Training activity: 9

Details

Create management plans for a patient with complex audiological presentations, including:

• Single-sided deafness and significant asymmetrical hearing loss (≥30dB difference on four-frequency average)
• Flat, “cookie bite” and reverse-sloping hearing loss
• Steeply-sloping hearing loss
• Hearing difficulties with a normal audiogram
• Suspected non-organic hearing loss
• Progressive hearing loss

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

• Principles of patient-centred care
• Bilateral or unilateral hearing aids and/or modifications to their settings
• Validation of hearing aid fittings using objective methods
• CROS or BiCROS hearing aids
• Alternative and assistive listening devices
• Counselling and setting of expectations, based on published evidence
• Use of interpreters where required
• Local and national guidelines, and international best practice
• Onward referral for auditory implants or other appropriate services

Relevant learning outcomes

#	Outcome
# 2	Outcome Apply shared decision-making to develop an individualised management plan and counselling for adults with hearing loss and other auditory difficulties, taking into account differing cultural and social attitudes to hearing care.
# 3	Outcome Evaluate individual patient outcomes and safely manage a range of routine and complex hearing losses.
# 4	Outcome Practice within their own personal and professional scope, identifying where onward referral is appropriate.