
 Teaching space, layout and equipment required
 
A lecture room with 30 seats is required for 45 minutes a week. The room should be equipped with overhead and slide projection facilities, and blackboard and/or whiteboard. The regular use of a data projector is required. The lecture room should be suitable for hearing impaired students 
 
 Laboratory space required
 
None 
 
 Computer requirements
 
Computing facilities are required for independent learning and for completion of the assignment. 
 
 Software requirements
 
Microsoft office, SPSS and access to on line journals and web pages 
 
 Off-campus activities
 
None 
 
 Part-time/distance learning students
 
There is currently no provision for part-time or distance learning students 
 
 Other