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Chapter Thirteen
SENSORY DISABILITIES:
HEARING AND VISION LOSS
©2017 Cengage Learning. All Rights Reserved.
LEARNING OBJECTIVES
(slide 1 of 2)
13-1 Describe how the lives of people with
sensory disabilities have changed since
the advent of IDEA.
13-2 Explain the various definitions and
classification of sensory disabilities.
13-3 Describe the characteristics and
prevalence of children and youth with
sensory disabilities.
©2017 Cengage Learning. All Rights Reserved.
LEARNING OBJECTIVES
(slide 2 of 2)
13-4 List the causes and risk factors
associated with sensory disabilities.
13-5 Describe the assessment procedures
used to identify sensory disabilities in
children and youth.
13-6 Describe the different interventions for
children and youth with sensory
disabilities from early childhood through
adulthood.
©2017 Cengage Learning. All Rights Reserved.
13-1 CHANGING ERA IN THE LIVES OF
PEOPLE WITH SENSORY DISABILITIES
• The ability to see and hear is a critical link
for development and perspective.
• The vast majority of people with sensory
impairments lead active and productive
lives.
©2017 Cengage Learning. All Rights Reserved.
13-2 DEFINITIONS & CLASSIFICATIONS
OF SENSORY DISABILITIES
• Sensory disabilities include:
– Hearing loss
– Vision loss
– Both
©2017 Cengage Learning. All Rights Reserved.
Structure of the Ear
Figure 13.1
©2017 Cengage Learning. All Rights Reserved.
13-2a HEARING LOSS (slide 1 of 3)
• Definitions
– Audition: the act or sense of hearing
– Deafness: hearing loss greater than 90 dB.
Vision is primary input; cannot understand
speech via the ear.
– Hard of hearing: deficient sense of hearing
that is still somewhat functional
©2017 Cengage Learning. All Rights Reserved.
13-2a HEARING LOSS (slide 2 of 3)
• Age of onset
– Prelingual loss: prior to age 2
– Postlingual loss: after speech acquisition
• Anatomical site of hearing loss
– Conductive hearing loss: sound is blocked
from outer to inner ear
– Sensorineural hearing loss: problems with
workings of inner ear or hearing nerve
– Mixed hearing loss: combination
©2017 Cengage Learning. All Rights Reserved.
13-2a HEARING LOSS (slide 3 of 3)
• Factors in classification of hearing loss
– Severity of condition
– Intelligence
– Emotional stability
– Early education and training
– Family environment
– Occurrence of other disabilities
©2017 Cengage Learning. All Rights Reserved.
The Parts of the Human Eye
Figure 13.2
©2017 Cengage Learning. All Rights Reserved.
13-2b VISION LOSS (slide 1 of 3)
• Wide range of conditions
– Never experienced sight
– Normal vision before vision loss
– Gradual or sudden loss of acuity
– Restricted field of vision
©2017 Cengage Learning. All Rights Reserved.
13-2b VISION LOSS (slide 2 of 3)
• Blindness
– Legal blindness: corrected vision is less than
20/200 in better eye
– Tunnel vision: restricted field of vision
• Partial sight (low vision)
– Partially sighted: able to use vision as
primary source of learning
©2017 Cengage Learning. All Rights Reserved.
13-2b VISION LOSS (slide 3 of 3)
• Classifying vision loss
– Refractive eye problems: failure to focus light
rays properly on retina
• Hyperopia, myopia, astigmatism, cataracts
– Muscle disorders: one or more major muscles
are weakened
• Nystagmus, strabismus, amblyopia
– Receptive eye problems: degeneration or
damage to retina and optic nerve
• Optic atrophy, retinitis pigmentosa, retinal
detachment, retinopathy of prematurity, glaucoma
©2017 Cengage Learning. All Rights Reserved.
Normal, Myopic, and Hyperopic Eyeballs
Figure 13.4
©2017 Cengage Learning. All Rights Reserved.
13-3 CHARACTERISTICS &
PREVALENCE OF SENSORY
DISABILITIES
• Range of characteristics for both hearing
and vision loss
• Considered low incidence because few
people are diagnosed with these
disabilities
©2017 Cengage Learning. All Rights Reserved.
13-3 CHARACTERISTICS OF
HEARING LOSS
• Intelligence
– Normal distribution, more a function of
language ability than cognitive ability
• Speech and English language skills
– Areas most severely affected
• Educational achievement
– Can be significantly delayed
• Social development
– Reduced auditory information
©2017 Cengage Learning. All Rights Reserved.
13-3b PREVALENCE OF
HEARING LOSS
• Estimated 30 million people have hearing
loss
– Only 5% are under 17 years of age
– 43% are over 65 years of age
• Approximately 11 million have significant
irreversible hearing loss
• 1 million are deaf
©2017 Cengage Learning. All Rights Reserved.
13-3c CHARACTERISTICS OF
VISION LOSS (slide 1 of 2)
• Intelligence
– Performance differs from sighted children in some
areas
• Speech and language skills
– Restricted oral vocabulary
• Academic achievement
– Delayed due to many factors
©2017 Cengage Learning. All Rights Reserved.
13-3c CHARACTERISTICS OF
VISION LOSS (slide 2 of 2)
• Social development
– Influenced by experiences, perception and ability
• Orientation and mobility
– Coordination
• Perceptual-motor development
– Important for skills
©2017 Cengage Learning. All Rights Reserved.
13-3d PREVALENCE of VISION LOSS
• 20% of Americans have some kind of
vision loss; most can be corrected.
• 1 in 3,000 children is legally blind.
• 5% of children have serious eye disorder;
this figure increases to 20% for those over
65.
• 50% of people over the age of 65 have
significant vision loss.
©2017 Cengage Learning. All Rights Reserved.
13-4a HEARING LOSS: CAUSES
AND RISK FACTORS
• Causes
– Heredity
– Prenatal disease
– Postnatal disease
– Environmental factors
©2017 Cengage Learning. All Rights Reserved.
13-4b VISION LOSS: CAUSES
AND RISK FACTORS
• Causes
– Genetic disorders
• Examples: albinism, retinoblastoma, glaucoma
– Acquired disorders
• Examples: xerophthalmia, cortical visual
impairment, trachoma
©2017 Cengage Learning. All Rights Reserved.
13-5a ASSESSMENT OF
HEARING LOSS
• Assessment is generally responsibility of
physician to refer family to specialist
• Cochlear implant: electronic device
implanted behind the ear to stimulate
auditory nerve
• Electroacoustic aids
– Body-worn aids
– Behind-the-ear aids
– In-the-ear aids
©2017 Cengage Learning. All Rights Reserved.
13-5b ASSESSMENT OF
VISION LOSS
• Pediatricians often complete first formal
assessment
• Once detected, interventions generally
involve:
– Correction of vision as possible
– Prevention or reduction of typical
developmental problems
– Support and education for family
• Preventative measures
©2017 Cengage Learning. All Rights Reserved.
13-6a INTERVENTION FOR YOUTH
WHO ARE DEAF/HARD OF HEARING
• Approaches to teach communication skills
– Auditory approach
– Oral approach
– Manual approach
– Total communication
• Assistive technology
– Closed captioning
– Computers, smartphones, tablets, internet
– Telecommunication devices
©2017 Cengage Learning. All Rights Reserved.
13-6b INTERVENTIONS FOR YOUTH
WHO ARE BLIND/LOW VISION
• Education strategies
– Functional approach
• Academic content
– Curriculum includes mobility and oral expression
• Communication media
– Tactile devices
– Communication systems
• Access to health care and community
services
©2017 Cengage Learning. All Rights Reserved.
LOOKING TOWARD A BRIGHT
FUTURE
• Innovations in technology, education, and
health care are enhancing life in school,
family, and community for people with
sensory impairments.
©2017 Cengage Learning. All Rights Reserved.
CASE STUDY: XEEB
• Background
• Strategies
©2017 Cengage Learning. All Rights Reserved.

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Hardman 12e ppt_13

  • 1. Chapter Thirteen SENSORY DISABILITIES: HEARING AND VISION LOSS ©2017 Cengage Learning. All Rights Reserved.
  • 2. LEARNING OBJECTIVES (slide 1 of 2) 13-1 Describe how the lives of people with sensory disabilities have changed since the advent of IDEA. 13-2 Explain the various definitions and classification of sensory disabilities. 13-3 Describe the characteristics and prevalence of children and youth with sensory disabilities. ©2017 Cengage Learning. All Rights Reserved.
  • 3. LEARNING OBJECTIVES (slide 2 of 2) 13-4 List the causes and risk factors associated with sensory disabilities. 13-5 Describe the assessment procedures used to identify sensory disabilities in children and youth. 13-6 Describe the different interventions for children and youth with sensory disabilities from early childhood through adulthood. ©2017 Cengage Learning. All Rights Reserved.
  • 4. 13-1 CHANGING ERA IN THE LIVES OF PEOPLE WITH SENSORY DISABILITIES • The ability to see and hear is a critical link for development and perspective. • The vast majority of people with sensory impairments lead active and productive lives. ©2017 Cengage Learning. All Rights Reserved.
  • 5. 13-2 DEFINITIONS & CLASSIFICATIONS OF SENSORY DISABILITIES • Sensory disabilities include: – Hearing loss – Vision loss – Both ©2017 Cengage Learning. All Rights Reserved.
  • 6. Structure of the Ear Figure 13.1 ©2017 Cengage Learning. All Rights Reserved.
  • 7. 13-2a HEARING LOSS (slide 1 of 3) • Definitions – Audition: the act or sense of hearing – Deafness: hearing loss greater than 90 dB. Vision is primary input; cannot understand speech via the ear. – Hard of hearing: deficient sense of hearing that is still somewhat functional ©2017 Cengage Learning. All Rights Reserved.
  • 8. 13-2a HEARING LOSS (slide 2 of 3) • Age of onset – Prelingual loss: prior to age 2 – Postlingual loss: after speech acquisition • Anatomical site of hearing loss – Conductive hearing loss: sound is blocked from outer to inner ear – Sensorineural hearing loss: problems with workings of inner ear or hearing nerve – Mixed hearing loss: combination ©2017 Cengage Learning. All Rights Reserved.
  • 9. 13-2a HEARING LOSS (slide 3 of 3) • Factors in classification of hearing loss – Severity of condition – Intelligence – Emotional stability – Early education and training – Family environment – Occurrence of other disabilities ©2017 Cengage Learning. All Rights Reserved.
  • 10. The Parts of the Human Eye Figure 13.2 ©2017 Cengage Learning. All Rights Reserved.
  • 11. 13-2b VISION LOSS (slide 1 of 3) • Wide range of conditions – Never experienced sight – Normal vision before vision loss – Gradual or sudden loss of acuity – Restricted field of vision ©2017 Cengage Learning. All Rights Reserved.
  • 12. 13-2b VISION LOSS (slide 2 of 3) • Blindness – Legal blindness: corrected vision is less than 20/200 in better eye – Tunnel vision: restricted field of vision • Partial sight (low vision) – Partially sighted: able to use vision as primary source of learning ©2017 Cengage Learning. All Rights Reserved.
  • 13. 13-2b VISION LOSS (slide 3 of 3) • Classifying vision loss – Refractive eye problems: failure to focus light rays properly on retina • Hyperopia, myopia, astigmatism, cataracts – Muscle disorders: one or more major muscles are weakened • Nystagmus, strabismus, amblyopia – Receptive eye problems: degeneration or damage to retina and optic nerve • Optic atrophy, retinitis pigmentosa, retinal detachment, retinopathy of prematurity, glaucoma ©2017 Cengage Learning. All Rights Reserved.
  • 14. Normal, Myopic, and Hyperopic Eyeballs Figure 13.4 ©2017 Cengage Learning. All Rights Reserved.
  • 15. 13-3 CHARACTERISTICS & PREVALENCE OF SENSORY DISABILITIES • Range of characteristics for both hearing and vision loss • Considered low incidence because few people are diagnosed with these disabilities ©2017 Cengage Learning. All Rights Reserved.
  • 16. 13-3 CHARACTERISTICS OF HEARING LOSS • Intelligence – Normal distribution, more a function of language ability than cognitive ability • Speech and English language skills – Areas most severely affected • Educational achievement – Can be significantly delayed • Social development – Reduced auditory information ©2017 Cengage Learning. All Rights Reserved.
  • 17. 13-3b PREVALENCE OF HEARING LOSS • Estimated 30 million people have hearing loss – Only 5% are under 17 years of age – 43% are over 65 years of age • Approximately 11 million have significant irreversible hearing loss • 1 million are deaf ©2017 Cengage Learning. All Rights Reserved.
  • 18. 13-3c CHARACTERISTICS OF VISION LOSS (slide 1 of 2) • Intelligence – Performance differs from sighted children in some areas • Speech and language skills – Restricted oral vocabulary • Academic achievement – Delayed due to many factors ©2017 Cengage Learning. All Rights Reserved.
  • 19. 13-3c CHARACTERISTICS OF VISION LOSS (slide 2 of 2) • Social development – Influenced by experiences, perception and ability • Orientation and mobility – Coordination • Perceptual-motor development – Important for skills ©2017 Cengage Learning. All Rights Reserved.
  • 20. 13-3d PREVALENCE of VISION LOSS • 20% of Americans have some kind of vision loss; most can be corrected. • 1 in 3,000 children is legally blind. • 5% of children have serious eye disorder; this figure increases to 20% for those over 65. • 50% of people over the age of 65 have significant vision loss. ©2017 Cengage Learning. All Rights Reserved.
  • 21. 13-4a HEARING LOSS: CAUSES AND RISK FACTORS • Causes – Heredity – Prenatal disease – Postnatal disease – Environmental factors ©2017 Cengage Learning. All Rights Reserved.
  • 22. 13-4b VISION LOSS: CAUSES AND RISK FACTORS • Causes – Genetic disorders • Examples: albinism, retinoblastoma, glaucoma – Acquired disorders • Examples: xerophthalmia, cortical visual impairment, trachoma ©2017 Cengage Learning. All Rights Reserved.
  • 23. 13-5a ASSESSMENT OF HEARING LOSS • Assessment is generally responsibility of physician to refer family to specialist • Cochlear implant: electronic device implanted behind the ear to stimulate auditory nerve • Electroacoustic aids – Body-worn aids – Behind-the-ear aids – In-the-ear aids ©2017 Cengage Learning. All Rights Reserved.
  • 24. 13-5b ASSESSMENT OF VISION LOSS • Pediatricians often complete first formal assessment • Once detected, interventions generally involve: – Correction of vision as possible – Prevention or reduction of typical developmental problems – Support and education for family • Preventative measures ©2017 Cengage Learning. All Rights Reserved.
  • 25. 13-6a INTERVENTION FOR YOUTH WHO ARE DEAF/HARD OF HEARING • Approaches to teach communication skills – Auditory approach – Oral approach – Manual approach – Total communication • Assistive technology – Closed captioning – Computers, smartphones, tablets, internet – Telecommunication devices ©2017 Cengage Learning. All Rights Reserved.
  • 26. 13-6b INTERVENTIONS FOR YOUTH WHO ARE BLIND/LOW VISION • Education strategies – Functional approach • Academic content – Curriculum includes mobility and oral expression • Communication media – Tactile devices – Communication systems • Access to health care and community services ©2017 Cengage Learning. All Rights Reserved.
  • 27. LOOKING TOWARD A BRIGHT FUTURE • Innovations in technology, education, and health care are enhancing life in school, family, and community for people with sensory impairments. ©2017 Cengage Learning. All Rights Reserved.
  • 28. CASE STUDY: XEEB • Background • Strategies ©2017 Cengage Learning. All Rights Reserved.