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Desensitisation………..A long term perspective Denny Fransman SLT/Audiologist HALD SIG April 2010 University of Leeds
Contents: Morning session “How” • What? • Why? • When?
Tactile de-sensitisation • To increase tolerance to having a mould in ear
Auditory de-sensitisation • Getting used to amplified sound
Why could mould be rejected? • unfamiliar sensation • mould could be poor fit • unable to verbalise discomfort • unable to remove??? • general hyper-sensitivity • no comprehension of function
Why could amplified sound be rejected? • Used to relative silence • No meaning • confusing • frightening • unfamiliar • Poor audiometric data – poor aid setting
Essential considerations • Is the loss congenital or acquired? • If acquired • age of onset • severity of loss • time lapse between onset and intervention • Regarding the learning disability • what does sound mean to this person? • Severity of Learning Disability (LD)
Other potential complications • Autistic spectrum disorder • Hypersensitivity • Sensory integration problems • Central auditory processing disorders • Hyper-reactivity associated with neurological damage e.g. cerebral palsy
Back to basics • Why fit a hearing aid in the first place? • What are the potential benefits of aiding ? • Improvement in communication • Environmental sounds • Pleasure or leisure
Is full time hearing aid use indicative of a successful outcome? • yes or no ??????