1. Introduction to Audiologic Assessment Perry C. Hanavan Audiologist

2. What is the purpose of the audiologic evaluation? A.Measure degree of loss B.Define type of loss C.Determine the medical etiology D.All the above E.A and B

3. Purpose of Audiologic Evaluation Define extent of the loss (degree of loss) – normal, minimal, mild, moderate, moderate severe, severe, or profound Define type of loss – conductive, sensorineural, mixed, auditory processing, or functional

4. Additional Purposes audiologic assessment is first step in audiologic rehabilitation

5. General Questions Why is the person being evaluated Should person be referred What is the person’s audibility What is the etiology What is the extent of the handicap from the hearing loss

6. Question Is the referral source important? A.Yes B.No C.Maybe

7. Referral-Source Reasons Patient self-referral Physician referral Family member referral Psychologist referral Other (OSHA, FAA, military, etc.) Insurance, compensation

8. Adult Case History provides critical identifying information of person, contact information, etc. shed light on etiology, time of onset, etc. prepares audiologist for degree and type of hearing loss may suggest progressive, temporary, fluctuating, permanent, etc., of hearing loss suggest whether referral to others is necessary

9. Child Case History Speech and language development physical development psychosocial development academic achievement

10. Other Factors in Case History Tinnitus Balance Medications Employment

11. Lets Play Audiologist Observations Case History Questionnaires (self- assessments) Otoscope exam Video otoscopy Behavioral Pure tone Speech Immittance OAE Evoked potentials

12. Degree of Loss Pure tone thresholds Speech thresholds Evoked potential threshold estimation

13. Type of Hearing Loss Conductive Sensorineural Mixed Auditory processing disorder Functional/organic

14. Handicap Vs. Disability Disability – the functional limitation imposed by an impairment Handicap – refers to the obstacles to psychosocial function resulting from a disability

15. Screening Hearing Function Evoked potentials OAE Immittance Pure tone air Speech – Whisper Test Whisper Test – Phonak online speech test Phonak online speech test Questionnaire – Self-survey BHI Quick Hearing Check – Risk factors

16. Observations

21. Amy Tan Syndrome