1. ASSESSMENT = C.O.R.E.
C = Communication status
O = Overall participation variables
R = Related personal factors
E = Environmental factors

2. MANAGEMENT = C.A.R.E.
C = Counseling/psychosocial
A = Audibility/impairment management
R = Remediate communication activity
E = Environmental/coordination
participation improvement

3. Last week, we learned the components of
CORE and the psychosocial aspects
encountered during patient/client
assessment.
Today, we will reveal and review some
current assessment tools and explore the
components of patient/client management
(CARE).

4. The reasons for seeking hearing help or
communication assistance are many and
varied.
Studies have repeatedly found that those
seeking help for their condition had
encountered a lifestyle activity limitation
(disability).

5. Few sought help based upon their failure of
sound audibility.
Many older persons accept hearing loss as a
“normal part of ageing” and will tolerate
greater hearing impairment than younger
persons.
Social pressures are not as motivating as a
self-perceived handicap to their lifestyle.

6. There have been many assessment
“tools”/questionnaires designed to assess
the patient/client hearing/communication
handicap.
Let’s review Schow pages #388--#391 for
samples of assessment documents.
Note: APHAB and COSI are the most
commonly used formats as described on
page #386

7. These assessment tools are useful in
assisting the patient/client in describing
their individual communication challenges.
Once the challenges have been identified,
communication goals may be established
and CARE management may occur.
Let’s review the steps required for effective
CARE management.

8. C.A.R.E.
C = Counseling
This activity involves three fundamental
needs and goals must be set for each of
them. They are:



AUDIBILITY
ACTIVITY
PARTICIPATION

9. C.A.R.E.
A = Audibility & instrument intervention
Hearing instruments, cochlear implants, and
assistive listening devices are discussed.
Three goals must be addressed. They are:



INSTRUMENT FIT
INSTRUMENT FUNCTION
INSTRUMDNT ORIENTATION

10. R = Remediation for communication
activity
There are three communication goals
to set between the listener and the
communication partner. They are:



When to use the amplification device
How to use the amplification device effectively
How to use other amplification communication
strategies

11. C.A.R.E.
E = Environmental coordination &
participation improvement
Emphasis on the patient/client lifestyle
environment to include three primary goals.



Their occupational environment
Their community environment
Their family environment

12. To assist with accomplishing the
CARE management goals, let’s review
Schow pages #380—382.

13. These orientation basics are good to
share when working with your
patient/client and their family
members.
This basic information is also a good
resource when advising others during
a community communication
awareness event.

14. Let’s discuss more specifics regarding
aural rehabilitation and hearing
instrument expectation.

15. The majority of those accessing hearing
instruments are over age sixty-five.
This age group has been often surveyed
regarding their experience and expectations
with hearing instruments.
They continue to identify four primary
complaints with hearing instruments.

16. The four most common complaints of
hearing instrument users are:
1.
28% = Background noise
2.
25% = HI sound & physical comfort
& product defects/breakdown
3.
18% = HI provides too little benefit
4.
17% = Costs involved with daily HI
use are too expensive (Value)

17. It is interesting that these complaints have
transcended the paradigms of HI
technology!
Perhaps it is the dispensing professionals’
skills which must now improve?

18. As you have learned, successful HI dispensing
and aural rehabilitation go beyond the HI.
 Residual hearing ability must be accurately
identified and stimulated.
 Consumer must be empowered with
knowledge of their communication
expectations and limitations.
 Additional assistive listening devices and
communication learning strategies must be
considered for best patient/client outcomes.

19. Let’s review the summary points listed
at the end of Chapter #10.
These points will serve as a basis for
our lab study of Chapter #12 case
studies.

20. The Chapter #12 case studies will
reveal how to appropriately and
consistently use:
 C.O.R.E. for assessment purposes
 C.A.R.E. for thorough case
management