The Helen Keller Question Applied to Workplace Discrimination: Hearing Loss vs. Visual Loss

2021 ◽  
Vol 35 (3) ◽  
pp. 201-221
Author(s):  
Brian T. McMahon ◽  
Mykal J. Leslie ◽  
Grace W. Li ◽  
Phillip D. Rumrill ◽  
Paige E. Simpson ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Visual Loss ◽  
Vision Loss ◽  
Workplace Discrimination ◽  
Sensory Loss ◽  
Small Scale ◽  
Ex Post ◽  
Sensory Impairments ◽  
Ex Post Facto ◽  
Quantitative Design

BackgroundIn exploring the matter of sensory loss and job discrimination, the National EEOC ADA Research Project (NEARP) seeks to answer a singular question.ObjectiveHow do persons with hearing loss (HL) vs. visual loss (VL) experience the nature and scope of workplace discrimination differently, if at all?MethodsThe NEARP team uses an ex post facto, causal comparative quantitative design that includes descriptive and inferential, nonparametric statistics. Closed EEOC files involving ADA allegations of workplace discrimination filed by Americans with Hearing Loss (HL, N = 21,847) and Vision Loss (VL, N = 16,136) were compared in terms of demographics, issues, and investigatory outcomes.ResultsHL and VL groups show Demographic differences to one another and to population statistics of sensory impairment in the areas of Gender and Race/Ethnicity. Regarding Issues, HL and VL groups are different from one another with respect to several prevalent matters (i.e., Discharge, Reasonable Accommodation) and small-scale matters (i.e., Hiring and Terms/Conditions). With respect to the Merit of allegations following EEOC investigation, HL and VL are very similar.ConclusionWorkplace discrimination is experienced differently for Charging Parties who experience HL vs. VL. Moreover, important differences exist Charging Parties from both sensory impairments vs. those from a General Disability Population.

Workplace Discrimination Involving Charging Parties With Substance Use Disorders Under Title I of the Americans With Disabilities Act

2019 ◽  
Vol 50 (1) ◽  
pp. 7-23 ◽  
Author(s):  
Mykal Leslie ◽  
Steve J. Rainey ◽  
Martin Jencius ◽  
Phillip D. Rumrill ◽  
Brian T. McMahon
Keyword(s):  
Substance Use ◽  
Title I ◽  
Substance Use Disorders ◽  
Americans With Disabilities Act ◽  
Comparison Group ◽  
Equal Employment Opportunity Commission ◽  
Workplace Discrimination ◽  
Ex Post ◽  
Ex Post Facto ◽  
Quantitative Design

The goal of this research was to describe allegations of discrimination, both actual and perceived, that were filed by individuals with substance use disorders (SUDs) in comparison to a group of individuals with other physical disabilities (GENDIS) through analysis of the U.S. Equal Employment Opportunity Commission (EEOC) Integrated Mission System (IMS) database. An ex post facto, causal comparative quantitative design was used to examine Americans with Disabilities Act (ADA) Title I allegations received by the EEOC from charging parties with SUD from 1992 through 2011 (n= 8,432) in comparison to the GENDIS group over the same timeframe (n= 82,618). Results revealed statistically significant differences in the patterns of issues alleged by the two groups. In addition, compared to the GENDIS comparison group, the SUD group was significantly younger, had a significantly higher proportion of males, had proportionally more individuals who identified as Caucasian and as Other, and had proportionally fewer individuals who identified as Hispanic/Mexican and Asian. Charging parties with SUD were significantly less likely than the GENDIS group to have their allegations result in a merit-based case resolution. Implications for rehabilitation practice and further research are discussed.

scholarly journals SCREENING FOR VISION AND HEARING LOSS IN OLDER ADULTS WITH DEMENTIA: A FEASIBILITY STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S120-S121
Author(s):  
Katherine McGilton ◽  
Fiona Höbler ◽  
Marilyn Reed ◽  
Tammy Labreche ◽  
M Kathleen Pichora-Fuller ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Vision Loss ◽  
Hearing Screening ◽  
Screening Tools ◽  
Sensory Loss ◽  
Term Care ◽  
Multi Stage ◽  
Dual Sensory Loss

Abstract Sensory loss accounts for one of the most common chronic conditions among older adults, with hearing loss affecting half of adults aged over 65 years and vision loss almost one fifth of those aged 70 years and over. Together, dual sensory loss is found to be most prevalent in older adults with dementia. The highest prevalence is found in long-term care (LTC) settings. For this reason, we conducted a multi-stage study to identify the most effective vision and hearing screening tools for use with older adults living with dementia and to evaluate their feasibility of use by nurses working in LTC. We first conducted a comprehensive review of the literature, and supplemented this with an environmental scan of healthcare professionals and sensory specialists working with older adults who have dementia. Following this extensive review and consultative decision-making process, a package of vision and hearing screening tools was selected for use by nurses working in LTC. On-site training was provided by two experienced audiologists and optometrists, after which the feasibility of sensory screening by three nurses of 17 residents under their care was evaluated. We report on the six measures of hearing and seven measures of vision that were piloted for screening of older adults with dementia living in LTC, and on the findings for their feasibility of use by nurses working in this setting. Recommendations regarding the feasibility and reliability of screening for vision and hearing loss in older adults with dementia are discussed.

scholarly journals Prevalence and characteristics of hearing and vision loss in preschool children from low income South African communities: results of a screening program of 10,390 children

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Susan Eksteen ◽  
Robert H. Eikelboom ◽  
Hannah Kuper ◽  
Stefan Launer ◽  
De Wet Swanepoel
Keyword(s):  
Hearing Loss ◽  
Preschool Children ◽  
South African ◽  
Vision Loss ◽  
Screening Program ◽  
Vision Screening ◽  
Community Based ◽  
Sensory Impairments ◽  
African Community

Abstract Background The majority of children with sensory impairments live in low- and middle-income countries. More studies of hearing and vision impairment prevalence are needed, in order to generate more accurate estimates of trends in sensory impairments. This study aimed to estimate the prevalence and describe the characteristics of hearing and vision loss among preschool children (4–7 years) in an underserved South African community following community-based mobile health (mHealth) supported hearing and vision services. Methods A screening program of sensory impairments was undertaken of children attending preschools in the communities of Khayelitsha and Mitchell’s Plain, Cape Town, from September 2017 until June 2019. Hearing and vision screening were done by trained community health workers using mHealth technology. Children who failed hearing and vision screening were seen for follow-up assessments at their preschools. Follow-up assessments were conducted using smartphones that host point-of-care validated and calibrated hearing and vision testing applications (hearTest app, hearX Group, South Africa and PeekAcuity app, Peek Vision, United Kingdom). Descriptive statistical analysis and logistic regression analysis were conducted after extracting data from a secure cloud-based server (mHealth Studio, hearX Group) to Microsoft Excel (2016). Results A total of 10,390 children were screened at 298 preschools over 22 months. Of the children screened, 5.6 and 4.4% of children failed hearing and vision screening respectively. Community-based follow-up hearing tests were done at the preschools on 88.5% (514) of children of whom 240 children (54.2% female) presented with hearing loss. A preschool-based follow-up vision test was done on 400 children (88.1%). A total of 232 children (46.1% female) had a vision impairment, and a further 32 children passed the test but had obvious signs of ocular morbidity. Logistic regression analysis found that age was a significant predictor of vision loss (p < 0.05), but not for hearing loss (p = 0.06). Gender was not a significant predictor of hearing (p = 0.22) or vision loss (p = 0.20). Conclusions Hearing loss is prevalent in at least 22 per 1000 and vision loss in at least 23 per 1000 preschool children in an underserved South African community. Timely identification of sensory losses can be facilitated through community-based hearing and vision services supported by mHealth technology.

The Prevalence of Hearing, Vision, and Dual Sensory Loss in Older Canadians: An Analysis of Data from the Canadian Longitudinal Study on Aging

2020 ◽  
pp. 1-22 ◽  
Author(s):  
Paul Thomas Mick ◽  
Anni Hämäläinen ◽  
Lebo Kolisang ◽  
M. Kathleen Pichora-Fuller ◽  
Natalie Phillips ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Hearing Loss ◽  
Longitudinal Study ◽  
Vision Loss ◽  
Sensory Loss ◽  
Canadian Population ◽  
Dual Sensory Loss ◽  
Impairment Severity

ABSTRACT The purpose of this study was to describe the prevalence of hearing loss (HL), vision loss (VL), and dual sensory loss (DSL) in Canadians 45–85 years of age. Audiometry and visual acuity were measured. Various levels of impairment severity were described. Results were extrapolated to the 2016 Canadian population. In 2016, 1,500,000 Canadian males 45–85 years of age had at least mild HL, 1,800,000 had at least mild VL, and 570,000 had DSL. Among females, 1,200,000 had at least mild HL, 2,200,000 had at least mild VL, and 450,000 had DSL. Among Canadians 45–85 years of age, mild, moderate, and severe HL was prevalent among 13.4 per cent, 3.7 per cent, and 0.4 per cent of males, and among 11.3 per cent, 2.3 per cent, and 0.2 per cent of females, respectively. Mild and moderate, or severe VL was prevalent among 19.8 per cent and 2.4 per cent of males, and among 23.9 per cent and 2.6 per cent of females, respectively. At least mild DSL was prevalent among 6.4 per cent of males and 6.1 per cent of females.

Accommodating Dual Sensory Loss in Everyday Practice

2014 ◽  
Vol 19 (1) ◽  
pp. 4-16
Author(s):  
Katharina V. Echt ◽  
Gabrielle H. Saunders
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Older People ◽  
Vision Loss ◽  
Sensory Loss ◽  
Sensory Impairment ◽  
Health Care Settings ◽  
Speech Language Pathologist ◽  
Dual Sensory Loss ◽  
Dual Sensory Impairment

Dual sensory impairment is increasingly prevalent in people over age 65. The combination of vision loss and hearing loss impacts not only day-to-day function from the perspective of the patient, but must also be considered by the speech-language pathologist working with older people in health care settings. This article will discuss the implications of dual sensory impairment for both patients and professionals, and will provide strategies to support communication.

scholarly journals Sudden onset hearing and visual loss: An unusual presenting manifestation of chronic phase chronic myeloid leukaemia

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Sneha Tandon ◽  
◽  
Sanjeev Yadav ◽  
Ruchi Gupta ◽  
Soniya Nityanand ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Chronic Myeloid Leukaemia ◽  
Myeloid Leukaemia ◽  
Visual Loss ◽  
Vision Loss ◽  
Case Series ◽  
Chronic Phase ◽  
Sudden Onset ◽  
Neurological Manifestations ◽  
Vascular Obstruction

Chronic Myeloid Leukaemia (CML) commonly presents with generalized weakness, splenomegaly, leucocytosis with basophilia, while neurological manifestations like convulsions, hearing loss, papilledema are rare. Moreover, hearing and or vision loss is seldom encountered as a primary manifestation [1-6], with various mechanisms implicated for vascular obstruction and end organ dysfunction [4]. We hereby, report a retrospective series of six patients with CML in Chronic Phase (CP) who presented with visual loss and/or Sensorineural Hearing Loss (SNHL). Due to the rarity of this presentation we feel our case series could contribute to the existing scarce literature.

scholarly journals Documentation of Dual Sensory Impairment in Electronic Medical Records

2014 ◽  
Vol 56 (2) ◽  
pp. 313-317 ◽  
Author(s):  
Brittney Dullard ◽  
Gabrielle H. Saunders
Keyword(s):  
Hearing Loss ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Vision Loss ◽  
Clinical Care ◽  
Primary Care Providers ◽  
Sensory Impairment ◽  
Care Providers ◽  
Sensory Impairments ◽  
Dual Sensory Impairment

Abstract Purpose of the Study: To examine the documentation of sensory impairment in the electronic medical records (EMRs) of Veterans with both hearing and vision losses (dual sensory impairment [DSI]). Design and Methods: A retrospective chart review of the EMRs of 20 patients with DSI was conducted. Providers’ documentation of the presence of sensory impairment, the use of assistive technology during clinical appointments, and the content of notes mentioning communication issues were extracted from each chart note in the EMR for the prior 6 years. Results: Primary care providers documented DSI in 50% of EMRs, vision loss alone in 40%, and hearing loss alone in 10% of EMRs. Audiologists documented vision loss in 50% of cases, whereas ophthalmologists/optometrists documented hearing loss in 15% of cases. Examination of two selected cases illustrates that care can be compromised when providers do not take note of sensory impairments during planning and provision of clinical care. Implications: Sensory impairment is poorly documented by most providers in EMRs. This is alarming because vision and hearing affect patient–physician communication and the use of medical interventions. The results of this study raise awareness about the need to document the presence of sensory impairments and use the information when planning treatment for individuals with DSI.

Vision and Hearing Loss in Older Adults: “Double Trouble”

2004 ◽  
Vol 5 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Paige Berry ◽  
John Mascia ◽  
Bernard A. Steinman
Keyword(s):  
Hearing Loss ◽  
Vision Loss ◽  
The Elderly ◽  
The United States ◽  
Sensory Loss ◽  
Older Individuals ◽  
The People ◽  
Common Causes ◽  
Functional Implications ◽  
Dual Sensory Loss

Recent studies indicate that by age seventy, 21% of the people living in the United States have both vision and hearing loss. Dual sensory loss in the elderly has a significant effect on an individual’s ability to socialize, communicate with others, and live independently. This article addresses the issues faced by older individuals who are hard of hearing and blind or visually impaired. Common causes and behavioral signs of hearing and vision loss are discussed. An emphasis is placed on the functional implications of the dual sensory impairment and possible accommodations and communication strategies are outlined.

scholarly journals Farmers Perception towards Pradhan Mantri Fasal Bima Yojana in Salem District

2021 ◽  
pp. 230-234
Author(s):  
S. Amutha Kumari ◽  
R. Jansi Rani ◽  
R. Premavathi ◽  
S. Sridevy
Keyword(s):  
Tamil Nadu ◽  
Large Scale ◽  
Sampling Method ◽  
Crop Insurance ◽  
Structured Interview ◽  
Small Scale ◽  
Ex Post ◽  
Ex Post Facto ◽  
Small Scale Farmers ◽  
Salem District

The aim of the study is to ascertain the perception of farmers towards Pradhan Mantri Fasal Bima Yojana (PMFBY).The research design adopted for this study is an ex-post facto. The present investigation was carried out in Konganapuram and Kadayampatti  block of Salem district of Tamil Nadu. The duration of the study is from 2020-2021. As per the list provided by Joint Director of Agriculture and other officials  farmers were selected from each village, who have registered under P.M.F.B.Y. Respondents were selected from each village through proportionate sampling method and the sample size was 117. Based on judges’ opinion and review of literature, the well-structured interview schedule was prepared and used to collect data from the respondents. The collected data were coded, quantified, classified, tabulated and analyzed with the help of frequency and percentage to get the inference. The statement like all farmers can pay the amount of premium under crop insurance ranked as I (MS - 2.52) followed by the damage caused by fire and electricity must be included in Insurance (MS - 2.44), It is mandatory for all farmers to get crop insurance (MS - 2.42) were ranked as 2 and 3 respectively. As crop insurance protects the farmers from the uncertainty of risk in farming like natural calamities (floods, droughts, cyclones, and earth quakes, etc.). That crop insurance is mandatory for every type of farmer; Government should take the initiative to give subsidies for small scale farmers and large-scale farmers as a basis of proportion to their income levels.

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