Transcript Tactile de-sensitisation - Hearing and Learning Disabilities

Desensitisation………..
A long term perspective
Denny Fransman
SLT/Audiologist
HALD SIG April 2010
University of Leeds
Contents:
Morning session “How”
 What?
 Why?
 When?
Why would anyone be a
“reluctant hearing aid wearer”
Tactile de-sensitisation
To increase
tolerance to
having a mould
in ear
Auditory de-sensitisation
Getting used to
amplified sound
Why could mould be
rejected?
unfamiliar sensation
mould could be poor fit


unable to verbalise discomfort
unable to remove???
general hyper-sensitivity
no comprehension of function
Why could amplified sound
be rejected?
Used to relative silence
No meaning



confusing
frightening
unfamiliar
Poor audiometric data – poor aid setting
Essential considerations
Is the loss congenital or acquired?

If acquired
age of onset
severity of loss
time lapse between onset and intervention
Regarding the learning disability
what does sound mean to this person?
Severity of Learning Disability (LD)
Other potential complications
Autistic spectrum disorder




Hypersensitivity
Sensory integration problems
Central auditory processing disorders
Hyper-reactivity associated with neurological
damage e.g. cerebral palsy
Back to basics
Why fit a hearing aid in the first place?
What are the potential benefits of aiding ?



Improvement in communication
Environmental sounds
Pleasure or leisure
Is full time hearing aid use
indicative of a successful
outcome?
yes or no ??????
Don’t loose sight of your
objectives for aiding
Improve
communication
Aiding
objectives
Environmental
sounds
Enjoyment
Questions ????