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comm disorder final

AAC augmentative and alternative communication
AAC makes up all forms of communication other than oral
Who uses AAC? 4 mill people in the U.S, temporary or permanent
What is assistive technology? an umbrella term for any technology, device, or equipment designed to enhance the functional capabilities of individuals with disabilities.
Unaided AAC no external equipment used, use of gestures
Aided AAC some type of equipment or device--rages with sophistication
No Tech AAC does not involve technology and use readily available materias such as alphabet boards or paper and pencil
Low Tech AAC simple to use technology with limited pragmatics. few moving parts.
Mid Tech AAC have some amt of electrical power and speech generation capabilities--limited customization
High Tech AAC complex and sophisticated electronic devices that may require training
Patient Assessments for AAC depends on the cognitive and motor ability of the person, vocabulary, and use of the system
Device Assessments for AAC arrangement/size of symbols, types of symbols, portability,, output method
Selection Assessments for AAC vocab reflecting the users individual preferences and desires.
Other considerations for AAC positive AAC culture that individualizes content and uses meaningful interactions
incidence of hearing loss 20% of americans, 1/3 adults over 65
childhood hearing loss interferes with school, speech, difficulties in listening environments,
adulthood hearing loss stress, irritability and fatigue, isolation
deaf when hearing loss reaches 90dB or higher
deaf community deaf indivuduals
deaf culture rich traditions, folklore, and contributions to the arts
audiology the prevention and assessment of auditory, vestibular, and related impairments
habilitation teaching skills that were never developed
rehabilitation relearning skills that were loss
component one of hearing loss energy source- air that is exhaled
component two of hearing loss vibrating object- larynx;vocal folds
component three of hearing loss medium to conduct vibrations-air to conduct
component four of hearing loss receptor to recieve information-ear and brain
sound series of compressions and rarefractions that move outward from a vibrating source
amplitude the distance the vibrating object travels in either direction
frequency refers to the number of cycles of vibration per second
peripheral auditory system made up of outer ear, middle ear, inner ear, the vestibulocochlear nerve
central auditory system auditory brain stem, auditory cortex of the brain
outer ear consists of the pinna and external auditory meatus
pinna enhances sound and facilitates localization
cerumen hair follicles and glands that produce earwax
tympanic membrane (middle ear) vibrates in response to sound waves
middle ear space (middle ear) air-filled, lined with mucous membranes, and includes the opening to the Eustachian tube.
Eustacian tube (middle ear) connects middle ear with the nasopharynx
other parts of middle ear melleus, incus, stapes (ossicles)
cochlea (inner ear) 1ST COMPONENT provides auditory input to central auditory system in brainsteam and brain
perilymph & endolymph (innerear) two networks or labyrinths that regulate the electrical impulses of hair cells.
organ of Corti (inner ear) produces nerve impulses
basilar membrane(inner ear) contains thousands of hair cells that connect to auditory nerve endings
hair cells( inner ear ) convert sound waves into electrical signals
neuroelectrical energy generated and transmitted to the acoustic branch of the vestibulocochlear nerve.
vestibular system 2ND COMPONENT controls balance through the vestibular branch of the vestibulocochlear nerve
conductive hearing loss outer and middle ear
sensorineural hearing loss inner ear
mixed hearing loss both conductive and sensorineaural hearing loss
normal hearing range 0-25dB
profound range > 90 dB
conductive loss is from deformation, malfunction, or obstruction of the outer or middle ear; impacts audibility
three outer ear disorders anotia, microtia, atresia
anotia absence of the pinna on one or both sides
microtia small, malformed pinna that does not result in loss of hearing sensitivity by itself
atresia closure of the auditory canal
two middle ear disorder otosclerosis and otitis media
otosclerosis replacement of healthy bone w/ spongy bone in the area of the stapes footplate; results in reduced mobility of the stapes
otitis media inflammation of the mucous membrane lining the middle ear--eustacian tube dysfunction
inner ear disorders absence, malformation or damage to inner ear structures that are permanent.
sensorineural loss w/ hearing loss factors that influence the effects of the loss on speech, language, and cognition
causes of sensorineural loss meningitis, ototoxic antibiotics, presbycusis, acoustic
pure tone audiometry determines the threshold of frequency within the ear from ranges of 250-8000Hz
pure tones sounds that contain energy at a single frequency
threshold lowest intensity at which a person can detect a stimulus 50% of the time
hard of hearing/hearing impaired hearing loss falls in the slight/mild-severe range
deaf auditory thresholds fall in profound range
air conduction test administered while the client wears headphones
bone conduction administered w/ a bone oscillator directly stimulating the cochlea
hearing aids contains a microphone, amplifier, reciever, and processor.
whats the treatment for conductive? hearing aids
whats the treatment for sensorineural? cochlear implants
cochlear implants bypasses damaged hair cells of cochlea and directly stimulate the auditory nerve fibers w/ electrical energy
dysphagia disordered swallowing
impact of dysphagia major social activity, parent-child relationship, isolation
aspiration pnumonia choking that leads into the lungs
primary diagnosis of dysphagia cerebral palsy, autism, cleft lip
oral prep phase tongue cups to hold food/drink > tongue lateralizes for bolus creation > bolus held in mouth by sofr palate
bolus mass of food shaped into a form to be swallowed in one collective piece.
oral transport phase bolus formed > front to back of the mouth > pharyngeal swallow
pharyngeal phase velum raises for bolus > base of tongue touches pharyngeal > upper esophageal segment opens for bolus
esophageal phase bolus enters esophagus > peristalsis moves bolus into stomach
peristalsis rhythmic, wavelike contractions
reduced lip seal drooling; spillage
reduced chewing poor bolus formation, poor anterior-posterior propulsion
sensory aversions structutes + capabilities may be related to sensitivity to textures
delayed swallow trigger penetration or aspiration
penetration food/liquid enters the airway about VF
aspiration food/liquid enters airway below VF
poor velopharyngeal port closure food/liquid escapes thru nose
reduced base of tongue to pharyngeal wall approx. residue in pharynx
reduced hyolaryngeal elevation epiglottis doesnt protect airway opening
reduced pharyngeal muscle strength residue in pharynx
reduced opening of the upper esophageal segment residue in the pharynx
slow peristalisis slowing of movement of food from esophagus to stomach
major components of DX of swallowing disorders 1. case history: symptoms & complaints 2. exampinaltion of oral 3. food trials
aspiration watery eyes, throat clearing, wet vocal quality, changes in breathing, coughing, burping, fevers, food "stuck in throat"
videofluoroscopic swallow study (VFSS) xray procedure
Created by: user-1870139
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