Part 1: Demographics
Dianah was diagnosed at the age one and some few months during her clinical attendance on vaccination and immunization process. She is currently in her second term within grade three in a special school where she is receiving special education so as to fit the learning process. She lives with her middle class family that assists her in coping up with various issues concerning her life style. Her elder brother assists her in struggles of handwriting and in return she achieves to capture various writing tasks within the learning process. They live in an extended family where her grandmother is also deaf and the grandfather is taken care due to old age. Her mother is a nurse in the county’s referral hospital while the father is a prominent farmer. She is the only child diagnosed of hearing disability from the family of two where her elder brother is in grade six.
Name of person you are interviewing: C. Z Seco
Name of individual with the disability:
Describe the disability:
Although it is not common for infants to have hearing loss at birth. Hearing loss can also develop in children who had normal hearing as infants. Dianah was diagnosed of the disability during her clinical moments. At first the doctor said it was mild but as she grew it became worse.
Age of the individual with the disability:
She is now seven but diagnosis over the disability was established during her early stages of growth.
Describe the relationship between the family member and the individual with the disability:
Sophia is a mother of two kids Ryan elder son and Diana. She has been employed by the government in the County Referral hospital as a nurse.
Part 2: Questionnaire Interview
How did you learn that the girl had a disability?
“At first I thought it was normal and the child was still growing with the fact that she was a few months old. I didn’t take it much into consideration since sometimes she could jump whenever she heard a loud voice or a shout. On the day of clinic I asked a physiotherapist on the issues concerning child development and he ordered for the test. We scheduled for the appointment to conduct the test and from that point the therapist said it was mild, as she grew up the situation didn’t change I had to go for further checkups until it was diagnosed that her haring was getting worse despite her younger age. That’s when she began treatment but after some few months of check-ups and trying to restore her hearing capability, the therapist advised that she should have a special attention.” (C. Z Seco, Hearing Impairment Practitioner, 2017).
(Who was present? When did this happen?):
“Sometimes back I involved my sister to intervene over Diana because I felt something wasn’t adding up. The way she responded was just a confirmation of my doubts. And from that point is when we went for a therapist.” (C. Z Seco, Hearing Impairment Practitioner, 2017).
If you were giving advice to professionals who need to explain to a parent that his/her child has a special need, what would that advice be?
“As a nurse by profession I would advise that lets take the responsibility of caring for the young and old and most specifically for this case the ones with special needs since at some point they really need us to help depending on their situation but never make early conclusions towards a disability until proofed” (C. Z Seco, Hearing Impairment Practitioner, 2017).
How did you feel when you received the diagnosis?
“At first I thought the child would be okay with time but later I realized she needed me more during her growth, the diagnosis placed me on a safe path in the case that I now knew that my child needed special attention” (C. Z Seco, Hearing Impairment Practitioner, 2017).
5What have been the problems or challenges you have experienced having a child with a disability?
“The ability of a child is not only measured by the state of mind but also the abilities, sometimes she frowns and the reasons will be by your observations, when she’s sad you have to calm her down not knowing the basis of all these. It’s quite challenging but with time you will realize that she has friends too who are able to communicate freely” (C. Z Seco, Hearing Impairment Practitioner, 2017).
Part 3: Summary of Research-Based Strategies
Based on the students’ hearing disabilities I would recommend several strategies to be implemented in various situations on the newborn. With the existence of hearing screening, this helps and identifies most children born with a hearing loss. According to Ross et al. (2008), in some cases, the hearing loss is caused by aspects like infections, trauma, and damaging noise levels, and the issue doesn’t emerge until later age in childhood growth. Researchers believe that the number of people who have hearing loss doubles between birth and the teen years, most importantly it is recommended to have kids’ hearing get checked regularly as they grow.
However, the newborn should have a hearing screening before being discharged from the hospital. Every state and territory in the health facility should conduct an Early Hearing Detection and Intervention (EHDI) program; to make sure and identify every child with permanent hearing loss at early age, and in any case provide intervention services to respond to the results (Mohanraj et al., 2017). If the baby does not undergo the hearing screening, it doesn’t necessarily mean there’s a hearing loss. In a case where a child is identified to be positive to the test, it’s often redone to confirm a diagnosis. Thereafter treatment for hearing loss can be the most effective if it’s started immediately.
Kids who seem to have normal hearing should continue to have their hearing evaluated at regular doctors’ appointments for checkups. Hearing tests are usually done some recommended stages, and any other time if there’s a concern. But if the child seems to have trouble hearing, if speech development seems abnormal, or if your child’s speech is difficult to understand, for the case of Dianah if the diagnosis wasn’t done at early stage, it would affect her learning process in that the other learners would consider her as dumb and thus she would have faced rejection and in return develop psychological problems (Solheim., 2011). Children with moderate to severe hearing loss and hearing aid experience have significantly higher expectations towards hearing aids than participants with mild hearing loss and no hearing aid experience. The male gender was associated with fewer barriers toward hearing aids.
Since learners who suffer from hearing can as well communicate, the teacher is able to evaluate their ability not only through written test but also on the practical part to enhance a better communication skill (McClimens et al., 2015). This brings up a difference over the one way of evaluation of learners performance. Ability to recognize the shape and size of objects judge the speed and distance in from the items in motion, in progress all the aspects of the child to learn comes into place in acquiring the right information. Experimenting can be used to obtain reliable estimates of behavioral hearing for the techniques used to test infants in the schools in this age ranges depending on age. Thus, there are significant gaps in our understanding of human auditory development between infancy and early school age.
Part 4: Conclusion – Reflection and Discussion
While medical treatments and surgery can help people with certain types of hearing loss, Dianah’s case is takes a step to administering issues and troubles that people with such disability undergo in spite hearing aids are the main treatment for sensorineural hearing loss. Apparently, the common type of hearing loss also involves outer hair cells that do not work properly. Thus, hearing aids can make sounds louder and overcome this problem (McClimens et al., 2015). Some hearing aid styles are worn on the body while others fit behind the ear or in the ear like most of our students do including Dianah. When regular hearing aids can’t be used as in certain types of conductive hearing loss to obtain the test, specialized hearing aids that attach to the skill bone can send sound waves directly to the cochlea to improve the hearing capability.
Since there are so technology-heavy, hearing aids are expensive. Sadly , most health insurance companies do not usually cover hearing aids, although several states now require that insurance cover at least part of their cost. The doctor will help you choose a hearing aid based on your child’s needs. Most kids with bilateral hearing loss (in both ears) wear two hearing aids which in turn need to be maintained to enable the child be on the right track towards the hearing using to the tool appropriately and communicate effectively (Mohanraj et al., 2017). A specialized amplification device auditory system may help kids in school. They have a connected microphone that a teacher can speak into and a receiver being the child, which can send the sound to the ears or directly to a hearing aid. They work well in the classroom to improve hearing in group or noisy environments and also can be fitted for personal use.
In addition to hearing aids, hearing rehabilitation may include auditory or listening therapy and speech (lip) reading. Also, the use of sign language is most important towards communicating the right information (Solheim., 2011). Hearing loss is measured by playing generated or audio visual recorded sounds, and determining whether the person has the ability to hear them. Hearing sensitivity also varies according to the frequency of sounds. To take this into account, hearing sensitivity can be measured for options of frequencies.
In essence there is another method for quantifying hearing loss is a speech-in-noise test. Diana having a hearing impairment would often have a miscommunication if wrongly judged considered that she could not communicate verbally. Since person with a hearing loss will often be less able to understand speech including noisy conditions and overcrowded places, this is actually true for people who have a hearing impairment i.e. sensorineural loss which is the most common type of hearing loss (McClimens et al., 2015). As such, one should conduct speech-in-noise tests can be used provide valuable information about a person’s hearing ability, and can also be used to detect the presence of a sensorineural hearing loss. Treatment depends on the specific cause if known as early as possible. Most hearing loss, that results from age and noise, are progressive and also irreversible, thus, there are currently no approved recommended treatments, in other cases, treatment is addressed to underlying causes, but any hearing loss incurred may be permanent.
McClimens, A., Brennan, S., & Hargreaves, P. (2015). Hearing problems in the learning disability population: is anybody listening?. British Journal of Learning Disabilities, 43(3), 153-160.
Mohanraj, I., & Raakesh, B. R. (2017, March). ICT interventions on aiding people with disabilties—A state of art survey. In 2017 International Conference on Inventive Communication and Computational Technologies (ICICCT) (pp. 189-194). IEEE.
Ross, D. S., Holstrum, W. J., Gaffney, M., Green, D., Oyler, R. F., & Gravel, J. S. (2008). Hearing screening and diagnostic evaluation of children with unilateral and mild bilateral hearing loss. Trends in Amplification, 12(1), 27-34.
Solheim, J. (2011). Hearing loss in the elderly: consequences of hearing loss and considerations for audiological rehabilitation.
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