This essay will illustrate the importance of effective communication during a hearing aid consultation based on a case study carried out at Queen Margaret University in Edinburgh, Scotland October, 2016 between myself and two colleagues.
These are the questions asked:
1. Reflect on the process of effective communication
2. Critique the case history form – how useful was it
3. Pay attention to how the information gathered is formatted and how useful this could be to another colleague working with this client in the future
4. Discuss individual management plan
5. Consider referral criteria – add GP letter
The initial section will describe my experience of playing the role of a hearing aid audiologist up to the stage of audiometric testing
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(Mehrabian 1972). A detailed and comprehensive case history will also enable other colleagues to understand the situation clearly at a later date.
Overall more counselling techniques should have been used before the test was carried out. Both parties should have been consulted on the effect the possibility of needing a hearing aid would have on them and why they felt that way.
The Individual Management Plan
Based on the information from the case history and the results of the audiogram I would explain to the client that as he is a new client of mine it is normal to refer him through his GP to an ENT consultant to establish the reason for his loss. I would gain his consent for this. After establishing how they both now felt I would put an initial management plan in place to help him at work, with or without the use of hearing aids.
After identifying what he was already doing I would suggest
1. GP referral due to unilateral sensorineural loss. (BAA Guidelines for Referral to Audiology of Adults with Hearing Difficulty,
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Pure Tone Audiometry was carried out for both ears. His right ear falls within normal limits and his left ear shows a relatively flat mild loss increasing to moderate loss at both 500 Hz and 2000 Hz. The Audiograms are inserted below for your information.
Impressions
From the testing that has been performed, there is indication that this is not only a sensorineural loss but also unilateral and beyond what would be classed as normal for someone of his age. However, without further testing it is not possible to fully define the nature of the hearing loss.
Recommendations
Further audiometric testing is required to adequately describe the nature of Mr Days hearing loss. Mr Day feels that a BTE hearing aid would be beneficial to him when he is on the pitch, however I feel it may be advisable to make a referral to an ENT consultant in the first instance. We have today reviewed some techniques of communication to help him in his daily practice, however a full management plan will be discussed once all testing has been completed.
Yours sincerely,
A.Student
Student
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National Institute on Deafness and Other Communication Disorders. (November 2002). Retrieved October 17, 2004, from http://www.nidcd.nih.gov/health/hearing/coch.asp
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