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I love your padlet. It's so personal with experiences from your other internships, classes and with your uncle. Glad to see you got so much out of the class.
10/10

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From taking this class and learning more about hearing loss, I am now better prepared and able to be open-minded about hearing loss and the signs of it. I will take hearing loss into consideration when talking with others. For example, I will not get annoyed at my grandparents or parents for asking me to repeat what I said or if I could enunciate more. I will also take into consideration the environmental factors and talker/receiver factors that could impact hearing.

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I had touched on telepractice in some of my speech-language classes, but I had not heard of telepractice within the audiology realm. After some research on this new way to communicate, I think this will be widely used in the future. A lot of things are being shaped by technology and I think assessment and treatment in the medical field will be another option for people to use if they are unable to leave their house to go to an appointment.

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With my uncle having hearing aids most of my childhood, I had noticed the whistling sound coming from his ears but I never knew why and or what caused that sound. From this class I learned that sounds coming from the ear reach the microphone which is then re-amplified by the HA and causes the high-pitched sound known as feedback.

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Baby Hears for the First Time with Cochlear Implant

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I think these are great ways to get attention. I never thought about what it would be like to be deaf or hard of hearing while crossing the street. Most crosswalks have the talking monitor and the visual signal that says to walk or to not walk. After this lecture I thought about what other devices are able to use visual signals rather than just sound: fire alarms blink red and use noise to alert, a landline uses blinking lights to display a voicemail if a call is missed, and a police car/ambulance uses flashing lights and a siren to let people know to move out of their way.

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When I was a sophomore I volunteered at the Children's Hospital in St. Paul in the audiology unit. I watched and helped an Audiologist Assistant with organizing parts of a hearing aid and testing to see if they work. I also witnessed a child hearing screening and sat in on a hearing aid mold fitting. I thought this was interesting because they had to put some foamy hardening substance in the child's ear and let it harden so that they could make an ear mold in the child's preferred color. It reminded me of when I had to get braces and a retainer and hey had to make a mold of my teeth. I think it comes full circle when I learned about the parts of a hearing aid in class because now I understood why I had to organize the different components into separate areas because not every hearing aid used the same battery or had the same parts.

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I found the short lecture on sign language and systems to be fascinating. I did not know there were different types of sign language based on geographic location. Like any language, it is hard to learn a new language, but I think knowing some sign language is beneficial for anyone who interacts with hearing loss.

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When lipreading or speech reading I learned that it can be dependent on the environment, talker, and receiver. For example, if the talker is smiling while they talk it is harder for the receiver to understand the speech/viseme cues while lip reading.

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My uncle wore hearing aids for most of his life before his bilateral cochlear implants and he told me that he relied on lip reading a lot when he had hearing aids in. When I was growing up he always asked me to talk slower so that he could read my lips. Now with his implants he is able to talk on the phone, with sound-to-text still on, and it is much easier for him to understand and follow a conversation. He also told me that when he first received the implants and heard a car horn or the sound of a lawn mower from the neighbors he was surprised at just how much he was unable to hear.

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In the Speech Acoustics and Visual Communication lecture I learned that the place of articulation is the hardest and most errored feature and that most speech sounds are not visible. When my friends try to mouth me words in public I am barely able to understand and follow along so I cannot imagine lip-reading trying to follow a conversation for those with a hearing loss that rely on lip-reading. When trying to say ball- it could be seen as a /m/, /p/, or /b/ since all of these phonemes have a bilabial place of articulation. And the /l/ is hard to see because it is inside the mouth.

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I liked being able to learn more about hearing aids and actually get to see them and touch them. It was cool to see the different parts of the hearing aids like the battery compartment and the microphones. I found it interesting that not all hearing aids had the same components. For example, BTE aids have the microphone by the ear hook, while the ITE device has 2 microphones next to its battery compartment.

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I really enjoyed watching and learning from these videos. I was able to hear and understand both sides of the story from the point of view of the audiologist and the person with a hearing loss. This video in particular stood out to me: Claire, Adam, and his mum. This video showed a lot of patient-centered care from the Audiologist by allowing Adam to see the different options of hearing aids he was able to choose from. The Audiologist took time to listen to Adam as to why he wanted hearing aids and what he thinks and feels about his hearing loss. It also showed techno-centered care when the Audiologist explained the hearing aids to the patient and all of its abilities.

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Stage: Contemplation/Action

Recommended Tools: Line and Box

Description: Adam is 19-years-old and was in the process of joining the Royal Air Force when he had a bicycling accident that caused him to permanently lose his hearing in his left ear. Adam admits that he hasn't fully accepted his hearing loss, but sees it as something he will have to adjust to. After seeing an ENT, Adam comes to Claire looking for an alternative to a behind-the-ear hearing aid.

Adam is ready to take action on his hearing loss and is receptive to Claire's suggestions. By giving Adam a questionnaire including the Ida Motivation Tools before their appointment, Claire was able to assess Adam's readiness for a hearing aid, and immediately begin a dialogue with him about his options. Adam, in turn, feels positive about having different options, and is eager to make a decision and move forward to a management stage.

Stage: Contemplation/Action

Recommended Tools: Line and Box

Description: Ross sustained a hearing loss after years in the army and has been referred to his audiologist, Jonathan, through the VA. He is concerned about losing his hearing at such a young age, and is ready to take action on it.

Jonathan is very aware of his method of communication with clients and wonders how the information he shares comes across to them. He recognizes that talking about where the hearing loss is in a client's ears might be more detail than the client necessarily needs or wants. This leads him to reflect on what his training has been, versus what is best for the client, and what they are most likely to absorb.

Stage: Pre-Contemplation, Contemplation, Action, Maintenance, Relapse

Recommended Tools: Motivation Tools, Communication Partner Tools, Patient Journey, Living Well

Description: This story is about Per and Lene's shared journey into a life with hearing loss. The journey starts, as it often does with hearing loss, years earlier. We join them on the last leg of their journey towards taking action. We meet Per and Lene for the first time in their home on a sunny afternoon in the outskirts of Copenhagen.

Over the next two years, we follow them during their visits to the clinic but more than that, we are invited into their home and hearts to share their thoughts, concerns, and feelings about living with hearing loss. We were surprised by how it ended. The film gives a unique insight into Lene's frustrations and the acceptance of her decisions, and what really matters in her life. Even though the couple has an almost identical hearing loss, they are not in agreement about its significance. Per is more ambiguous. He expresses his fear when he asks, "When are you handicapped? When you can't hear or when people can see you have the hearing aids in?" The question is about changed self-perception and the fear of stigmatization and less about fading sounds. And that is what this film is about, too.

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Stage: Contemplation/Action Recommended Tools: Line and Box Description: Adam is 19-years-old and was in the process of joining the Royal Air Force when he had a bicycling accident that caused him to permanently lose his hearing in his left ear.