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Now in its Fifth Edition, this text represents the most respected, current, and leading Aural Rehabilitation (AR) text in the field!

This highly regarded text has been substantially updated and revised, making it more user-friendly for both students and instructors. It is especially current in areas dealing with hearing aids, cochlear implants, and current approaches to providing relevant AR. The text begins with eight chapters introducing the fundamentals–amplification, including cochlear implants, auditory and visual stimuli, speech and language, and educational and psychosocial issues. Two comprehensive methods and procedures chapters follow, focusing on children, adults, and elderly adults. Finally, the well-documented and amply illustrated text concludes with two case study chapters.

The Fifth Edition includes substantial new content related to hearing aids, cochlear implants, and relevant forms of AR. Information on vestibular and tinnitus assessment and management has been greatly expanded. Additional case studies throughout the text help emphasize key points and allow students applicable practice of the concepts learned in a hands-on manner. Recommended websites and readings at the end of each chapter guide students to an abundance of relevant, supplemental AR material.

Two complete case study chapters (adult and children) with added case examples.

Tabla de contenidos provista por Syndetics

• Preface(p. xv)
• Contributors(p. xvii)
• Part 1 Fundamentals of Audiologic Rehabilitation(p. 1)
• 1 Overview of Audiologic Rehabilitation(p. 3)
• Introduction(p. 3)
• Definitions and Synonyms(p. 4)
• Providers of Audiologic Rehabilitation(p. 4)
• Education Needs of Providers(p. 5)
• Hearing Loss Characteristics(p. 5)
• Degree of Hearing Impairment and Configuration(p. 5)
• Time of Onset(p. 8)
• Type of Loss(p. 8)
• Auditory Speech Recognition Ability(p. 10)
• Consequences of Hearing Loss: Primary and Secondary(p. 11)
• Communication Difficulties(p. 11)
• Variable Hearing Disorder/Disability(p. 12)
• Rehabilitative Alternatives(p. 13)
• Historical Background(p. 14)
• Current Status(p. 17)
• Procedures in Audiologic Rehabilitation: An AR Model-CORE and CARE(p. 18)
• Rehabilitation Assessment Procedures(p. 21)
• Management Procedures(p. 22)
• Settings for Audiologic Rehabilitation(p. 24)
• Children(p. 24)
• Adults(p. 25)
• Elderly Adults(p. 25)
• Summary(p. 26)
• Summary Points(p. 26)
• Recommended Reading(p. 28)
• Recommended Websites(p. 28)
• References(p. 28)
• 2 Hearing Aids and Assistive Devices(p. 31)
• Introduction(p. 31)
• Hearing Aids(p. 33)
• Basic Components(p. 33)
• Controls and Features(p. 34)
• Hearing Aid Styles(p. 36)
• Specialized Fitting Options(p. 40)
• CROS/BICROS(p. 40)
• Bone Conduction Hearing Aids(p. 41)
• Implantable Hearing Aids(p. 41)
• The Earmold(p. 43)
• Acoustic Effects of Earmolds and Hearing Aid Shells(p. 43)
• Ear Impressions(p. 45)
• Batteries(p. 46)
• Electroacoustic Properties(p. 47)
• The Selection and Fitting of Hearing Aids(p. 49)
• Step 1 Selecting the Hearing Aid Candidate(p. 50)
• Step 2 Preselection Measurements(p. 52)
• Step 3 Hearing Aid Selection(p. 52)
• Step 4 Verification(p. 57)
• Step 5 Postfitting Counseling, Orientation, and Outcome Measures(p. 58)
• Considerations for the Pediatric Patient(p. 62)
• Prefitting Testing(p. 62)
• Fitting Considerations(p. 62)
• Verification of Fitting(p. 62)
• Postfitting Procedures(p. 63)
• Assistive Devices(p. 63)
• Assistive Listening Devices and Other Communication Devices(p. 64)
• Alerting/Signaling Devices(p. 72)
• Concluding Remarks(p. 72)
• Summary Points(p. 73)
• Recommended Reading(p. 74)
• Recommended Websites(p. 74)
• References(p. 75)
• 3 Cochlear Implants and Vestibular/Tinnitus Rehabilitation(p. 77)
• Introduction(p. 77)
• Cochlear Implants(p. 78)
• How Does a Cochlear Implant Work?(p. 78)
• History of Cochlear Implants(p. 78)
• Current Systems(p. 80)
• The Cochlear Implant Team(p. 82)
• Who Is a Candidate?(p. 82)
• Deaf Culture and Cochlear Implants(p. 86)
• Treatment Plans for Cochlear Implant Recipients(p. 87)
• Variables Affecting Performance(p. 92)
• Auditory Brainstem Implant(p. 92)
• Future Trends in Cochlear Implants(p. 93)
• Vestibular Evaluation and Rehabilitation(p. 93)
• Causes of Balance Problems(p. 96)
• Medical Evaluation(p. 97)
• Audiologic and Balance Testing(p. 97)
• Vestibular Rehabilitation(p. 101)
• Tinnitus Evaluation and Rehabilitation(p. 103)
• Causes of Tinnitus(p. 103)
• Evaluation(p. 104)
• Treatment(p. 105)
• Summary Points(p. 107)
• Recommended Reading(p. 107)
• Recommended Websites(p. 108)
• References(p. 109)
• 4 Auditory Stimuli in Communication(p. 113)
• Introduction(p. 113)
• A Communication Model(p. 114)
• Auditory Perception(p. 115)
• Development of Auditory Skills(p. 115)
• Basic Perception Abilities(p. 116)
• Acoustics of Speech(p. 117)
• Speech Perception and Comprehension(p. 122)
• Speech Perception and Hearing Loss(p. 123)
• The Auditory Training Process(p. 126)
• Definition and Application of Auditory Training(p. 127)
• Early Efforts in Auditory Training(p. 128)
• Current Approaches to Auditory Training(p. 129)
• Candidacy for Auditory Training(p. 130)
• Assessment of Auditory Skills(p. 130)
• Methods of Auditory Training(p. 135)
• Summary Points(p. 146)
• Recommended Reading(p. 147)
• References(p. 147)
• 5 Visual Stimuli in Communication(p. 151)
• Introduction(p. 151)
• Factors Related to Speechreading(p. 152)
• Speaker(p. 153)
• Signal and Code(p. 154)
• Environment(p. 160)
• Speechreader(p. 160)
• Speechreading and the Hearing Impaired(p. 163)
• Assessment of Speechreading Ability(p. 164)
• Visual Assessment and Speechreading Evaluation(p. 166)
• Hearing Impairment and Dependence on Vision(p. 167)
• Traditional Speechreading Methods(p. 169)
• Recent Trends in Speechreading Instruction(p. 170)
• Manual Communication(p. 176)
• Types of Manual Communication(p. 177)
• Summary Points(p. 183)
• Recommended Reading(p. 183)
• References(p. 183)
• Appendixes(p. 188)
• 6 Language and Speech of the Deaf and Hard of Hearing(p. 197)
• Introduction(p. 197)
• Language and Communication(p. 198)
• Factors Affecting Language Acquisition(p. 198)
• Language Characteristics of Preschool Children with Hearing Impairment(p. 203)
• Importance of Parent-Child Interactions(p. 204)
• Language Characteristics of School-Age Children with Hearing Impairment(p. 207)
• Language Assessment(p. 210)
• Communication and Language Management for Preschool and School-Age Children with Hearing Impairment(p. 213)
• Speech Characteristics, Assessment, and Management(p. 218)
• General Considerations(p. 218)
• Speech Characteristics, Assessment, and Management for Individuals with Prelingual Hearing Loss(p. 222)
• Speech Assessment of Individuals with Severe or Profound Hearing Loss(p. 230)
• Speech Management for Individuals with Severe or Profound Hearing Loss(p. 232)
• Speech Characteristics of Individuals with Postlingual Profound Hearing Loss(p. 235)
• Summary(p. 236)
• Summary Points(p. 236)
• Recommended Reading(p. 237)
• Recommended Websites(p. 238)
• References(p. 238)
• 7 Psychosocial Aspects of Hearing Impairment and Counseling Basics(p. 245)
• Introduction(p. 245)
• Psychosocial Aspects of Hearing Impairment(p. 246)
• Growing Up with Hearing Loss(p. 246)
• Acquiring Hearing Loss(p. 252)
• About Being Deaf(p. 255)
• "Deafness with a Capital D"(p. 257)
• "Knowing Is Not Enough": Counseling Basics(p. 258)
• Important Distinctions(p. 258)
• What We May Think Counseling Is(p. 259)
• What Counselors Say Counseling Is(p. 260)
• The Counseling Process(p. 260)
• When to Refer(p. 264)
• Summary(p. 264)
• Summary Points(p. 264)
• Recommended Reading(p. 265)
• Recommended Websites(p. 265)
• References(p. 266)
• 8 Audiologic Rehabilitation Services in the School Setting(p. 269)
• Introduction(p. 269)
• Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Impairment(p. 270)
• Degree of Loss: Terminology(p. 270)
• Mandated by Law(p. 272)
• Key Components of Individuals with Disabilities Education Act (IDEA)(p. 273)
• Least Restrictive Environment(p. 274)
• The Individualized Education Program (IEP)(p. 277)
• The Communication Debate(p. 277)
• AR Services Provided in Schools(p. 279)
• Screening and Assessment(p. 280)
• Management of Amplification(p. 281)
• Direct Instruction and Indirect Consultation(p. 281)
• Hearing Conservation(p. 282)
• Evaluation and Modification of Classroom Acoustics(p. 283)
• Transition Planning to Postsecondary Placements(p. 285)
• How Services Are Provided(p. 286)
• AR Service Providers in School Settings(p. 286)
• Teachers(p. 286)
• Audiologists(p. 289)
• Speech-Language Pathologists(p. 289)
• Related Support Personnel(p. 290)
• Services for Children with Auditory Processing Problems(p. 290)
• Summary Points(p. 296)
• Recommended Reading(p. 296)
• Recommended Resources(p. 297)
• Software(p. 297)
• Websites(p. 297)
• References(p. 298)
• Part 2 Comprehensive Approaches to Audiologic Rehabilitation(p. 301)
• 9 Audiologic Rehabilitation for Children: Assessment and Management(p. 303)
• Introduction(p. 303)
• Prevalence of Loss and Level of Service(p. 304)
• Terms and Definitions(p. 304)
• Profile of the Client(p. 305)
• Hearing Loss(p. 305)
• Age(p. 306)
• Other Disabling Conditions(p. 306)
• Rehabilitation Settings and Providers(p. 306)
• Identification and Assessment Procedures with Children(p. 308)
• Early Identification(p. 308)
• School Screening(p. 309)
• Medical and Audiologic Assessment(p. 309)
• Aspects of Audiologic Rehabilitation: Early Intervention for Parent-Infant and Preschool(p. 310)
• Rehabilitation Assessment: IFSP(p. 310)
• Management(p. 311)
• Aspects of Audiologic Rehabilitation: School Years(p. 341)
• Rehabilitation Assessment: IEP(p. 341)
• Management(p. 342)
• Summary(p. 355)
• Summary Points(p. 356)
• Recommended Reading(p. 357)
• Recommended Websites(p. 357)
• References(p. 358)
• Appendix(p. 364)
• 10 Audiologic Rehabilitation for Adults and Elderly Adults: Assessment and Management(p. 367)
• Introduction(p. 368)
• Profile of the Adult Client(p. 368)
• Hearing Loss over the Lifespan(p. 368)
• Profile of the Elderly Client(p. 370)
• Hearing Loss(p. 370)
• Physical and Mental Health and the Aging Process(p. 371)
• Personal and Environmental Factors(p. 372)
• Economic Status and Retirement(p. 372)
• Living Environments(p. 373)
• Model for Rehabilitation(p. 374)
• CORE Assessment(p. 376)
• CARE Management(p. 377)
• Feedback Based on Outcome Measures(p. 378)
• Conceptual Framework(p. 378)
• Rehabilitation Settings(p. 379)
• University Programs(p. 379)
• Community Centers and Agencies(p. 381)
• Military(p. 382)
• Consumer Groups(p. 383)
• Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialists(p. 383)
• Rehabilitation Assessment(p. 383)
• Assessing Impairment(p. 384)
• Assessing Activity and Participation(p. 385)
• CORE Assessment Summary(p. 393)
• Rehabilitation Management(p. 394)
• Counseling and Psychosocial Considerations(p. 396)
• Amplification and Instrumental Interventions to Achieve Audibility(p. 403)
• Remediation for Communication Activities(p. 417)
• Environmental Coordination and Participation Improvement(p. 421)
• Further Illustration of CORE and CARE(p. 424)
• Summary(p. 426)
• Summary Points(p. 427)
• Recommended Reading(p. 428)
• Recommended Websites(p. 428)
• References(p. 429)
• Part 3 Implementing Audiologic Rehabilitation: Case Studies(p. 435)
• 11 Case Studies: Children(p. 437)
• Introduction(p. 438)
• Case 1 Joey: Family-Centered Intervention: Multiple Disabilities(p. 439)
• Background Information(p. 439)
• Previous Rehabilitation(p. 439)
• Environmental Coordination and Participation(p. 441)
• Communication Rehabilitation Adjustment(p. 442)
• Psychosocial and Counseling Aspects(p. 443)
• Case 2 Mike: Decision Making by a Student Related to Cochlear Implants(p. 443)
• Background Information(p. 443)
• Aural Rehabilitation Plan: Preimplant(p. 444)
• Aural Rehabilitation Plan: Postimplant(p. 445)
• Intervention Outcomes(p. 446)
• Summary(p. 447)
• Case 3 Amber: Issues Affecting Educational Placement(p. 447)
• Background Information(p. 447)
• Assessment Findings(p. 448)
• Recommendations for Management(p. 451)
• Follow-up Assessment(p. 451)
• Case 4 Greg: Late Identification of a Hard of Hearing Child(p. 452)
• Background Information(p. 452)
• Communication Activity Assessment(p. 453)
• Management(p. 457)
• Intervention Outcomes(p. 458)
• Summary(p. 459)
• Case 5 Sam: Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention Problems(p. 459)
• Assessment(p. 460)
• Management(p. 462)
• Summary(p. 466)
• References and Recommended Reading(p. 466)
• Recommended Website(p. 466)
• 12 Case Studies: Adults and Elderly Adults(p. 467)
• Introduction(p. 467)
• Case 1 Dr. M.: Progressive Hearing Loss(p. 468)
• Case History(p. 468)
• Audiologic Rehabilitation Assessment(p. 469)
• Management(p. 470)
• Summary(p. 471)
• Case 2 Mr. B.: Hearing Loss, Depression, and Successful Hearing Aid Use(p. 472)
• Informational Counseling(p. 472)
• Rehabilitation Assessment(p. 472)
• Rehabilitation Management(p. 473)
• Summary(p. 476)
• Case 3 J. D.: AR Featuring a Significant Other(p. 477)
• Introduction(p. 477)
• Informational Counseling(p. 477)
• Rehabilitation Assessment(p. 477)
• Rehabilitation Management(p. 479)
• Summary(p. 484)
• Case 4 Mrs. D.: Cochlear Implant User(p. 484)
• Case History(p. 484)
• Assessment Information(p. 485)
• Preimplant Management(p. 486)
• Postimplant Management(p. 487)
• Summary(p. 489)
• Case 5 Mrs. E.: Nursing Home Hearing Aid User(p. 489)
• Case History(p. 489)
• Diagnostic Information(p. 489)
• Audiologic Rehabilitation(p. 489)
• Summary(p. 491)
• Summary Points(p. 491)
• Recommended Reading(p. 492)
• References(p. 492)
• Author Index(p. 493)
• Subject Index(p. 499)