Session Descriptions Audiology 2017: Cutting-Edge Perspectives in Service Delivery for Older Adults

2017 Audiology - RegistrationThese pre-recorded lectures are on-demand and last only an hour, so you can listen to them whenever time permits!

Cutting-Edge Issues in Audiology Service Delivery for Older Adults
Kathleen M. Cienkowski, PhD, CCC-A

As the population ages—and the sizable Baby Boomer generation reaches retirement age—there is an increased demand for audiological rehabilitative services. This session will present recent developments in hearing health care for older adults, including alternate service delivery models, and put them in the context of historical views of age-related hearing loss (presbycusis).

After completing this session, you will be able to:

  • Describe how our understanding of age-related hearing loss has changed over the past decade
  • Discuss the changing demographics of age-related hearing loss
  • Identify alternate service delivery models for providing hearing health care

Improving Patient Outcomes Through Family-Centered Care 
Jill E. Preminger, PhD, CCC-A

This session will illustrate how a patient- and family-centered approach to service provision can improve patient trust and satisfaction with audiology services. The presenter will discuss how this type of care approach increases the likelihood that patients will adhere to auditory rehabilitation recommendations, thus improving overall outcomes.

After completing this session, you will be able to:

  • Describe the relationship between patient-centered care and trust
  • Select treatment tools and strategies that promote family-centered care

Incorporating Outcomes Data and Patient-Centered Care in Clinical Decision-Making and Patient Counseling 
Lisa Satterfield, MS, CCC-A

Policymakers are pressing health care providers to track—and therefore get paid according to—patient outcomes. At the same time, patients are more savvy and demanding more accountability from providers. This session will explore how audiologists can incorporate patient function and outcomes data in clinical decision-making and patient counseling in order to stay relevant as the primary provider of hearing health care services.

After completing this session, you will be able to:

  • Explain the relationship between data and health care payment
  • Utilize standardized functional assessment tools in clinical practice
  • Apply data from patient-reported tools and a patient-centered care approach to develop treatment goals

Hearing Loss and Dementia 
Barbara Weinstein, PhD, CCC-A

This session will explore the intricate connections between hearing loss and dementia, focusing on the process of screening patients with hearing loss for dementia and the impact of hearing assistance technology on the hearing status and communication function in patients with dementia.

After completing this session, you will be able to:

  • Describe how people with hearing loss can be screened for dementia
  • Describe the value of hearing aids and other hearing assistance technology for dementia-related communication deficits 

The Role of Electrophysiology in the Assessment of Auditory Processing and Associated Neuroplasticity 
Samira Anderson, PhD, CCC-A

The field of audiology focuses mostly on the peripheral auditory system—in both diagnosis and management—but other factors (e.g., "hidden hearing loss" and/or reduced cognitive ability) may play a role in an individual’s ability to communicate in diverse environments. This session will discuss how audiologists can incorporate evoked potential testing into the assessment battery to obtain a more comprehensive picture of auditory function.

After completing this session, you will be able to:

  • Describe the effects of aging and/or hearing loss on neural speech representation
  • Describe electrophysiologic analyses that can be used to assess the precision of temporal processing
  • Discuss the aspects of neural speech encoding that may be malleable with training and/or the use of hearing aids

Helping Patients and Families Make End-of-Life Care Decision
Michelle Arnold, AuD, CCC-A, and Debra Dobbs, PhD

Older adults must make important decisions about their end-of-life care, including power of attorney assignment and advance directives, and those with hearing and other communication disorders need special accommodations to participate in these important decisions to the fullest extent possible. This session will discuss the communication needs of patients in the final stages of life, including the use of various hearing technologies, such as hearing aids, personal sound amplifiers, and pocket talkers. The presenters will discuss tools to facilitate conversations among patients, family members, and caregivers.

After completing this session, you will be able to:

  • Define "advance directive" and "power of attorney," and explain the impact these decisions make on end-of-life care
  • Describe different hearing technologies to facilitate conversations among patients, family members, and caregivers
  • Use the "Conversation Starter Kit" and explain its use to patients, family members, and caregivers

Pharmacology and Synergistic Effects 
Demetra Antimisiaris, PharmD, BSGP, FASCP

Many times, patients are taking medications recommended and prescribed from multiple practitioners and sources, and no one provider is responsible for the overall picture, possibly leading to medication-related harm. Thus, it is incumbent upon each member of the patient’s health care team to play a role in ensuring a safer medication use experience based on basic principles regarding polypharmacy. This session will use case studies to explore polypharmacy and synergistic effects to help audiologists contribute to positive overall medication results for their patients.

After completing this session, you will be able to:

  • Explain the prescribing cascade, and identify medication-related harm, which often is misinterpreted as physical impairment
  • Describe the level of medication burden and state reasons for regional differences across the U.S. in prescription burden
  • Identify common high-risk medications and explain why they should be avoided, if possible

Making a Case for Audiology Assistants 
Gyl Kasewurm, AuD

In today's environment, it is becoming increasingly difficult to maintain profitability while meeting patient needs in an audiology practice. Audiology assistants can be part of the solution. This session will identify common practice challenges and describe how assistants can help improve profitablity as well as patient retention and satisfaction.

After completing this session, you will be able to:

  • List three ways to use assistants effectively in a practice
  • Outline an on-the-job training program for assistants
  • Describe how to improve patient satisfaction with the use of assistants

Tinnitus Assessment and Management in Older Adults 
Sharon A. Sandridge, PhD, CCC-A, and Craig W. Newman, PhD, CCC-A

Many clinicians feel ill-equipped to provide management services to aging adults who experience both hearing loss and bothersome tinnitus. This session will describe strategies for evaluating and managing tinnitus in older patients to improve their quality of life.

After completing this session, you will be able to:

  • Select self-report measures to determine whether hearing loss, tinnitus, or a combination of the two is causing the greatest activity limitations or participation restrictions for the patient
  • Determine appropriate sound interventions and counseling strategies for older adults
  • Describe a care path using an interprofessional, collaborative model for managing patients with tinnitus

Fall Prevention and Outcomes in Audiology 
Julie A. Honaker, PhD, CCC-A

With increased age, comes a greater chance of falls. The health effects of a fall and the often-difficult recovery affect a patient’s quality of life (including the ability to live independently) as well as his or her family. This session will discuss how patient-centered audiology care can significantly reduce the risk of falls in older adults. The presenter will discuss fall prevention options and patient outcomes.

After completing this session, you will be able to:

  • Identify the top five risk factors for falls and how they can be evaluated
  • Utilize appropriate case history questions, including operational definitions for standardizing fall risk assessment
  • Utilize best practice outcome measures to predict risk of falls, and explain how to discuss the results with patients

Cognition and Hearing Aids 
Pamela Souza, PhD, CCC-A

According to recent research, an individual’s success with using a hearing aid is connected to his or her cognitive ability. This session will review the evidence and explain how to apply it to clinical decision-making to improve outcomes for each individual patient.

After completing this session, you will be able to:

  • Describe recent research on cognition and hearing aids
  • List appropriate hearing aid processing options for listeners with lower cognitive ability
  • Describe counseling strategies to use when discussing cognition with patients

Emerging Interventions for Age-Related Hearing Loss 
Ann Clock Eddins, PhD, MBA, CCC-A, and Victoria Sanchez, AuD, PhD, CCC-A

Emerging treatment approaches for age-related hearing loss include alternative interventions aimed at ameliorating symptoms and slowing down or even preventing hearing loss, in contrast with current treatment approaches, which focus primarily on amplification and communication strategies. This session will explore up-and-coming approaches, such as pre-clinical investigation of hormones (e.g., Aldosterone) correlated with auditory function; medicinal-related interventions; and challenges to timelines to bring new treatments to market.

After completing this session, you will be able to:

  • Describe current best-practices regarding interventions for age-related hearing loss and the potential for new targeted treatments via device and medicinal interventions
  • Discuss the difficult course of drug development
  • Describe currently available and upcoming medicinal treatments for hearing loss

Teleaudiology: Expanding Access to Care and Enhancing Patient Connectivity 
Chad Gladden, AuD, CCC-A

This session will focus on audiology telepractice as an evolving service modality that is responsive to current and changing patient care needs and integrates telehealth and mobile solutions to address emerging trends. The presenter will address implementation challenges, lessons learned, and future developments in teleaudiology.

After completing this session, you will be able to:

  • Identify key technologies and mobile solutions used in audiology telepractice to enhance quality and access to comprehensive hearing care
  • Describe basic processes/considerations for effective clinical implementation of audiology telepractice and virtual care modalities
  • Analyze current practice issues and implications of emerging patient needs on audiology telepractice

A Gerontological Approach to Hearing Care 
Carrie Nieman, MD, MPH

Many older adults experience a growing number of comorbidities and functional limitations as they age. An individual’s ability and willingness to access hearing care is influenced not only by the severity of his or her hearing loss but also by other health, socioeconomic, and environmental factors. This session will discuss recent research on patient outcomes as well as review lessons learned from a human factors approach to hearing care for older adults, including addressing common comorbid conditions.

After completing this session, you will be able to:

  • Discuss some of the major health, socioeconomic, and environmental challenges facing older adults and how they relate to hearing loss and care
  • Apply principles of a human factors approach to hearing care for older adults
  • Evaluate the growing literature on outcomes associated with age-related hearing loss

Cochlear Implant Management in Older Adults 
Howard W. Francis, MD, MBA, FACS, and Jennifer Yeagle, MEd, CCC-A

Cochlear implantation is now the standard treatment for moderately severe to profound sensorineural hearing loss in adults. But the unique needs of older adults and the challenges of service delivery for this group are often overlooked. This session will explore what is currently known about the downstream effects of hearing loss in older adults and discuss ways to proactively optimize communication outcomes for older adults using cochlear implants. The presenters will address cochlear implant candidacy in this growing population, counselling for patients and their families/caregivers, and service delivery modification ideas.

After completing this session, you will be able to:

  • Recognize potential CI candidates in your older patients
  • Effectively counsel older adult CI candidates, recipients, family, and caregivers
  • Consider modification of the service delivery model and support systems to improve quality of life in older adults with cochlear implants

Meeting Current and Future Challenges: The Evolution of User Control and Its Impact on Service Delivery
Elizabeth Convery, MS, and Gitte Keidser, PhD

Rapid growth in online hearing device sales and proposed legislation to change to the way hearing devices are dispensed in the United States present a significant challenge to audiologists. Since many hearing technologies are now offering the user greater control over their fitting and adjustment, the audiologist’s role in hearing device fitting is being redefined. In this session, the presenters will explore ways audiologists can meet these challenges by incorporating novel clinical tools and service delivery methods into their current clinical practice.

After completing this session, you will be able to:

  • Explain the effects of hearing device cost and user control on candidacy for these devices
  • Compare and contrast self-fitting hearing aid outcomes achieved by users with and without previous hearing aid experience, including speech discrimination performance in noise, benefit, and satisfaction
  • Identify ways that audiology service delivery can evolve in order to keep pace with hearing technology developments and consumer trends

Comprehensive Aural Rehabilitation for Adults
Nicole Marrone, PhD, CCC-A

This session will provide practical information on implementing and expanding aural/audiologic rehabilitation programs for adults with hearing loss and their communication partners. The presenter will discuss and provide examples of components of successful aural rehabilitation services, including assessment, communication training, technologies, and group counseling.

After completing this session, you will be able to:

  • Explain to colleagues how aural rehabilitation can expand family-centered care for adults
  • Outline a plan for implementing a group aural rehabilitation program
  • Identify ways to engage communication partners in assessment, training, technologies, and counseling

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