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Hearing Loss and
                Your Classroom

                    Baltimore County Public Schools
                   Learning Support for Students who
                       are Deaf/ Hard of Hearing

Developed by Shannan Eisenklam, Teacher of Students who are Deaf/Hard of Hearing
BCPS Service Model
                      Inclusion




    Sign Language
    Interpreting
    Services

                       Audiology
    Cued Speech        Services
    Transliterating
    Services
                       Speech and
                       Language
    Speech to Print    Therapy
    Transcription
    Services
                       Itinerant
                       Services


                       Technology
    Total                               Oral
Communication                       Communication
   Classes                             Classes
The Role of the Itinerant
 Certified Teacher of Students who are
  Deaf/Hard of Hearing
 Resource for students, parents, school
  personnel
 Travel to schools where students with
  hearing loss are included in the general
  education setting
The Role of the Itinerant
   Direct service with student to monitor
    comprehension and skills related to hearing loss
    and IEP goals
   Indirect service to support school personnel and
    monitor service delivery
   Assist school-based case manager with IEP
    development and compliance
   IEP team member
The Role of the Cluster Teacher
 Certified teacher of students who are
  Deaf/Hard of Hearing
 Provide daily instruction for D/HH students
 Self-contained with opportunities for
  inclusion
 Resource room
Other Support Personnel
 Audiologist
 Speech Language Pathologist
 Special Educator
 School Nurse
 OT/PT
 BCPS Social Worker
The Role of the Audiologist
   Identify and evaluate hearing loss
   Attend IEP/504 meetings
   Provide information to faculty/staff regarding
    hearing loss and:
     FM  equipment
     Hearing aids
     Classroom accommodations and modifications
     Training for daily HA and FM checks
The Role of the Interpreter
 Facilitates Communication between
  signed languages and spoken languages
 Ensures communication is understood by
  others
 Accurately conveys all information
  communicated
 Relays the affect of the speaker
The Role of the Interpreter
   Interpreters do not:
     Maintain or moderate students’ behavior
     Evaluate teachers’ competency
     Provide answers
     Assume duties of personal assistants
Using interpreters, transliterators,
and transcriptionists
   Provide a seat for the communication
    professional that works best for the student.
   When speaking to the student, maintain eye
    contact with and talk directly to him/her.
   Speak naturally.
   Allow only one speaker at a time.
   Provide new vocabulary in advance, if possible.
Questions?




             ?
Hearing
The Ear
Hearing Loss
Hearing Loss
   Sensorineural hearing loss (or nerve-related deafness) involves
    damage to the inner ear caused by aging, pre-natal and birth-related
    problems, viral and bacterial infections, heredity, trauma, exposure
    to loud noise, fluid backup, or a benign tumor in the inner ear.

   Conductive hearing loss involves the outer and middle ear that may
    be caused by blockage of wax, punctured eardrum, birth defects,
    ear infection, or heredity.

   Mixed hearing loss refers to a combination of conductive and
    sensorineural loss and means that a problem occurs in both the
    outer or middle and the inner ear.
Audiogram
Hearing Loss Simulations


   University of Wisconsin-Whitewater Hearing Loss Simula




                       Used with permission from Scott Bradley, Ph.D., CCC-A
      Associate Professor and Audiologist, Department of Communication Sciences and Disorders
                                 University of Wisconsin-Whitewater
Unfair Hearing Test




         From “SAY WHAT…? An Introduction to Hearing Loss
                  American Academy of Audiology
Test Words
1. Fill      6. Bath
2. Catch     7. Fish
3. Thumb     8. Shows
4. Knee      9. Bed
5. Wise      10.Juice
Questions?




             ?
Equipment
Hearing Aids
Hearing Aids
   CAN
     Amplifysounds
     Be programmed to the student’s hearing loss
      to maximize speech sounds
     Improve hearing in quiet environments
   CAN’T:
     Restore   hearing capabilities to normal
     Filter noise
Cochlear Implant
Cochlear Implants
 Surgically implanted for students with
  profound hearing loss
 Function best in a quieter environment
 Do not “correct” hearing
 When off/not working, student hears
  nothing
FM Systems
 FM Listening Systems let teachers talk
  into a microphone, which transmits the
  sound of the teacher's voice directly to a
  deaf or hard of hearing child's hearing aid.
 Direct amplification of the teacher’s voice
  reduces the distraction of environmental
  noise.
FM Systems
Wearing the Microphone
Equipment Checks
 Informal: Turn on equipment, turn away
  from student, and say his/her name.
 Formal: Use paper to block
  speechreading and ask student to repeat
  words or sounds (Ling sounds).
Troubleshooting Equipment
 Make sure transmitter and receiver are
  “on” and charged.
 Check all connections.
 Check batteries.
 Call itinerant/audiologist.
Questions?




             ?
General
Accommodations
Seating Accommodations
The student should be seated:

   with a clear view of the teacher
   with a clear view of board/overhead/visual
   with his/her “best ear” toward the teacher
   away from background noise (fans, heating units)
   with the light source behind him/her (glare from
    windows)
   near a buddy who can help redirect
Communication Tips
The teacher/speaker should:

   Face the student as much as possible.
   Use frequent eye contact.
   Speak clearly in a natural tone.
   Keep objects and hands away from his/her face.
   Utilize visual materials whenever possible.
Communication Tips, cont.
   Allow extra wait time for answering a question.
   Call classmates by name so the student with the hearing
    loss can readily identify who is speaking.
   Rephrase other students’ answers to provide repetition
    and clarification.
   Ask specific comprehension questions to monitor
    understanding.
   Call particular attention to directions/transitions.
   Write, then talk.
Classroom Instruction
Each general educator will:

   Provide copies of overhead/notes with abundant writing.
   Show ONLY closed captioned movies.
   Provide instruction of new vocabulary in advance of new
    teaching.
   Allow breaks from visually attending or listening.
   Check for understanding if the student is not meeting
    expectations.
   Have the same behavioral expectations as of other
    students.
Questions?




             ?
The End!
 Thank you for your time and attention.



Please feel free to contact me at any time
      with questions and concerns.

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Hearing loss and your classroom march08 (mary ann brosso's conflicted copy 2012 11-11)

  • 1. Hearing Loss and Your Classroom Baltimore County Public Schools Learning Support for Students who are Deaf/ Hard of Hearing Developed by Shannan Eisenklam, Teacher of Students who are Deaf/Hard of Hearing
  • 2. BCPS Service Model Inclusion Sign Language Interpreting Services Audiology Cued Speech Services Transliterating Services Speech and Language Speech to Print Therapy Transcription Services Itinerant Services Technology Total Oral Communication Communication Classes Classes
  • 3. The Role of the Itinerant  Certified Teacher of Students who are Deaf/Hard of Hearing  Resource for students, parents, school personnel  Travel to schools where students with hearing loss are included in the general education setting
  • 4. The Role of the Itinerant  Direct service with student to monitor comprehension and skills related to hearing loss and IEP goals  Indirect service to support school personnel and monitor service delivery  Assist school-based case manager with IEP development and compliance  IEP team member
  • 5. The Role of the Cluster Teacher  Certified teacher of students who are Deaf/Hard of Hearing  Provide daily instruction for D/HH students  Self-contained with opportunities for inclusion  Resource room
  • 6. Other Support Personnel  Audiologist  Speech Language Pathologist  Special Educator  School Nurse  OT/PT  BCPS Social Worker
  • 7. The Role of the Audiologist  Identify and evaluate hearing loss  Attend IEP/504 meetings  Provide information to faculty/staff regarding hearing loss and:  FM equipment  Hearing aids  Classroom accommodations and modifications  Training for daily HA and FM checks
  • 8. The Role of the Interpreter  Facilitates Communication between signed languages and spoken languages  Ensures communication is understood by others  Accurately conveys all information communicated  Relays the affect of the speaker
  • 9. The Role of the Interpreter  Interpreters do not:  Maintain or moderate students’ behavior  Evaluate teachers’ competency  Provide answers  Assume duties of personal assistants
  • 10. Using interpreters, transliterators, and transcriptionists  Provide a seat for the communication professional that works best for the student.  When speaking to the student, maintain eye contact with and talk directly to him/her.  Speak naturally.  Allow only one speaker at a time.  Provide new vocabulary in advance, if possible.
  • 15. Hearing Loss  Sensorineural hearing loss (or nerve-related deafness) involves damage to the inner ear caused by aging, pre-natal and birth-related problems, viral and bacterial infections, heredity, trauma, exposure to loud noise, fluid backup, or a benign tumor in the inner ear.  Conductive hearing loss involves the outer and middle ear that may be caused by blockage of wax, punctured eardrum, birth defects, ear infection, or heredity.  Mixed hearing loss refers to a combination of conductive and sensorineural loss and means that a problem occurs in both the outer or middle and the inner ear.
  • 17. Hearing Loss Simulations University of Wisconsin-Whitewater Hearing Loss Simula Used with permission from Scott Bradley, Ph.D., CCC-A Associate Professor and Audiologist, Department of Communication Sciences and Disorders University of Wisconsin-Whitewater
  • 18. Unfair Hearing Test From “SAY WHAT…? An Introduction to Hearing Loss American Academy of Audiology
  • 19. Test Words 1. Fill 6. Bath 2. Catch 7. Fish 3. Thumb 8. Shows 4. Knee 9. Bed 5. Wise 10.Juice
  • 23. Hearing Aids  CAN  Amplifysounds  Be programmed to the student’s hearing loss to maximize speech sounds  Improve hearing in quiet environments  CAN’T:  Restore hearing capabilities to normal  Filter noise
  • 25. Cochlear Implants  Surgically implanted for students with profound hearing loss  Function best in a quieter environment  Do not “correct” hearing  When off/not working, student hears nothing
  • 26. FM Systems  FM Listening Systems let teachers talk into a microphone, which transmits the sound of the teacher's voice directly to a deaf or hard of hearing child's hearing aid.  Direct amplification of the teacher’s voice reduces the distraction of environmental noise.
  • 29. Equipment Checks  Informal: Turn on equipment, turn away from student, and say his/her name.  Formal: Use paper to block speechreading and ask student to repeat words or sounds (Ling sounds).
  • 30. Troubleshooting Equipment  Make sure transmitter and receiver are “on” and charged.  Check all connections.  Check batteries.  Call itinerant/audiologist.
  • 33. Seating Accommodations The student should be seated:  with a clear view of the teacher  with a clear view of board/overhead/visual  with his/her “best ear” toward the teacher  away from background noise (fans, heating units)  with the light source behind him/her (glare from windows)  near a buddy who can help redirect
  • 34. Communication Tips The teacher/speaker should:  Face the student as much as possible.  Use frequent eye contact.  Speak clearly in a natural tone.  Keep objects and hands away from his/her face.  Utilize visual materials whenever possible.
  • 35. Communication Tips, cont.  Allow extra wait time for answering a question.  Call classmates by name so the student with the hearing loss can readily identify who is speaking.  Rephrase other students’ answers to provide repetition and clarification.  Ask specific comprehension questions to monitor understanding.  Call particular attention to directions/transitions.  Write, then talk.
  • 36. Classroom Instruction Each general educator will:  Provide copies of overhead/notes with abundant writing.  Show ONLY closed captioned movies.  Provide instruction of new vocabulary in advance of new teaching.  Allow breaks from visually attending or listening.  Check for understanding if the student is not meeting expectations.  Have the same behavioral expectations as of other students.
  • 38. The End! Thank you for your time and attention. Please feel free to contact me at any time with questions and concerns.