Introduction to Audiologic Rehabilitation, 7th edition

₁ Overview of Audiologic Rehabilitation 
Ronald L. Schow,
Michael A. Nerbonne Chris A. Sanford
Introduction 
Definitions and Synonyms 
Providers of Audiologic Rehabilitation 4 Education Needs of Providers 
Hearing Loss Characteristics 
Degree of Hearing Loss and Configuration 5 Time of Onset 
Type of Loss 
Auditory Speech Recognition Ability 
Consequences of Hearing Loss: Primary and Secondary 
Communication Difficulties 11 Variable Hearing Disorder/Disability 
Rehabilitative Alternatives 
Historical Background 
Contemporary Issues 
Current Status 
Procedures in Audiologic Rehabilitation: An AR Model-;CORE and CARE 
Rehabilitation Assessment Procedures 
Management Procedures 
Settings for Audiologic Rehabilitation 
Children 
Adults 
Elderly Adults
Summary and Summary Points 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
References 

₂ Hearing Aids and Hearing Assistive Technologies 
Holly Kaplan
Alice E. Holmes
Introduction 
History of Amplification 
Hearing Aid Components 
Microphone 

PART ONE: Fundamentals of Audiologic Rehabilitation 
Amplifier (Digital Processor) 
Receiver 
Batteries 
Hearing Aid Styles 
Behind-the-Ear 
Receiver-in-the-Canal 
In-the-Ear/In-the-Canal/Completely-in-the-Canal 39 Extended-Wear Hearing Aids 
The Earmold 
Who Is a Hearing Aid Candidate? 
Degree of Hearing Loss 
Degree of Communication Disability 42 Motivation to Use Amplification 
Hearing Aid Fitting Protocol 
Selection 
Quality Control 
Fitting 
Hearing Aid Orientation 
Verification/Validation/Outcome Measures 
Pediatric Fittings 
Special Fittings 
Contralateral Routing of the Signal (CROS) Fittings 
Bone-Conduction Hearing Aids 
Bone-Anchored Devices 
Middle Ear Implantable Hearing Aids 
Cochlear and Brainstem Implants 
Hearing Assistive Technology, or When a Hearing Aid May Not Be Enough 
Types of Assistive Devices 
The Role of the Audiologist in Assistive Listening/Hearing Assistive Technology Systems 
Verifying and Validating the Fitting of HATS 
The Bottom Line: Cost Management and Payment for Hearing Aids and Hats 
Concluding Remarks 
Summary 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
References 

₃ Cochlear Implants 
Alice E. Holmes
Introduction 
How Does a Cochlear Implant Work?
History of Cochlear Implants
Current
Systems 
The Cochlear Implant Team
Who Is a Candidate? 
Deaf Culture and Cochlear Implants 
Treatment Plans for Cochlear Implant Recipients 
Variables Affecting Performance 
Bilateral Hearing with Cochlear Implants 
Auditory Brain Stem Implant 
Electroacoustic Stimulation 
Summary Points 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites
References 

₄ Auditory Stimulation in Communication 
Michael A. Nerbonne
Ronald L. Schow Kristina M. Blaiser
Introduction 
A Communication Model 94 Auditory Perception 
Development of Auditory Skills 95 Basic Perception Abilities 
Acoustics of Speech 
Speech Perception and Comprehension
Speech
Perception and Hearing Loss 
The Auditory Training Process 
Definition and Application of Auditory Training 
Early Efforts in Auditory Training 
Current Approaches to Auditory Training 
Candidacy for Auditory Training 
Assessment of Auditory Skills 
Methods of Auditory Training 
Summary Points 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
References 

₅ Visual Stimuli in Communication 
Nicholas M. Hipskind
Introduction 
Factors Related to Speechreading 
Speaker 
Signal and Code
Environment 
Speechreader 
Speechreading and Hearing Loss 
Assessment of Speechreading Ability 
Visual Assessment and Speechreading Evaluation
Hearing Loss and Dependence on Vision 
Traditional Speechreading Methods 
Recent Trends in Speechreading Instruction 
Manual Communication 
Types of Manual Communication 
Summary Points 
Supplementary Learning Activities 
Recommended Reading 
References 
Appendixes 
Language and Speech of the Deaf and Hard of Hearing 
Kristina M. Blaiser Gabriel A. Bargen
Introduction 
Communication Options for Families of Children Who Are Deaf/Hard of Hearing
Systems Emphasizing Listening and Spoken Language 
Manual--Visual Systems 
Systems Combining Visual and Auditory Information 
Hearing as the Foundation for Speech and Language
Factors Affecting Speech and Language Acquisition 
Language Characteristics of Children with Hearing Loss
Impact of Hearing Loss on Language Components 
Language Assessment 
Formal Language Measures 
Language Sample and Narrative Analysis 
Speech Development in Children with Hearing Loss 
Speech Characteristics 
Speech Assessment 
Summary and Summary Points
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
References 
Psychosocial Aspects of Hearing Loss and Counseling Basics 
Kris English
Introduction 
Psychosocial Aspects of Hearing Loss
Growing Up with Hearing Loss 
Acquiring Hearing Loss as Adults
About
Being Deaf 
Deafness with a Capital “D” 
“Knowing Is Not Enough”: Counseling Basics 
Important Distinctions 
What We May Think Counseling Is 
What Counselors Say Counseling Is 
The Counseling Process 
When to Refer 
Does Counseling Make a Difference?
Concluding Remarks 
Summary 
Supplementary Learning Activities
Recommended Reading 
Audiologic Counseling
Psychology of Deafness
Deaf Culture 
Recommended Websites 
References 
Appendix 
Audiologic Rehabilitation Services in the School Setting
Kris English
Introduction 
Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Loss 
Hearing Loss and Learning
Mandated by Law 
Key Components of IDEA 
Least Restrictive Environment 
The Individualized Education Plan 
Types of Communication Modalities 
AR Services Provided in Schools 
Screening and Assessment 
Management of Amplification/Audition 
Direct Instruction and Indirect Consultation 
Evaluation and Modification of Classroom Acoustics 
Transition Planning to Postsecondary Placements 
How Services Are Provided 
AR Service Providers in School Settings 
Teachers 
Audiologists 
Speech-Language Pathologists 
Related Support Personnel 
Services for Children with Auditory Processing Problems 
Diagnosis/Assessment of APD 
Remediation of APD 
“A Day in the Life” of an Educational Audiologist
Summary 
Supplementary Learning Activities
Recommended Reading 
Recommended Resources 
Software 
Websites 
References 
Appendix 

₉ Audiologic Rehabilitation for Children 
Mary Pat Moeller
Ronald L. Schow Mary M. Whitaker
Introduction 
Prevalence of Loss and Level of Service 
Contemporary Efforts to Strengthen the Evidence Base in Audiologic Rehabilitation 

PART TWO: Comprehensive Approaches to Audiologic Rehabilitation 
xiv Contents
Terms and Definitions 
Profile of the Client 
Hearing Loss 
Age 
Other Disabling Conditions
Rehabilitation Settings and Providers
Identification and Assessment Procedures with Children 
Early Identification 
School Screening 
Medical and Audiologic Assessment 
Aspects of AR: Early Intervention for Parent--Infant and Preschool 
Rehabilitation Assessment: IFSP 
Management 
Aspects of AR: School Years 
Rehabilitation Assessment: Individualized Education Plan
Management 
Concluding Remarks 
Summary 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
References 
Audiologic Rehabilitation across the Adult Life Span: Assessment and Management 
M. Kathleen Pichora-Fuller Ronald L. Schow
Introduction 
Profile of the Adult Client 
Hearing Loss across the Life Span 
Help Seeking and Screening 
Profile of the Older Adult Client 
Auditory Aging 
Physical, Psychological, and Social Aspects of Adult Aging 
Personal and Environmental Factors 
Retirement, Leisure, and Economic Status 
Living Environments 
Model for Rehabilitation 
CORE Assessment
CARE Management 
Feedback Based on Outcome Measures 
Importance of the Conceptual Framework to AR Practice 
Rehabilitation Settings 
Research and Teaching Settings: Universities 
Military and Veterans Administration Medical Centers 
Community Centers, Agencies, and Consumer Groups 
Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialists 
Rehabilitation Assessment 
Assessing Hearing Loss and Consideration of Comorbid Health Conditions 
Assessing Activity and Participation and Considerations of Social Factors 
CORE Assessment Summary 
Rehabilitation Management 
Counseling and Psychosocial Considerations with a Health-Promoting Approach 
Amplification and Instrumental Interventions to Achieve Audibility 
Remediation for Communication Activities 
Environmental Interventions to Improve Participation 
Other Important Issues in the Scope of AR Practice 
Vestibular Assessment and Management 
Tinnitus Assessment and Management 
Summary and Summary Points 
Supplementary Learning Activities 
Recommended Reading and Recommended Websites 
World Health Organization (WHO) Resources 
Consumer Associations and Resources for the Public 
Websites about AR Tools 
References 
Appendix A to G

PART THREE: Implementing Audiologic Rehabilitation: Case Studies
₁₁ Case Studies: Children 
Mary Pat Moeller
Catherine Cronin Carotta
Introduction 
Case 1: Matthew-;Early Intervention, Multiple Disabilities 
Background Information 
Intervention Plan 
Environmental Coordination and Participation 
Assessment: Postimplantation 
Psychosocial and Counseling Aspects 
Assessment and Intervention Postdiagnosis of Autism Spectrum Disorder 
Communication Rehabilitation Adjustment 
Summary 
Case 2: Annie-;Routes to Spoken Language Following Cochlear Implantation 
Background Information 
Aural Rehabilitation Plan: Preimplantation 
Aural Rehabilitation Plan: Postimplantation 
Intervention Outcomes 
Summary 
Case 3: Amber-;Issues Affecting Educational Placement 
Background Information 
Assessment Findings 
Recommendations for Management
Follow-Up Assessment 
Case 4: Greg-;Late Identification of a Child Who Is Hard of Hearing 
Background Information 
Communication Assessment 
Management 
Intervention Outcomes 
Summary 
Case 5: Sam-;Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention Problems 
Assessment 
Management 
Chapter Summary and Summary Points 
Supplementary Learning Activities 
Recommended Website 
References and Recommended Reading 

₁₂ Case Studies: Adults and Elderly Adults 
Michael A. Nerbonne
Jeff E. Brockett Alice E. Holmes
Introduction 
Case 1: Dr. M.-;Progressive Hearing Loss 
Case History 
AR Assessment 
Management 
Summary 
Case 2: Mr. B.-;Hearing Loss, Depression, and Successful Hearing Aid Use 
Informational Counseling 
Rehabilitation Assessment 
Rehabilitation Management 
Summary 
Case 3: J.D.-;AR Featuring a Significant Other 
Introduction 
Informational Counseling 
Rehabilitation Assessment
Rehabilitation Management 
Summary 
Case 4: Mrs. R.:-;Cochlear Implant User 
First Evaluation 
Rehabilitation Assessment 
Second Rehabilitation Assessment 
Post--Cochlear Implant Rehabilitation Management 
Summary 
Case 5: Mrs. E.-;Nursing Home Hearing Aid User 
Case History 
Diagnostic Information 
AR 
Summary 
Case 6: Ashley-;New Technology for an Experienced User 
Introduction 
Informational Counseling 
Rehabilitation Assessment 
Rehabilitation Management 
Summary 
Case 7: Ms. C.-;Dizziness Issues 
Introduction 
Rehabilitation Assessment 
Informational Counseling 
Rehabilitation Management 
Summary 
Chapter Summary Points 455 Supplementary Learning Activities 
Recommended Reading and Recommended Website
References 
Author Index 
Subject Index