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Lovely padlet. I liked hearing about your changes in perspective. You had some very good insights into what hearing loss means.
Best of luck in the future.
10/10

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One thing related to this that I thought was really interesting was the process of making a MAP for cochlear implants.

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Another change in perspective for me was realizing the long and detailed processes required for setting up hearing aids or cochlear implants. Similar to my previous view on hearing loss's impact on communication, I had underestimated what it takes for someone with a hearing loss to adapt to our hearing world. I assumed that an audiologist conducted their evaluations, determined the type of hearing loss the patient had, and then gave them the proper technology to compensate for it. But I learned that in reality it is much more of a complicated process than that. It seems to me that hearing loss is just as diverse as humans; we are all different, even if we have similarities. Just like everyone's hearing loss is different and requires different things - even if they may have the same type, degree, or configuration as someone else. This is also why I believe patient-centered care is so important. There shouldn't be a cookie cutter way to find the right hearing assistive technology for someone.

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The biggest change in perspective to me was actually realizing the impact that hearing loss has on communication. I of course knew that hearing loss would make it harder to communicate, but I never thought about how much of a negative ripple effect it could have. I sort of had the idea that once you got hearing aids or cochlear implants or whichever form of technology you may require, you would be able to hear and everything would be relatively normal. But, learning about all of the different ways in which people with hearing losses are tossed aside or looked down on really opened my eyes to how hearing loss impacts all areas of an individuals life as well as their families.

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Patient-centered care has counseling at the center, whereas techno-centered counseling focuses on audiometric evaluations. This is such a huge difference and it really makes me think about how all counseling should be patient-centered. Audiometric evaluations are no doubt important, but without the partnership and trust between the family and the clinicians, it won't do much good. You can know exactly what type of hearing loss someone has and know exactly what technology they should use, but if the patient and family aren't on board, it's useless. The patient needs to feel supported and validated in order for them to feel confident with this new technology and all of the new changes they're experiencing. If they don't want to do what the audiologist suggests, chances are they won't. So, working together with the patient and family is imperative in order for the patient to succeed.

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In a school setting:
- If a classroom isn't equipped with the proper technology to assist the child with hearing loss (such as an FM system), they will greatly suffer. Not only will they have to work twice as hard as everyone else to get the information being taught, but they most likely won't get it all anyways. Another example of a deficit in schools is the social aspect. If a child with hearing loss isn't using whichever hearing technology they are supposed to, they will miss out on the chance to be social and communicate with their peers. This is a huge problem because social skills are a very necessary part of life, and school is the place children are most exposed to opportunities to work on them. Being left out in this setting can lead to the same things as in the family setting; social isolation. They may also have to deal with negative reactions from their peers if they are using their hearing assistive technology. This can lead to low confidence and self-esteem and in turn depression.

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- In a family setting: A good example of this is related to sitting round the dinner table. If a family is having a conversation, no matter how important or unimportant, the person with the hearing loss will miss bits and pieces (if not more). Often if the person with the loss asks what they are talking about, the others will simply say "it's not important" or "never mind" or something along those lines. The person with the loss may try to continue asking questions for a while, but it becomes exhausting having to put so much effort into something so simple for everyone else. So, the person with the loss eventually stops asking and it completely left out of the conversation. This can lead to the person with the hearing loss feeling lonely and isolated and maybe even resenting their family members for not including them.

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The impacts hearing loss has on communication are incredibly prominent. It can quickly become a  downward spiral towards isolation, which can in turn lead to other issues such as depression. I want to go into a little more detail about a couple of the ways that these ramifications of hearing loss can impact quality of life.

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*THE IMPACT OF HEARING LOSS ON COMMUNICATION:

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*THE IMPACT OF HEARING LOSS ON COMMUNICATION:

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Having the support of your family as well as the support of the team of professionals working with you is crucial for rehabilitative success.

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Whether your mode of communication is auditory-visual, auditory-oral, total communication, cued speed, ASL or a bilingual-bicultural approach.

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Whether you choose hearing aids, cochlear implant(s), or one of the many other hearing assistive technologies.

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Whether you have a mild, moderate, severe or profound hearing loss.

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The biggest lesson I learned this semester is the importance of having a support system.