After the assessment interview, make a plan with the child and their caregiver. The plan might include:
- Surveiller l'audition
- Orienter la personne vers un spécialiste
- Fournir une aide auditive
- Teaching the child and their caregiver how to use hearing aids safely
- Poser un rendez-vous de suivi
Surveillance de l'audition
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
- Éviter de se baigner dans des eaux sales.
- Utiliser des bouchons d'oreille dans les environnements bruyants.
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.
Orientation
Some children require more specialist assessment by an ear and hearing professional.
Ne fournissez pas d'aide auditive aux personnes suivantes :
- Enfants présentant une perte d'audition sévère à profonde
- 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.
Question
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.
Regardez le tableau des degrés de perte d'audition .
| Degré | Moyenne | Recommendation |
| Plage d'audition normale | Moyenne inférieure à 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. |
| Perte d'audition légère | Moyenne de 20 à 34 dB | Children: Hearing aid fitting. Adults: Monitor and reassess in 1 year. Teach ear care. |
| Perte d'audition modérée | Moyenne de 35 à 49 dB | Adults and children: Hearing aid fitting. |
| Perte d'audition modérément sévère | Moyenne de 50 à 64 dB | Adults and children: Hearing aid fitting. |
| Perte d'audition sévère | Moyenne de 65 à 79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Perte d'audition profonde | Moyenne supérieure à 80 dB | Adults and children: Refer to ear and hearing professional |
Que faites-vous ?
Sélectionnez une réponse.
La bonne réponse est Orienter.
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.
Que faites-vous ?
Sélectionnez une réponse.
La bonne réponse est Orienter.
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.
Consentement
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.
Fourniture d'une aide auditive
First select the type of programmable hearing aid from the available options.
Record details on the form including:
- Prothèse auditive
- Embout
- Battery.
Conseil
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.
Explication du mode d'utilisation
For a child to get the most benefit from hearing aids, it is important to explain to both the child and their caregiver:
- les bénéfices d'une aide auditive
- comment utiliser et entretenir une aide auditive
- comment vérifier le niveau de charge de la pile et quand la remplacer
- comment améliorer la compréhension des mots
Instruction
Pour en savoir plus sur l'utilisation d'une aide auditive, suivez la quatrième leçon.
Suivi
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.
Instruction
Learn more in Lesson five about hearing aid follow up.
Instruction
Test your knowledge by making a plan for Basir.
Question
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.
Regardez le tableau des degrés de perte d'audition .
| Degré | Moyenne | Recommendation |
| Plage d'audition normale | Moyenne inférieure à 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. |
| Perte d'audition légère | Moyenne de 20 à 34 dB | Children: Hearing aid fitting. Adults: Monitor and reassess in 1 year. Teach ear care. |
| Perte d'audition modérée | Moyenne de 35 à 49 dB | Adults and children: Hearing aid fitting. |
| Perte d'audition modérément sévère | Moyenne de 50 à 64 dB | Adults and children: Hearing aid fitting. |
| Perte d'audition sévère | Moyenne de 65 à 79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Perte d'audition profonde | Moyenne supérieure à 80 dB | Adults and children: Refer to ear and hearing professional. |
What action would you recommend for Basir?
Sélectionnez une réponse.
Provide hearing aids is correct!
Basir has moderately severe hearing loss in both ears. Continue to hearing aid fitting is recommended.