Инструкция
In this topic you will learn how to complete hearing aid follow up for children.
If you haven’t already, download the TAP Hearing aids follow up form for children and print a copy.
Сроки последующего сопровождения
Early follow up is advised at two weeks and two months to support a child to adjust to their programmable hearing aids and gain maximum benefit. Children must be reassessed every year.
Формат проведения консультаций в рамках последующего сопровождения
Последующее сопровождение может осуществляться:
- дистанционно, т. е. по телефону или видеосвязи; или
- в очной форме.
Очная консультация
Generally, the decision on remote or in person follow up is based on what is most suitable for the child’s situation. However, some follow up appointments must be done in person.
For a child this includes:
- The first follow up appointment
- Yearly reassessment appointments.
Для чего нужно последующее сопровождение?
Последующее сопровождение пользователей слуховых аппаратов поможет выяснить:
- Hearing aids are meeting the child’s needs
- нуждаются ли слуховые аппараты в ремонте или замене
- сохраняется ли комфортная посадка слуховых аппаратов
- Child needs any problem solving for safe and correct use.
Follow up for children
In this module, follow up for children includes children between 5-17 years old.
Children under five years old should be referred for assessment and follow up by an ear and hearing professional.
Информация о ребенке
Инструкция
Start by collecting general information about the child and record contact details for their caregiver.
Беседа в рамках последующего сопровождения
Одна и та же Форма для последующего сопровождения используется при проведении консультаций:
- через две недели
- через два месяца
- Six months
- One year.
Инструкция
Tick the box in the column matching the follow up appointment.
Children’s needs may change more quickly than adults as they are still growing. Reassessment each year is recommended.
It is important to check a child is fully benefitting from their hearing aids to support their learning and social activities.
Benefit from using hearing aids
There are three checks to see if a child is fully benefitting from using hearing aids:
- Опыт использования слуховых аппаратов и уровень комфорта
- Использование слухового аппарата
- Hearing check.
1. Hearing aid comfort and experience
Include the child and their caregiver.
Ask questions to find out if the child is satisfied with the comfort and experience of using hearing aids.
Инструкция
Спросите:
- Комфортно ли вам пользоваться слуховыми аппаратами?
- Как вы оцениваете свой опыт использования слуховых аппаратов?
- If the child confirms their hearing aids are comfortable and the child and caregiver are satisfied with the experience Continue.
- If the child or caregiver answers no or the child is experiencing any problems Write response in notes.
2. Hearing aid use
Инструкция
Ask: Think about how much you have used your hearing aids over the past two weeks. On a normal day, how many hours did you use your hearing aids?
- If the child is usually using their hearing aids for less than four hours a day, they are not benefitting enough from their hearing aids Ask why and write response in notes.
- If the child is usually using their hearing aids for four hours or more Continue.
3. Hearing check
The first follow up appointment is in person.
It is important to teach the Ling sounds test to the caregiver so it can be used at home to check how well their child’s hearing aids are working.
Show them the sounds and practise together before carrying out the test with their child.
Инструкция
Advise the caregiver to do a daily listening check after putting the hearing aids on the child each day.
For a child to benefit they should hear 5 to 6 Ling sounds. Tick each Ling sound the child hears.
Record the number of Ling sounds ticked in the Notes section and Continue to the Follow up plan.
План последующего сопровождения
Use this part of the form to help you, the child and their caregiver decide next actions.
Используйте ответы, полученные в ходе беседы, для составления плана последующего сопровождения.
Always encourage the caregiver to return to the service at any time if their child experiences any difficulties with their hearing or hearing aids.
Последующее сопровождение через две недели и через два месяца
Start by reviewing the answers to the questions to see if a child or their caregiver are experiencing any problems.
A child is fully benefitting from their hearing aids if they:
- Are satisfied with their hearing aids comfort and experience
- пользуются слуховыми аппаратами более четырех часов в день
- Can hear 5-6 Ling sounds.
Инструкция
- If yes to all Child is fully benefitting. Book next follow up.
- If no to any Child is not fully benefitting. Check notes and carry out problem solving. If this does not help, do an in person follow up to carry out ear health and product check.
- If solution is not possible Discuss with mentor and if needed Refer to ear and hearing professional.
Remember Basir?
Basir is a schoolboy who has been fitted with programmable hearing aids.
Basir attends a two week follow up appointment with his father. Basir is using his hearing aids for two hours a day.
The health worker asks questions to find out why. Basir explains he is not used to wearing hearing aids and takes them out when playing with his friends.
The health worker explains it will be easier to play with his friends if he wears his hearing aids and encourages him to wear them more each day.
They plan a follow up call in two weeks to see how he is getting on.
Six month follow up – hearing aids only
Children may cause extra wear and tear on hearing aids. Regular checks of their hearing aids are advised.
Ask the caregiver to bring the hearing aids to the service for a check at six months.
Remind them to bring them in the hearing aid box to protect the hearing aids while being transported.
Проверка устройства
Using a listening tube confirm each hearing aid is working. You should:
- Clean and check each hearing aid
- Replace any worn or damaged parts. If necessary, check the problem solving table. If this does not help discuss with mentor. If needed, send hearing aid to manufacturer
- Plan one year reassessment.
One year follow up
Эта консультация проводится для повторной оценки потребностей. Она должна быть очной.
You will need a screen form, the child’s original assessment form and a follow up form.
It is also important to check each hearing aid is clean and working.
Инструкция
Заново выполните следующие действия:
- Проверка здоровья уха
- Проверка слуха.
Adjust hearing aid settings if hearing test results have changed.
Инструкция
Дополнительную информацию о проверке здоровья ушей см. в модуле TAP "Вспомогательные средства, применяемые при нарушениях слуха".
One year follow up plan
Continue to ask questions to check how the child is benefitting from their hearing aids including:
- Опыт использования слуховых аппаратов и уровень комфорта
- Использование слухового аппарата
- Hearing check.
Инструкция
- If yes to all Child is fully benefitting. Reassess in one year (repeat ear health screen and hearing test).
- If no to any Child is not fully benefitting. Check notes and problem solving table.
- If solution is not possible Discuss with mentor and if needed Refer to ear and hearing professional.
Вопрос
What should you do if the results of a child’s hearing test have changed significantly. For example, more than one grade of hearing loss?
Выберите один ответ.
Discuss with your mentor is correct!
If a child has had a significant change in hearing in one or both ears, always discuss with your mentor and if necessary refer to an ear and hearing professional.
Проверка устройства
Carry out hearing aid check using the listening tube.
Clean and check each hearing aid. Replace any worn or damaged parts.
If the child or caregiver describe any problems with how the hearing aids are working, check the problem solving table.
Вопрос
What do you need to complete a product check?
Выберите правильный ответ и щелкните, чтобы проверить ответы.
Верно!
It is important to check and clean all parts of the hearing aid.
Верно!
Spare parts such as ear hook, earmould, earmould tubes and batteries commonly need replacing.
Неверно.
This is used when checking how well a child can hear with their hearing aids.
Remember Basir?
Basir is a six year old schoolboy. He uses programmable hearing aids.
He has returned to the service with his parents for a one year reassessment. He is finding it easier to learn at school. Basir and his parents are happy with the hearing aids.
The health worker carries out an ear health screen. Basir’s ears are healthy.
The health worker repeats his hearing test. The test result has changed a little. Adjustments are made to Basir’s hearing aid settings. His hearing aids are working well.
The health worker asks Basir’s parents to return with Basir for reassessment in one year or return sooner if he experiences any difficulties with his hearing or hearing aids.
Maintenance, repairs and problem solving
Maintenance, repairs and problem solving are an important part of follow up.
Encourage caregiver to return to the service with their child at any time if they experience any difficulties with their hearing or hearing aid.
Инструкция
Refer to the TAP Preprogrammed hearing aids module for more information on maintenance, repairs and problem solving.