COMMUNICATION PLAN
HEARING & COMMUNICATION GUIDE
Better hearing is more than just a hearing aid... Hearing is only one aspect of communication. COMMUNICATION
HEARING provides access to sound
LISTENING
COMPREHENSION
is the effective
and paying
is the correct
use and shaping
attention to what
understanding of
of information
is important
what is being said
Patient Name: __________________________________________________________ Date: __________________________ Your Audiogram/Hearing Test Results Low Pitched 250 Soft Sounds
CHALLENGING COMMUNICATION SCENARIOS TV
Family/Friends
Music
Church/Synagogue
Telephone
Physician/Doctors Office
Theater
Soft Speech
Children/Grandchildren
Movies
Lectures/Meetings
20
Classroom
30
Outdoors
Sporting Events
2000
High Pitched 8000
4000
0
Normal Hearing: Normal speech recognition
10
40
GOALS
1000
-10
Restaurants
Car/Transportation
500
50
1. ____________________________________________________________________________________________________
60
2. ____________________________________________________________________________________________________
70
f z v i j m dg n ng e l u
p hg
a o
r
ch
sh
k
s
th Mild Hearing Loss: Trouble with soft speech, such as children’s voices, some female voices, hearing in noise, hearing at a distance
Moderate Hearing Loss: Trouble with whispers, speech in noise, distance, auditoriums, hearing on the telephone, all voices seem weak
80
3. ____________________________________________________________________________________________________
90
Severe Hearing Loss: Difficulty understanding all speech
4. ____________________________________________________________________________________________________ Loud Sounds
5. ____________________________________________________________________________________________________ TREATMENT PLAN
Profound Hearing Loss: Rely mostly on reading lips or sign language
1. Audibility: ____________________________________________________________________________________________ 2. Brain Training:
Aural Rehabilitation Program
Audiobook
Familiar Sounds Checklist
Discrimination:
R __________________ L __________________
3. Communication Strategies:
AU _________________
a) ________________________________________________________________________________________________ b) ________________________________________________________________________________________________
Speech/Noise:
c) ________________________________________________________________________________________________
Unaided _____________ Aided _______________
d) ________________________________________________________________________________________________
We will help you choose the best hearing aid model and level of technology to suit your hearing loss, lifestyle and budget.
www.widexusa.com
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e) ________________________________________________________________________________________________
5/3/16 3:17 PM