Child has been referred from Ear's Nose and Throat for a hearing assessment because previously she has had Otitis Media with Effusion
Prior
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Take relevant History from carer
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Initally use sound field testing to condition the child to do test.
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YES
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Put headphones on to get ear specfic information and perform masking is applicable.
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YES
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Perform Otoscopy
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YES
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Perform Tympanometry
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YES
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YES
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NO
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YES
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Perform play audiometry using man in the boat, ball on the stick and building blocks
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If child will not condition change to Visual Reinforcement Audiometry in soundfield, using both towers and computer screen for videos
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Discharge back to ENT
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YES
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Discuss the results with the carer. Is hearing within the normal range?
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NO
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YES
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NO
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Try to get bone conduction
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Child performs VRA in sound field
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Follow up in 3 months in Audiology if Child has conductive hearing loss. If child has a mixed or sensorineuralhearing loss hearing aids will be dicussed.
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NO
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YES
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Perform Otoscopy
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Discuss the implications of a hearing loss either conductive or sensorineuraland the difficulties a child may have in listening environments.
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YES
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perform tympanometry.
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Discharge patient to ENT and send report
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YES
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YES
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Discuss results with carer and review child in a few weeks back in Audiology
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Is all testing achieved today that is possible?
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Is hearing wihin normal range and OME has cleared?
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NO
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Follow up in 3 months in Audiology if Child has conductive hearing loss. If child has a mixed or sensorineuralhearing loss hearing aids will be dicussed.
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YES
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NO
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YES
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YES
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YES
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Unable to get results today
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NO
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Perform VRA with inserts to get ear specific information including masking if appropriate.
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YES
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Perform bone conduction if required with masking if appropriate
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Discuss results with carer
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Discuss the implications of a hearing loss either conductive or sensorineuraland the difficulties a child may have in listening environments
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Consultation plan
