Hearing Impairment: Special Needs of the Elderly

Most anaesthetists recognize that there are specific groups of patients with whom communication is especially difficult due to issues relating to language. These groups are patients in whom a disease process interferes with communication—for example intellectual disability or hearing impairment, those with whom we do not share a common tongue, and those patients whose cultural background differs from ours. Patients with communication difficulties are disproportionately represented in the hospital population for a variety of reasons. The elderly form the bulk of hospital inpatients and are much more likely to have problems such as dementia, confusion, sedation and dysphasia. It is important to be cognisant of the issues that may arise with patients who have communication problems and, in addition to being aware of these problems, it helps to have a structured way of approaching the issue. Reading the patients’ notes prior to consultation gives advance warning of issues such as dementia or hearing impairment and allows communication to be tailored to the patients’ needs. Sometimes the patients’ understanding of language may be difficult to assess on first meeting—anaesthetists have all encountered patients who answer questions with a smiling ‘yes’ or ‘no’, only to subsequently discover their comprehension has been minimal. Enquiring of relatives, friends and staff helps to give a picture of a patient’s ability to communicate in the chosen language. Similarly, enquiring of the patient how communication can be facilitated, is helpful. … ‘It says in your notes that you have trouble finding words since your strok —is there anything I can do to make it easier for you to speak?’… Once the communication problem has been delineated it makes it easier to move on to the next step. Having orientated oneself to the patient’s particular problems with communication, it is also important to orientate the staff with whom one is working. …‘Rob, we are going to see Mr Smith now. He’s had problems with alcohol withdrawal over the last few days and he is still a bit confused. It is probably best if just one of us does the talking — are you happy to do that? ’ Not: ‘I wish you wouldn’t contradict me when I’m talking to patients…’ …

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Pemerolehan bahasa anak berkebutuhan khusus (tunarungu) dalam memahami bahasa

Jurnal Genre (Bahasa, Sastra, dan Pembelajarannya) ◽

10.26555/jg.v2i1.2051 ◽

2020 ◽

Vol 2 (1) ◽

pp. 5

Author(s):

Nur Haliza ◽

Eko Kuntarto ◽

Ade Kusmana

Keyword(s):

Special Needs ◽

Hearing Impairment ◽

Deaf Child ◽

Deaf Children ◽

Children With Special Needs ◽

Speech Impairment ◽

Descriptive Research ◽

Total Communication ◽

Type Data ◽

Children With Hearing Loss

Children with hearing impairment are children with hearing loss who are classified into deaf and hard of hearing. The direct impact of disability is the obstruction of verbal / verbal communication, both speaking (expressive) and understanding the conversations of others (receptive). Obtaining the first language of a deaf child can be done with total communication. Total communication is the most effective communication system because in addition to using a form of communication orally or called oral, the activity of reading, writing, reading utterances, is also equipped with a form of cues. The purpose of this study was to determine the acquisition of language of children with special needs (deaf) in understanding language. Subjects in this study are children with special needs who experience speech impairment (hearing impairment) while the object of this study is focused on only one child, Mila Erdita, a 15-year-old child. This research refers to case studies with descriptive research type. Data collection techniques in this study will be done in three ways, namely; observation techniques, interview techniques, and documentation techniques. In this research, data processing that will be done is to describe the speech data of deaf children to see the acquisition of children's vocabulary. The results of this study indicate that deaf children can obtain a language of total communication using a form of communication orally or called oral, with the activities of reading, writing, reading utterances, also equipped with signs

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Salicylate toxicity from chronic bismuth subsalicylate use

BMJ Case Reports ◽

10.1136/bcr-2020-236929 ◽

2020 ◽

Vol 13 (11) ◽

pp. e236929

Author(s):

Sheliza Halani ◽

Peter E Wu

Keyword(s):

Emergency Department ◽

Adverse Effects ◽

Hearing Impairment ◽

Reference Range ◽

The Elderly ◽

Intravenous Fluids ◽

Over The Counter ◽

Bismuth Subsalicylate ◽

Salicylate Concentration ◽

History Of

A 79-year-old man presented to the emergency department with a 1-week history of worsening confusion, falls and hearing impairment. An initial workup for infectious, metabolic and structural causes was unrevealing. However, further history discovered that he had been ingesting one to two bottles of Pepto-Bismol (bismuth subsalicylate) daily for gastro-oesophageal reflux symptoms. On his second day of admission, the plasma salicylate concentration was 2.08 mmol/L (reference range 1.10–2.20 mmol/L), despite no sources of salicylate in hospital. He was diagnosed with chronic salicylate toxicity and Pepto-Bismol use was discontinued. The patient was treated supportively with isotonic intravenous fluids only and plasma salicylate concentration fell to less than 0.36 mmol/L. Concurrently, all his symptoms resolved. This case highlights the potential adverse effects of over-the-counter medications. The diagnosis of chronic salicylate toxicity is challenging, specifically in the elderly and in undifferentiated presentations, as it can be missed if not suspected.

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Special Needs of Youth, Women, and the Elderly

Essentials of Sports Nutrition Study Guide ◽

10.1007/978-1-59745-302-8_19 ◽

2009 ◽

pp. 283-302

Keyword(s):

Special Needs ◽

The Elderly

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The role of tourism awareness in developing accessible tourism

ARID International Journal of Social Sciences and Humanities ◽

10.36772/arid.aijssh.2020.s.2120 ◽

2020 ◽

pp. 437-463

Author(s):

طه مهدي محمود ◽

حسين محمد علي أسد

Keyword(s):

Young Children ◽

Pregnant Women ◽

Special Needs ◽

The Elderly ◽

Tourism Industry ◽

Negative Effects ◽

High Quality ◽

Tourism Sector ◽

Effective Contribution

Tourism awareness is one of the most important pillars that contribute to the development of the tourism industry in general, and the development of various tourism patterns in particular, and among those patterns are accessible tourism, because of its great importance in reducing the negative effects that may accompany the tourism industry by building educated tourism employees And be aware, knowledgeable and aware of the importance of the accomplishments and successes achieved by the tourism sector and the opportunities that this sector offers and economic opportunities that ultimately reflect on the members of society and the country. Perhaps the sensitivity of dealing with the categories of accessible tourism (those with special needs, the elderly, pregnant women, mothers for young children) need special type employees who possess a set of special skills and experiences in dealing with those groups to make the details of the tourist trip for the concerned individuals, the most important of which is accommodation (the hotel). And to achieve the best possibility to enjoy the tourist activity in general. This research aims to highlight on the role of tourism awareness for a sample of employees of the holy Karbala hotels and their effective contribution to achieve the development of soft tourism by providing high-quality services that reassure the targeted tourists and thus contribute to attract the largest number of them, which is greatly reflected in the development of tourism and making years Coming golden years for this tourist pattern, which is considered an ethical and human duty to care about and develop.

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Тhe effects of auditory amplification on subjective assessments of hearing impairment and anxiety in people with presbycusis

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh190123067m ◽

2019 ◽

Vol 147 (7-8) ◽

pp. 461-467

Author(s):

Ivana Maletic-Sekulic ◽

Stasa Petkovic ◽

Ninoslava Dragutinovic ◽

Ivana Veselinovic ◽

Ljiljana Jelicic

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Statistical Significance ◽

Later Life ◽

The Elderly ◽

Favorable Effect ◽

Hearing Disability ◽

Study Results ◽

Auditory Amplification ◽

The Impact

Introduction/Objective. Presbycusis, elderly hearing loss, is a progressive, bilateral sensoryneural hearing loss characterized by reduced sensitivity of hearing and understanding speech in a noisy environment, thereby impairing communication and inducing anxiety. The objective was to examine the impact of hearing amplification on subjective hearing disability assessment and anxiety in people with presbycusis. Method. Sample consisted of 120 respondents aged 47?85 with presbycusis, 60 subjects with and 60 subjects with no auditory amplification. The standardized Hearing Handicap Inventory for the Elderly and the Spielberger State Trait Anxiety Inventory were used in the study. Results. In subjects with hearing amplification, test/retest has no statistical significance in the STAI and HHIE scales and subscales, except the HHIE-S (p = 0.004) with a lower score on the retest. Respondents in whom hearing amplification was performed during the year was statistically significant in HHIE (p = 0.016), HHIE-S (p = 0.004) and STAI-S (p = 0.029) which speaks of favorable effect of hearing amplification. In the group with no hearing amplification, statistical significance was observed in relation to the HHIE scores (p = 0.002), HHIE-E (p = 0.000), STAI (p = 0.000), STAI-S (p = 0.001) and STAI-T (p = 0.001) and it was noticed that anxiety, loss of emotional contacts, and more pronounced degree of hearing impairment were the result of unassisted hearing rehabilitation. Conclusion. Audiological practice should include tests for assessment of hearing disability and anxiety in order to preserve health in later life.

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Psychosocial aspects of hearing impairment in the elderly

Acta Oto-Laryngologica ◽

10.3109/00016489109127281 ◽

1991 ◽

Vol 111 (sup476) ◽

pp. 215-220 ◽

Cited By ~ 5

Author(s):

Vibeke Vesterager ◽

Gerhard Salomon

Keyword(s):

Hearing Impairment ◽

The Elderly ◽

Psychosocial Aspects

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Pediatric patients in a disaster: Part of the all-hazard, comprehensive approach to disaster management

American Journal of Disaster Medicine ◽

10.5055/ajdm.2012.0087 ◽

2012 ◽

Vol 7 (2) ◽

pp. 111-125 ◽

Cited By ~ 8

Author(s):

Sharon E. Mace, MD ◽

Constance Doyle, MD ◽

Susan Fuchs, MD ◽

Marianne Gausche-Hill, MD ◽

Kristi L. Koenig, MD ◽

...

Keyword(s):

Emergency Management ◽

Special Needs ◽

Disaster Management ◽

Pediatric Patients ◽

Disaster Planning ◽

The Elderly ◽

Comprehensive Approach ◽

Management Approach ◽

Planning And Management ◽

Response And Recovery

Disasters affect all ages of patients from the newborn to the elderly. Disaster emergency management includes all phases of comprehensive emergency management from preparedness to response and recovery. Disaster planning and management has frequently overlooked the unique issues involved in dealing with the pediatric victims of a disaster. The following will be addressed: disaster planning and management as related to pediatric patients and the integration of pediatric disaster management as part of an all-hazard, comprehensive emergency management approach. Key recommendations for dealing with children, infants, and special needs patients in a disaster are delineated.

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