Effects of hearing loss Effects of hearing loss

 

 

How are you going to explain the effects of the hearing loss to his mother?
What are you going to recommend for him (referrals, testing, intervention)?
How will this affect your treatment plans/goals going forward?
Case History:
Joey, a 4-year-old male, has been your client for about 6 months. He was born full-term following a routine
pregnancy. According to his mother there are no known health issues or concerns about hearing, she is mostly
worried about his speech development. Mother cannot remember whether Joey passed his newborn hearing
test and he has not had any other evaluations. She does not report any family history of hearing loss.
You have been working on articulation and language goals with him. Joey attends sessions with you regularly
and he appears to work hard and be compliant during those sessions. Unfortunately, despite your best efforts,
Joey is not progressing as you think he should, and you are beginning to be concerned. Because you are an
outstanding clinician, you recommend that he have a full audiologic evaluation and receive the results shown
below.
Audiogram Values
500 Hz 100Hz 2000Hz 4000Hz
Right Ear 50dB 55dB 50dB 45dB
Left Ear 55dB 50dB 55dB 50dB
SRT = 50dB in both ears
Bone conduction matches air conduction
Tympanograms are normal in both ears
Patient cooperated for testing and responses are reliable.

 

 

Sample Solution

ed Maasai to become engaged in farming. This helps him to diversified their economy and avoid drought risks. According to Cambell (2005, p. 776), “Herding was being replaced by mixed livestock-cropping enterprises, and the better-watered margins of the rangelands was extensively cultivated. The main aim of Maasai’s people was to get well-watered land on the group ranches which were used herding and then agricultural activities: “The major incentive for acceptance of the concept of group ranches was that the Maasai saw in the legal title a means of maintaining their rights granted” (Campbell, 1986, p.47). However, the opportunity to get land in this area adapted to agriculture led to the increase in the number of immigrants. The population’s growth resulted in the problem of water and soil resource availability. Also the problem of land degradation has arisen. According to Kimani and Pickari (1998) the majority of farmers couldn’t afford fertilizes to improve the situation. “Soil fertility decline, increased soil erosion, and deforestation were widely reported in 1996” (Campbell, 1999, p.394). In the Loitokitok area farming began in the 1930s with the establishment of a District Office. The administration employed staff who came from farming areas elsewhere in Kenya, and who began to cultivate. In the Loitokitok area it reflects natural increase as well as migration of large numbers from the congested central highlands of Kenya to farm the slopes of Mt. Kilimanjaro and other hills. As for wildlife managers, among their main aims Campbell (2000) states nature diversity conservation – improving disrupted wildlife movements, access to water in riparian zones, and altered livestock grazing patterns. Another aspect, connected also with wildlife tourism enterprises, might be improving tourism facilities. Moreover, for a better management of various land use stakeholders of the region, there is an aim of wildlife managers to develop and implement strategies that might encourage people living near wildlife parks to accept the costs, and benefits, coming from the parks and the wildlife (Campbell, 2005). Basically, therefore among their activities we can mention return

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