Auditory Processing Disorders (APD) in Children and Adults: Part 2
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Scope of Practice 7/5/16, 3:26 PM An Auditoryaudiologist is a person Processing who, by virtue of academic Disorders degree, clinical (APD training,) andin license Children to practice and/orand professionalAdults: credential, Partis uniquely 2. qualified A Team to provide Approach a comprehensive array to of Management professional services related to the prevention of hearing loss and the audiologic identification, assessment, diagnosis, and treatment of persons with impairment of auditory and vestibular function, and to the prevention of impairments associated with them. Audiologists serve in a number of roles including clinician, therapist, teacher, consultant, researcher and administrator. The supervising audiologist maintains legal and ethical responsibility for all assigned audiology qactivitiesIntroduction provided by audiology assistants and audiology students. qTheCounseling central focus of the profession& Advocacy of audiology is concerned with all auditory impairments and their relationship to qdisordersFM technologyof communication. Audiologists identify, assess, diagnose, and treat individuals with impairment of either qperipheralComputer or central -auditorybased and/or auditory vestibular function, training and strive to prevent such impairments. qScopeAudiologistsDirect of Practice provide auditory clinical and remediation academic training to students in audiology. Audiologists teach physicians, medical7/5/16, 3:26 PM qstudents,Language residents, and-based fellows about options the auditory and vestibular system. Specifically, they provide instruction about identification, assessment, diagnosis, prevention, and treatment of persons with hearing and/or vestibular Treatmentimpairment. They provide information and training on all aspects of hearing and balance to other professions Theincluding audiologist psychology, is the counseling,professional rehabilitation, who provides and the education. full range ofAudiologists audiologic provide treatment information services onfor hearingpersons and with impairmentbalance, hearing of hearing loss and and disability, vestibular prevention function. ofThe hearing audiologist loss, and is responsible treatment to for business the evaluation, and industry. fitting, They and developverification ofand amplification oversee hearing devices, conservation including programs assistive listeningin industry. devices. Further, The audiologists audiologist serve determines as expert the witnesses appropriateness within the of amplificationboundaries of systems forensic foraudiology. persons with hearing impairment, evaluates benefit, and provides counseling and training regarding their use. Audiologists conduct otoscopic examinations, clean ear canals and remove cerumen, take ear canalThe audiologist impressions, is an select, independent fit, evaluate, practitioner and dispense who provides hearing services aids and in hospitals,other amplification clinics, schools, systems. private Audiologists practices assessand other and settings provide in audiologic which audiologic treatment services for persons are relevant. with tinnitus using techniques that include, but are not limited to, biofeedback, masking, hearing aids, education, and counseling. Scope of Practice Audiologists also are involved in the treatment of persons with vestibular disorders. They participate as full members ofThe balance scope oftreatment practice teams of audiologists to recommend is defined and by carry the outtraining treatment and knowledge and rehabilitation base of professionalsof impairments who of arevestibular licensed and/or credentialed to practice as audiologists. Areas of practice include the audiologic identification, function. assessment, diagnosis and treatment of individuals with impairment of auditory and vestibular function, prevention of hearing loss, and research in normal and disordered auditory and vestibular function. The practice of audiology Audiologists provide audiologic treatment services for infants and children with hearing impairment and their families. includes: These services may include clinical treatment, home intervention, family support, and case management. Identification The audiologistAuditory is the member Processing of the implant team Disorders: (e.g., cochlear implants, Scope middle earof implantable Practice hearing aids, fully Audiologists develop and oversee hearing screening programs for persons of all ages to detect individuals with implantable hearing aids, bone anchored hearing aids, and all other amplification/signal processing devices) who hearing loss. Audiologists(American may perform speechAcademy or language of screening, Audiology, or other screening 2004) measures, for the purpose determines audiologic candidacy based on hearing and communication information. The audiologist provides pre and of initial identification and referral of persons with other communication disorders. post surgical assessment, counseling, and all aspects of audiologic treatment including auditory training, rehabilitation, implant programming, and maintenance of implant hardware and software. Assessment and Diagnosis Assessment of hearing includes the administration and interpretation of behavioral, physioacoustic, and The audiologist provides audiologic treatment to persons with hearing impairment, and is a source of information for electrophysiologic measures of the peripheral and central auditory systems. Assessment of the vestibular system family members, other professionals and the general public. Counseling regarding hearing loss, the use of includes administration and interpretation of behavioral and electrophysiologic tests of equilibrium. Assessment is amplificationScope of Practice systems and strategies for improving speech recognition is within the expertise of the audiologist. 7/5/16, 3:26 PM accomplished using standardized testing procedures and appropriately calibrated instrumentation and leads to the Additionally,diagnosis of hearingthe audiologist and/or vestibularprovides counselingabnormality. regarding the effects of hearing loss on communication and psycho- social status in personal, social, and vocational arenas. Treatment Thehttp://www.audiology.org/print/1664The audiologist audiologist administers is the professional audiologic identification,who provides assessment, the full range diagnosis, of audiologic and treatment treatment programs services to children forPage persons 2 of of 4 with allimpairment ages with hearing of hearing impairment and vestibular from birth function. and preschool The audiologist through school is responsible age. The audiologist for the evaluation, is an integral fitting, part of and verification theof amplificationteam within the devices, school system including that assistivemanages studentslistening with devices. hearing The impairments audiologist and determines students with the central appropriateness of auditoryamplification processing systems disorders. for persons The audiologist with hearing participates impairment, in the development evaluates benefit, of Individual and Familyprovides Service counseling Plans and training (IFSPs)regarding and theirIndividualized use. Audiologists Educational conduct Programs otoscopic (IEPs), serves examinations, as a consultant clean in mattersear canals pertaining and remove to classroom cerumen, take ear acoustics, assistive listening systems, hearing aids, communication, and psycho-social effects of hearing loss, and canal impressions, select, fit, evaluate, and dispense hearing aids and other amplification systems. Audiologists maintains both classroom assistive systems as well as students' personal hearing aids. The audiologist administers assess and provide audiologic treatment for persons with tinnitus using techniques that include, but are not limited hearing screening programs in schools, and trains and supervises non audiologists performing hearing screening in to, biofeedback, masking, hearing aids, education, and counseling. the educational setting. HearingAudiologists Conservation also are involved in the treatment of persons with vestibular disorders. They participate as full members Theof balance audiologist treatment designs, teams implements to recommend and coordinates and carryindustrial out andtreatment community and hearingrehabilitation conservation of impairments programs. Thisof vestibular includesfunction. identification and amelioration of noise-hazardous conditions, identification of hearing loss, recommendation Audiologists provide audiologic treatment services for infants and children with hearing impairment and their families. http://www.audiology.org/print/1664 Page 3 of 4 These services may include clinical treatment, home intervention, family support, and case management. The audiologist is the member of the implant team (e.g., cochlear implants, middle ear implantable hearing aids, fully implantable hearing aids, bone anchored hearing aids, and all other amplification/signal processing devices) who determines audiologic candidacy based on hearing and communication information. The audiologist provides pre and post surgical assessment, counseling, and all aspects of audiologic treatment including auditory training, rehabilitation, implant programming, and maintenance of implant hardware and software. The audiologist provides audiologic treatment to persons with hearing impairment, and is a source of information for family members, other professionals and the general public. Counseling regarding hearing loss, the use of amplification systems and strategies for improving