Servicios de Clinica de Audiologia
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Transcript of Servicios de Clinica de Audiologia
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8/11/2019 Servicios de Clinica de Audiologia
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NHS Audiology
Services in WestDorset
Shelley Daniels
(Clinical Scientist)
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Any Qualified Provider
On July 19th2011 DoH announced that Adult Hearing Services in the
Community would be one of the first services to start the process of Any
Qualified Provider
All healthcare providersincluding NHS and independent organisations,charities and social enterprises, which meet the qualifying requirements will
be able to deliver some NHS services.
An independent report (Which, October 2010) into private hearing aid
dispensers rated 43 % of firms visited by an expert panel as poor.
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Location of services
Dorset County Hospital (Audiology Department and Childrens
Centre)
Weymouth Community Hospital
Blandford Community Hospital
Bridport Community Hospital
Yeatman Hospital (Sherborne)
Soundproofed rooms at Blandford, Bridport and Yeatman Hospital.
Soundproofed booths at Weymouth and Dorset County Hospital Paediatric test facility at Dorset County Hospital
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Staff
0.75 WTE Head of Department (Clinical Scientist)
3 WTE Clinical Scientists
1.2 WTE Hearing Therapists
3.69 WTE Senior Audiologists
0.77 WTE Senior Technical Officer
2 WTE Administration staff
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NHS Hearing aid service
Staff are trained in counselling patients
- in respect to hearing loss
- adjustment of expectations
- goal setting
- adaptation and acclimatisation
http://www.google.co.uk/imgres?imgurl=http://www.carersmiltonkeynes.org/whatwedo/counselling_counselling.jpg&imgrefurl=http://www.carersmiltonkeynes.org/whatwedo/counselling.shtml&usg=__u_e0R2MPMu6BkFaARSGlZbJPpEI=&h=268&w=300&sz=22&hl=en&start=1&zoom=1&tbnid=OineDkWyzb5tKM:&tbnh=104&tbnw=116&ei=QiuoTu_wIozPsgau7PzYDQ&prev=/search%3Fq%3Dcounselling%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1 -
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Pathway for a hearing aid
patient
Referral for HA assessment (Direct Referral)
1 hour appointment (Assessment appointment)
1 hour fitting appointment
30 minutes follow up appointment
Ongoing access to repair service (booked repair slots availablewithin 1 week, postal repair service offered)
http://www.google.co.uk/imgres?imgurl=http://www.golffornewbies.com/images/arrow-down-green.png&imgrefurl=http://golffornewbies.com/&usg=__5F_gTj6E8ZiAQHv9lhXZ6brsECc=&h=643&w=315&sz=12&hl=en&start=3&zoom=1&tbnid=MW2fwMbaJhBPZM:&tbnh=137&tbnw=67&ei=gIVoTvDAHY75sgbIh42bAg&prev=/search%3Fq%3Ddown%2Barrow%26hl%3Den%26gbv%3D2%26tbm%3Disch&itbs=1 -
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Direct Referral (1 Hour)
Patient History
Otoscopy
Audiometry/tympanometry
Explanation of results
Counselling with respect to hearing loss
Identify patients agreed needs
Discussion of monaural vs binaural
Impression taking
http://www.google.co.uk/imgres?imgurl=http://www.snorestore.co.uk/acatalog/proguard_audiologist.jpg&imgrefurl=http://www.snorestore.co.uk/acatalog/proguard-custom-audiology.html&usg=__y-FSH1XmM9NDmiyhd56VQSmm3RY=&h=432&w=565&sz=61&hl=en&start=1&zoom=1&tbnid=yQgVIDmfzRYpoM:&tbnh=102&tbnw=134&ei=hnmmTr_bCZTZ8gO8gaHdDw&prev=/search%3Fq%3Daudiologist%26hl%3Den%26sa%3DG%26gbv%3D2%26tbm%3Disch&itbs=1 -
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Hearing Aid Fitting
Review agreed needs
Ear mould fit and modification
Real Ear Measurements (REM)
Functionality options
Explanation of HA functions
Care of HA
Insertion of aid
Other services
http://www.google.co.uk/imgres?imgurl=http://www.psych-sci.manchester.ac.uk/images/course-marketing/audiologyanddeafness/hearing_aid275.jpg&imgrefurl=http://www.psych-sci.manchester.ac.uk/aboutus/whatwedo/audiologyanddeafness/&usg=__d0jgfL6znj4ZQ-3bcYnAyRKNlHM=&h=287&w=275&sz=19&hl=en&start=2&zoom=1&tbnid=1rlzqJlCNmELMM:&tbnh=115&tbnw=110&ei=2CqoTti0BpHLsgaOn6SIDg&prev=/search%3Fq%3Dhearing%2Baid%2Bfitting%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1 -
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Real Ear Measurements
Objective measurement of acoustic output
takes into account the acoustic properties of the ear canal
Uses specific fitting rationales
verify fit
rehabilitation tool
uses DSP to fullest capacity
http://www.google.co.uk/imgres?imgurl=http://www.psych-sci.manchester.ac.uk/images/course-marketing/audiologyanddeafness/hearing_aid275.jpg&imgrefurl=http://www.psych-sci.manchester.ac.uk/aboutus/whatwedo/audiologyanddeafness/&usg=__d0jgfL6znj4ZQ-3bcYnAyRKNlHM=&h=287&w=275&sz=19&hl=en&start=2&zoom=1&tbnid=1rlzqJlCNmELMM:&tbnh=115&tbnw=110&ei=2CqoTti0BpHLsgaOn6SIDg&prev=/search%3Fq%3Dhearing%2Baid%2Bfitting%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1 -
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NHS Hearing Aids
Digital
Latest Technology
Thin tubes available
http://www.google.co.uk/imgres?imgurl=http://www.earmoldconceptsinc.com/images/lucite_hard.jpg&imgrefurl=http://www.earmoldconceptsinc.com/Earmold_Materials.html&usg=__M8Gp5Po_nMPslnpxtFJaoqWnTqY=&h=90&w=100&sz=3&hl=en&start=15&zoom=1&tbnid=htn4hsVR-g9AAM:&tbnh=74&tbnw=82&ei=Z_mnToTeItKp8APIyIDXDw&prev=/search%3Fq%3Dclear%2Bearmold%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=https://media.supplychain.nhs.uk/media/images/GHB558/large/43616_GHB558.jpg&imgrefurl=https://my.supplychain.nhs.uk/catalogue/product/ghb558/hearing-aid-bte-digital-moderate-power-beige-eterna-211-daz&usg=__xpDUe-k2Cj1Y7k3u9lFcqjaNhmg=&h=424&w=300&sz=15&hl=en&start=4&zoom=1&tbnid=v3Lbw6X0Otb6kM:&tbnh=126&tbnw=89&ei=QPmnTrvmB4bX8gOfmsCxDw&prev=/search%3Fq%3Dphonak%2Bnathos%2Baid%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=http://4.bp.blogspot.com/_OGssKMCZuL0/S8Y0cwKsS_I/AAAAAAAAALA/B7zTPpv9eTw/s400/safari.jpg&imgrefurl=http://jaxndave.blogspot.com/2010/04/dont-know-much-but-i-know-i-love-you.html&usg=__cmneqEkDA6zb-CSIHv0YqcJnsnE=&h=206&w=250&sz=18&hl=en&start=5&zoom=1&tbnid=XROgx7kg3GCZlM:&tbnh=91&tbnw=111&ei=AvmnTsiMIca38gOjtYDeDw&prev=/search%3Fq%3Dchelsea%2Bearmold%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=http://www.minervalabs.co.uk/siteimages/fl%2520pink-Hard_Soft%2520Acrylics.jpg&imgrefurl=http://www.minervalabs.co.uk/pages/hard-acrylic-flourescent.php&usg=___f3JZupZjuOn3jT-TBqY63iVj4A=&h=120&w=120&sz=6&hl=en&start=18&zoom=1&tbnid=H3zRd4m0xAGCvM:&tbnh=88&tbnw=88&ei=mvinTqL0MYa58gOR5IHRDw&prev=/search%3Fq%3Dminerva%2Bpink%2Bglitter%2Bear%2Bmould%26hl%3Den%26sa%3DN%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=http://www.minervalabs.co.uk/siteimages/green-Glitter.jpg&imgrefurl=http://www.minervalabs.co.uk/pages/novelty-glitter-moulds.php&usg=__e0bZelK8-CYFvOm4RPd9Xl4HK28=&h=120&w=120&sz=5&hl=en&start=10&zoom=1&tbnid=KYm3w0Dz-Q4mtM:&tbnh=88&tbnw=88&ei=mvinTqL0MYa58gOR5IHRDw&prev=/search%3Fq%3Dminerva%2Bpink%2Bglitter%2Bear%2Bmould%26hl%3Den%26sa%3DN%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=http://www.minervalabs.co.uk/siteimages/blue-Glitter.jpg&imgrefurl=http://www.minervalabs.co.uk/pages/novelty-glitter-moulds.php&usg=__C3UJe4Or6fCrwmWksGOw4AwvdNQ=&h=120&w=120&sz=6&hl=en&start=11&zoom=1&tbnid=PS9vLNuWAwSLkM:&tbnh=88&tbnw=88&ei=mvinTqL0MYa58gOR5IHRDw&prev=/search%3Fq%3Dminerva%2Bpink%2Bglitter%2Bear%2Bmould%26hl%3Den%26sa%3DN%26gbv%3D2%26tbm%3Disch&itbs=1http://www.google.co.uk/imgres?imgurl=http://www.danalogic-ifit.com/images/products/Danalogic-iFIT.jpg&imgrefurl=http://www.danalogic-ifit.com/products_overview.php&usg=__sb6KYSNK8V4F91OFl4TD0SWFabk=&h=217&w=194&sz=9&hl=en&start=2&zoom=1&tbnid=oApHN2I-XnXadM:&tbnh=107&tbnw=96&ei=IPinTuz5BMHW8gP70MzRDw&prev=/search%3Fq%3Ddanalogic%2Bhearing%2Baid%26hl%3Den%26sa%3DN%26gbv%3D2%26tbm%3Disch&itbs=1http://www.danalogic-ifit.com/images/products/Danalogic-iFIT.jpg -
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Volunteer Service
We have a volunteer who is happy to go to peoples homes.
Very often this is to help people to get to grips with fitting the ear
mould
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Other services provided by
Audiology
Paediatric hearing assessments and hearing aid fitting/ on goingmaintenance of aids
Vestibular assessments and Rehabilitation
Hearing Therapy, including advice and assistance re tinnitus
Testing of babies referred for further assessment by the newbornhearing screen.
Domiciliary visits
Audiometry service for ENT
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Links with other services
Social services-sight and
sound centres
Refer potential cochlear
implant candidates to
Southampton (SOECIC) + Refer potential BAHA
candidates to Salisbury
Work closely with Education
service for the benefit of our
paediatric hearing aid users ENT Consultants have offices
in the Audiology department
http://www.google.co.uk/imgres?imgurl=http://topnews.in/health/files/baha-098.jpg&imgrefurl=http://www.topnews.in/health/bone-anchored-hearing-aids-beneficial-hearing-impaired-kids-210933&usg=__wiw_BfPUujHHF7Pl6dciqdlugBI=&h=240&w=225&sz=19&hl=en&start=5&zoom=1&tbnid=BTSmPyXr_wh46M:&tbnh=110&tbnw=103&ei=aF2pTpHNPMKp8QPXqNXpCw&prev=/images%3Fq%3Dbone%2Banchored%2Bhearing%2Baid%26hl%3Den%26gbv%3D2%26tbm%3Disch&itbs=1http://wwwnew.isvr.soton.ac.uk/soecic/processor%20on%20ear.jpghttp://wwwnew.isvr.soton.ac.uk/soecic/processor%20on%20ear.jpghttp://www.google.co.uk/imgres?imgurl=http://topnews.in/health/files/baha-098.jpg&imgrefurl=http://www.topnews.in/health/bone-anchored-hearing-aids-beneficial-hearing-impaired-kids-210933&usg=__wiw_BfPUujHHF7Pl6dciqdlugBI=&h=240&w=225&sz=19&hl=en&start=5&zoom=1&tbnid=BTSmPyXr_wh46M:&tbnh=110&tbnw=103&ei=aF2pTpHNPMKp8QPXqNXpCw&prev=/images%3Fq%3Dbone%2Banchored%2Bhearing%2Baid%26hl%3Den%26gbv%3D2%26tbm%3Disch&itbs=1 -
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When to refer to Audiology?
Adult hearing loss:If the clinical question is Could this pt benefit
from a hearing aid?
Hearing loss with some associated tinnitus is acceptable
We do not offer an adult audiometry service to GPs at present
Vestibular:We do NOT currently accept direct referrals for
vestibular assessments or rehabilitation
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When to refer to Audiology?
Paediatrics:If the main concerns is hearing please refer directly toAudiology, including suspected middle ear effusion.
If you also require advice re management of recurrent ear infectionsplease refer to ENT
We accept referrals where there is concern regarding a childs
development of speech and language in order to rule out hearing
loss as a cause for delayed speech
http://www.google.co.uk/imgres?imgurl=http://www.wehct.nhs.uk/henry_with_hearing_test-220x260.jpg&imgrefurl=http://www.wehct.nhs.uk/index/ourservices/audiology/paediatricaudiology.htm&usg=__sxo6cko_danm3PpJOvb5amNUtZE=&h=260&w=220&sz=32&hl=en&start=3&zoom=1&tbnid=f-gAu7kauVZ-HM:&tbnh=112&tbnw=95&ei=jSuoTvDyK4vKswbkzMjODQ&prev=/search%3Fq%3Dpaediatric%2Bhearing%2Btest%26hl%3Den%26sa%3DX%26gbv%3D2%26tbm%3Disch&itbs=1 -
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Numbers
Each year we carry out approximately
8500 hearing aid repairs
3000 Audiograms for ENT
2500 assess and fit (2 x 1 hour appts)
1600 Follow up appointments for HA pts
1000 paediatric hearing assessment appointments
350 paediatric hearing aid appointments
200 advanced tests
In West Dorset there are c. 1015000 NHS hearing aid users
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Packs for you to take away
Oticon hearing check cards
Demonstration Danalogic hearing aid
Guidance re referring to Audiology
Poster advertising NHS Audiology Services
Post it notes