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    Living with Hearing Difficulties

    The process of enablement

    AvDafydd Stephens,Sophia E. Kramer

    Häftad, Engelska, 2009

    669 kr

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    E-bok

    763 kr

    Beskrivning

    Living with Hearing Difficulties is a source-book for professionals who encounter and support individuals with hearing difficulties. It will also be of interest to people with hearing difficulties themselves and those close to them. The book highlights the concept of audiological enablement as being an interactive process requiring the active involvement of both clinician and patient. The thirteen chapters encompass four sections which broadly follow the categories of the World Health Organization's ICF (2001): Section 1 addresses types of hearing disorders, the impairments they cause and also the process of help seeking.Section 2 deals with the effects of hearing impairment on communication and psychosocial functioning.Section 3 considers the individual in their environment; their family, work, and leisure. Section 4 elaborates on the process of enablement in a non-prescriptive manner.The authors approach the problems and needs from the standpoint of what the patient/client is seeking. Enablement is seen as a team effort between the professionals, the patient and their family in an ever-changing environment. This entails using any relevant techniques to ensure the well-being of the individual with hearing impairment; that end remains very much their goal.The book also has a companion website www.wiley.com/go/stephens which hosts additional downloadable documents as well as a demonstration of the concept of the signal-to-noise ratio.

    Produktinformation

    • Utgivningsdatum:2009-09-25
    • Mått:168 x 244 x 15 mm
    • Vikt:440 g
    • Format:Häftad
    • Språk:Engelska
    • Antal sidor:254
    • Förlag:John Wiley & Sons Inc
    • ISBN:9780470019856

    Utforska kategorier

    • Audiologi och otologi inom Medicin

    Mer om författaren

    Dafydd Stephens FRCP, is Honorary Professor of Audiological Medicine at Cardiff University, Wales, UK. Sophia E. Kramer, PhD, is Senior Researcher and Psychologist at the Department of E.N.T. / Audiology / EMGO Institute for Health and Care Research at the VU University Medical Centre in Amsterdam, the Netherlands.

    Innehållsförteckning

    • Foreword viiiPreface xAcknowledgements xiii1 Introduction 1The need for this book 1Terminology 2Layout of the book 4The World Health Organization classifications 5Theoretical/management models in the general rehabilitation literature 8Models of audiological enablement 11The Goldstein–Stephens model 13The role of positive experiences associated with hearing impairment 19Relevant measures in assessing patients’ needs and the outcomes of interventions 21Development of a preliminary model appropriate to hearing impairment 24Conclusion 252 Seeking help 26Introduction 26Becoming aware of hearing difficulties 27The decision to seek help 31Referral for hearing help 36Ethics/philosophy of adult screening 38Conclusion 423 Types of hearing impairment and their consequences 43Introduction 43Basic anatomy and physiology and their implications 43Purposes and process of assessment 47Types of hearing impairment and their consequences 50Severity of hearing impairment 54Unilateral/asymmetrical hearing impairment 55Age of onset 55Genetic issues 57Progressive/sudden onset 58Conclusion 584 The influence of other factors on assessment and goals of enablement 60Introduction 60Auditory symptoms 60General aural symptoms 63Vision 66Cognitive and intellectual factors 67Neuromusculoskeletal problems 68Conclusion 695 Communication 71Introduction 71Ecological audiology 71Ramsdell’s classification 73Attitudes of the Deaf 81Conclusion 826 Social and emotional aspects of hearing impairment 83Introduction 83Participation in life 83Psychosocial dysfunction 84Psychosocial consequences of Deafness 90Demographic factors 91Conclusion 947 Hearing impairment in the family 96Introduction 96Impact of hearing impairment on significant others 96Coping strategies 98Inclusion of significant others in enablement programmes 100Hearing impairment arising from genetic causes or with a familial basis 100Impact of having a family history of hearing impairment 102Discussion 107Conclusion 1088 The process of enablement at work 109Introduction 109Statistics 109Impact of hearing impairment on occupational performance 110Impact of work-related hearing impairment on significant others 113Vocational enablement 114Vocational Enablement Protocol (VEP) 115Discussion 120Conclusion 1219 Leisure and the wider social environment 122Introduction 122Prevalence 122Solitary versus interactive pastimes 123The role of leisure 123Opportunities for entertainment and leisure 124Community life 125Recreation and leisure 126Religion and spirituality 131Human rights, political life and citizenship 132Conclusion 13310 The process of enablement 1: Evaluation and decision-making 134Introduction 134The evaluation process 134Integration and decision-making 156Conclusion 15911 The process of enablement 2: Short-term remediation 160Introduction 160Instrumentation 160Strategy 174Ancillary help 178Conclusion 18012 Enablement 3: Ongoing remediation and outcome assessment 181Ongoing remediation 181Effectiveness of group programmes 194Outcome assessment 196Conclusion 20113 Overall conclusions 202Appendix: Longitudinal changes in enablement needs of older people with hearing impairment by Louise Hickson 205References 209Index 237