Tinnitus, Dysacusis and Hyperacusis in Children

Details

Title

Tinnitus, Dysacusis and Hyperacusis in Children

Type

Stage Two

Module code

HPS250

Requirement

Compulsory

Module objective

By the end of this module Clinical Scientists in HSST, with respect to Tinnitus, Dysacusis and Hyperacusis in children, will be able to analyse, synthesise, evaluate and apply knowledge and perform a specialist assessment and treatment of patients demonstrating the attitudes and behaviours necessary for the role of a Consultant Clinical Scientist within a patient focused service and in particular will be able to suspect, diagnose and manage tinnitus, dysacusis and hyperacusis in children.

Knowledge and understanding

By the end of this module Clinical Scientists in HSST will analyse, synthesise, evaluate and apply their expert knowledge required with respect to: 

• how tinnitus, dysacusis and hyperacusis may present in children.
• the prevalence of tinnitus, dysacusis and hyperacusis and the natural history of habituation.
• the different conditions which can cause or trigger tinnitus, dysacusis or hyperacusis.
• current pathophysiological theories about tinnitus, dysacusis and hyperacusis generation.
• the psychological effects of tinnitus, dysacusis and hyperacusis on the child and family and how these can be managed.
• the possible effects of tinnitus, dysacusis or hyperacusis on education.
• how to manage a child with tinnitus, dysacusis or hyperacusis in the context of the multi-disciplinary team.
• outside agencies such as Child and Adolescent Mental Health Services.
• Child safeguarding.

Technical and clinical skills

By the end of this module Clinical Scientists in HSST will be able to demonstrate a critical understanding of current research and its application to the performance and mastery of a range of technical skills whilst critically reflecting and applying in practice a range of clinical and communication skills to advise and communicate effectively with children and their families carers and other healthcare professionals and will:

• elicit the history of tinnitus in a child centred way.
• take an accurate history and perform a focused examination as appropriate in the role of Consultant Clinical Scientist.
• perform a risk assessment for self harm.
• select, perform and interpret appropriate audiometric  investigations.
• select other appropriate other investigations and take appropriate action on the findings.
• select and implement appropriate management strategies including referral to other specialists if indicated.
• explain the condition to the child and family in terms they understand.
• reflect on the challenges of applying research to practice in relation to these areas of practice and suggest improvements, building on a critique of available evidence.

Attitudes and behaviours

By the end of this module Clinical Scientists in HSST will be expected to evaluate their own response to both normal and complex situations demonstrating the professional attributes and insights required of a Clinical Scientist in HSST working within the limits of professional competence referring as appropriate to senior staff and will:

• recognise the possible psychological impact of tinnitus, dysacusis and hyperacusis on the child and family and of the child and family’s attitude on these symptoms.
• recognise the importance of involvement of other professionals in the management of children with tinnitus, dysacusis or hyperacusis.
• recognise the value of complementary medical approaches to holistic management of tinnitus.
• recognise the importance of child safeguarding.
• be committed to and support continuous improvement of therapeutic services, with particular reference to auditing practice, evidence based practice, innovative, new and improved technologies