After the assessment interview, make a plan with the child and their caregiver. The plan might include:
- Control de la capacidad auditiva.
- Cómo hacer una derivación.
- Provisión de aparatos auditivos.
- Teaching the child and their caregiver how to use hearing aids safely
- Programación de una cita de seguimiento.
Control de la capacidad auditiva
You should monitor children within normal hearing range and plan follow up in one year to retest hearing.
Encourage the child and caregiver to return sooner if there is a change in hearing.
Remember Anju?
Anju’s hearing test result was within normal hearing range in both ears.
The health worker explains there are some easy things that will help keep Anju’s ears healthy including:
- Avoid putting anything inside ears
- Evite bañarse en agua sucia.
- Utilice tapones para los oídos en entornos ruidosos.
The health worker asks Anju and her parents to return in one year for a repeat hearing test to monitor Anju’s hearing. They explain to come back sooner if Anju experiences ear pain, discharge or change in hearing.
Derivación
Some children require more specialist assessment by an ear and hearing professional.
No se deben proveer aparatos auditivos en los siguientes casos:
- Niños con pérdida de la capacidad auditiva de grave a profunda.
- Children with asymmetrical hearing loss – more than 15 dB difference between right and left ear.
With caregiver permission refer to an ear and hearing professional.
If you are not confident about the test result, discuss with your mentor and refer to an ear and hearing professional.
Pregunta
Read the following case studies.
1. Beth is 13 years old. The average hearing threshold for her right ear is 67 dB. The average hearing threshold in her left ear is 69 dB.
Check the Grade of hearing loss table.
| Grado | Promedio | Recommendation |
| Dentro de los parámetros normales | Promedio inferior a 20 dB | Adults and children: Hearing aids not needed. Teach ear care. Reassess in 1 year or sooner if person or caregiver notices change in hearing or ear health. |
| Pérdida auditiva leve | Promedio entre 20 y 34 dB | Children: Hearing aid fitting. Adults: Monitor and reassess in 1 year. Teach ear care. |
| Pérdida auditiva moderada | Promedio entre 35 y 49 dB | Adults and children: Hearing aid fitting. |
| Pérdida auditiva moderadamente grave | Promedio entre 50 y 64 dB | Adults and children: Hearing aid fitting. |
| Pérdida auditiva grave | Promedio entre 65 y 79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Pérdida auditiva profunda | Promedio superior a 80 dB | Adults and children: Refer to ear and hearing professional |
¿Cuál sería el próximo paso?
Seleccione una respuesta.
Refer is correct!
Beth has severe hearing loss. With her caregivers permission, she should be referred to an ear and hearing professional for a more specialist assessment.
2. Jampa is 11 years old. The average hearing threshold for his right ear is 23 dB. The average hearing threshold in his left ear is 55 dB.
¿Cuál sería el próximo paso?
Seleccione una respuesta.
Refer is correct!
Jampa has more than 15 dB difference between his right and left ears. With his caregivers permission, he should be referred to an ear and hearing professional for a more specialist assessment.
Consentimiento
Some children will benefit from hearing aids.
Explain the potential benefits of hearing aids and offer the opportunity for the child to experience using hearing aids before deciding.
If the child or their caregiver prefer not to be provided with hearing aids, encourage them to return to the service if they change their mind at any time.
Record if the child and caregiver give consent to provide hearing aids.
Provisión de los aparatos auditivos
First select the type of programmable hearing aid from the available options.
Record details on the form including:
- Aparatos auditivos
- Molde auditivo
- Battery.
Consejos
Check packaging and user manual for serial numbers. A programmable hearing aid serial number may be recorded in the programming software when the hearing aid is connected.
Enseñar cómo usar los aparatos auditivos.
For a child to get the most benefit from hearing aids, it is important to explain to both the child and their caregiver:
- Las ventajas de los aparatos auditivos.
- Cómo utilizar y cuidar los aparatos auditivos.
- Cómo determinar la duración de la pila y cuándo hay que cambiarla.
- How to improve understanding of words.
Instrucciones
En la lección cuatro encontrará más información sobre cómo utilizar los aparatos auditivos.
cómo hacer el seguimiento; y
Children need time to adjust to using hearing aids. Advice on simple problem solving can help.
It is important to follow up in person with the child and their caregiver within two weeks to check how they are getting on.
Instrucciones
Learn more in Lesson five about hearing aid follow up.
Instrucciones
Test your knowledge by making a plan for Basir.
Pregunta
Remember Basir?
Basir is six years old and goes to school with his five-year-old sister, Siti. After a school screening Basir was referred for a hearing test. Basir was identified with hearing loss. The results show Basir has an average hearing threshold of 53.75 dB in his right ear and 56.25 dB in his left ear.
Check the Grade of hearing loss table.
| Grado | Promedio | Recommendation |
| Dentro de los parámetros normales | Promedio inferior a 20 dB | Adults and children: Hearing aids not needed. Teach ear care. Reassess in 1 year or sooner if person or caregiver notices change in hearing or ear health. |
| Pérdida auditiva leve | Promedio entre 20 y 34 dB | Children: Hearing aid fitting. Adults: Monitor and reassess in 1 year. Teach ear care. |
| Pérdida auditiva moderada | Promedio entre 35 y 49 dB | Adults and children: Hearing aid fitting. |
| Pérdida auditiva moderadamente grave | Promedio entre 50 y 64 dB | Adults and children: Hearing aid fitting. |
| Pérdida auditiva grave | Promedio entre 65 y 79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Pérdida auditiva profunda | Promedio superior a 80 dB | Adults and children: Refer to ear and hearing professional. |
What action would you recommend for Basir?
Seleccione una respuesta.
Provide hearing aids is correct!
Basir has moderately severe hearing loss in both ears. Continue to hearing aid fitting is recommended.