Dit is een samenvatting van 1. inleidende begrippen en componenten van de integrale gehoorrevalidatie (hc1 en 2), en 2. Technische behandeling (hc3,4 en 5). Dit vak wordt gegeven door N. Vanhulle en M. De Sloovere in Thomas More Antwerpen.
SAMENVATTING GEHOOR THERAPIE
Fase 2 semester 1
Deel van N. Vanhulle
Ppt’s, cursus, handboek
1
,Inhoudsopgave
1. Doelen revalidatie...............................................................................................................................5
2. Basis – begrippen................................................................................................................................5
3. Situatie in Vlaanderen........................................................................................................................5
4. Basiscomponenten bij een casus........................................................................................................5
5. Modaliteiten & link vanuit de historiek..............................................................................................6
6. Codestrijd of methodestrijd?..............................................................................................................6
7. Twee pedagogische methodes als continuüm....................................................................................6
8. Bilinguale en biculturele.....................................................................................................................7
9. Gebarentaal........................................................................................................................................7
10. Gebarensystemen.............................................................................................................................7
11. Kinderen met auditieve beperking...................................................................................................7
12. Schoolkeuze......................................................................................................................................7
1. Biopsychosociale visie op zorg bij kinderen met gehoorverlies..........................................................8
1.1 Biopsychosociale visie op zorg......................................................................................................8
1.4 Gewijzigd zorglandschap..............................................................................................................8
1.5 Zorg bij kinderen met gehoorverlies.............................................................................................8
1.7 Het zorgplan.................................................................................................................................8
3. De impact van gehoorverlies op de totale ontwikkeling van een kind...............................................9
3.8 Vroegtijdigheid leidt steeds tot betere resultaten........................................................................9
3.8.1 Blijvende belemmeringen ondanks vroegtijdigheid...............................................................9
3.9 Factoren die het functioneren van kinderen met gehoorverlies beïnvloeden............................12
3.9.1 Vroegtijdige interventie.......................................................................................................12
3.9.2 Effectiviteit en draagtijd van de hoortechnologie................................................................12
3.9.3 Kwaliteit en kwantiteit van het taalaanbod.........................................................................12
3.9.4 Belang van de moedertaal...................................................................................................13
4.2 Classificatie op basis van onset van een gehoorverlies...............................................................13
4.2.1 Congenitaal gehoorverlies...................................................................................................13
4.2.2 Delayed onset of late onset.................................................................................................13
4.2.3 Verworven gehoorverlies.....................................................................................................13
1. Audiologische revalidatie..................................................................................................................15
1.1 Twee modellen...........................................................................................................................15
1.2 Realiteit & noden........................................................................................................................15
1.3 Wacht niet met communiceren..............................................................................................16
1.4 Het centraal auditief systeem.....................................................................................................16
2
, 1.5 Hersenen & cognitie...................................................................................................................16
1.6 Cliëntgeoriënteerde benadering.................................................................................................16
1.7 interactie ouder-kind..................................................................................................................16
2. Intentionele communicatie – G. Lichtert..........................................................................................17
2.1 Tait video analysis.......................................................................................................................17
2.2 Ouders hebben een natuurlijk talent..........................................................................................17
3. Fundamentele principes...................................................................................................................18
3.1 Constructensysteem...................................................................................................................18
3.2 Partnerschapmodel....................................................................................................................18
3.3 Incidenteel leren.........................................................................................................................18
4. Ouderbegeleiding concreet..............................................................................................................19
4.1 Ouderverenigingen + informatiebronnen...................................................................................19
1. Perceptieve gehoorverliezen (lokalisatie en consequenties voor behandeling)...............................20
1.1 Verminderde hoorbaarheid........................................................................................................20
1.2 Een gekrompen dynamisch bereik..............................................................................................21
1.3 Verminderde frequentieresolutie...............................................................................................22
1.4 Verminderde temporele resolutie..............................................................................................22
2. Voordelen van binauraal horen........................................................................................................23
2.1 Eliminatie van het hoofdschaduweffect.....................................................................................23
2.2 Binaurale sommatie....................................................................................................................23
2.3 Beter auditief lokalisatievermogen.............................................................................................23
2.4 Beter spraakverstaan in lawaai...................................................................................................23
2.5 Betere geluidkwaliteit en een gevoel van ruimtelijke balans......................................................24
3. Doelbepaling van de technische revalidatie.....................................................................................24
4. Bepaling van versterking (aard)........................................................................................................24
5. Bepaling van versterking (vorm en hoeveelheid) en begrenzing (vorm en hoeveelheid).................24
5.1 versterking (gain) in dB...............................................................................................................24
5.1.1 Wide Dynamic Range Compression (WDRC) = specifieke vorm van compressie die bijna
voor alle perceptieve verliezen toegepast wordt. compressieversterking...................................25
5.2 Begrenzing (MPO in dB SPL).......................................................................................................26
5.2.1 Compressiebegrenzing (output limiting compression OLC).................................................26
5.2.2 Combinatie compressieversterking (WDRC) en compressiebegrenzing (OLC).....................26
5.3 Rekenregels: NAL-NL2 & DSL V5.0..............................................................................................26
5.3.1 Versterking en output volgens metingen fabrikant.............................................................27
5.3.2 Versterking en begrenzing in software fabrikant (resound).................................................27
5.3.3 Versterking en output in software fabrikant (Phonak).........................................................28
3
, 5.4 Samenvatting..............................................................................................................................29
6. Werking van een hoortoestel...........................................................................................................29
6.1 Directionele microfoons.............................................................................................................29
6.2 Verschillende modellen..............................................................................................................30
6.2.1 Esthetiek vs. Functionaliteit.................................................................................................30
7. Conductieve gehoorverliezen...........................................................................................................37
7.1 Lokalisatie in het auditieve systeem en consequenties voor het resultaat van de behandeling.37
7.2 Doelbepaling van de technische behandeling............................................................................38
7.3 Bepaling van versterking (aard)..................................................................................................38
7.3.1 Versterking (gain) in db........................................................................................................38
7.3.2 Begrenzing (MPO/MFO in dB FL).........................................................................................39
7.3.3 Selectie van een geschikt hoorhulpmiddel voor conductieve verliezen...............................39
7.3.4 Werking van een BCD..........................................................................................................39
7.3.5 Verschillende modellen.......................................................................................................39
8. HAT (Hearing Assistive Technology).................................................................................................41
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller fienversmissen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.96. You're not tied to anything after your purchase.
