SLP/Audiologists

Hi,

I'm working on an assignment for my audiology class. We each got a patient and have to write a letter to the referring doctor about whether or not the person needs or can respond to Speech Therapy. My guy has a 4k Hz. notch, so I was going to recommend speech therapy to compansate for the hearing loss. Should a hearing aid be used?

TIA,
Kelly

Here's my letter:


I saw your patient, ------, today at Bellevue Hospital Center to evaluate him for language competency after he suffered from a psychotic breakdown. He has a history of noise exposure due to shotgun use while hunting, as well as a history of cardiac problems.

Pure tone thresholds were consistent with essentially normal hearing bilaterally, with the exception of a bilateral moderate 4k Hz. sensorineural notch. His Speech Reception Thresholds were in acceptable agreement with the pure tone averages, bilaterally. His speech discrimination ability scores are excellent bilaterally at normal conversational level of 50 dB.

According to immitance testing, ---- tympanograms were type A, normal middle ear compliance, bilaterally. Acoustic reflexes were consistent with pure tone averages, with no response at 4k Hz. bilaterally. Acoustic reflex decay was negative bilaterally.

Based upon this information and my meeting with ---, I would recommend therapy at this time.

Re: SLP/Audiologists

the pt does not need a hearing aid. A notch at 4K isn't going to affect his ability to communicate in various situations.
Also, does not need speech therapy for his loss.

Message edited 4/29/2008 3:50:33 PM.

Re: SLP/Audiologists

thanks