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- Title: lab_verification_1_linear
- Type: Notes
- School: Washington
- Course: SPHSC 583
- Term: Spring
Coursehero >> Washington >> Washington >> SPHSC 583
Path: Washington >> HUBIO >> 563 Fall, 2008
Path: Washington >> STAT >> 111 Spring, 2008
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Path: Washington >> STAT >> 534 Fall, 2008
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Path: Washington >> STAT >> 560 Fall, 2008
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Path: Washington >> STAT >> 567 Fall, 2008
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583 SPHSC Lab 6 Spring 2005 Verification I: Matching Target/Linear Aids ***Be sure and bring your listening ear mold to lab*** 1. Using either the FP40 or Verifit equipment, enter a hearing loss for your patient . It can be a flat, sloping or rising configuration. Keep your hearing loss in the mild to moderate range. 2. Using a prescriptive formula of your choice, within the real ear equipment you are using, calculate target REIG for your patient. Print out the REIG and other results as you proceed through the lab. 3. Choose from several BTE aids provided for use in this lab. Consult the specs for the aids and choose the one you think will be most appropriate for you patient (don t change the hearing loss to fit the aid, you won t have that luxury in real life!). - Based on the specs, set the hearing aid to the control positions you think will best fit your patient s hearing loss. - If using a programmable aid, use the manufacturers software in NOAH to get an initial fit based on your patient s audiogram. If a preferred fitting formula is an option in NOAH, use it. Otherwise, you can use the manufacturer s proprietary target, but realize you ll have to adjust for your target. 4. Verify your fitting choice by completing a REUR and REAR on your patient. To complete the REAR, you ll need to couple the hearing aid to your listening mold using a piece of tubing. Remember to use the best testing protocol: otoscopic exam, speaker at 45 degree azimuth, mark and insert probe tube ~28mm from the tragal notch and carefully insert the ear mold after the REUR measurement. Don t forget to calibrate or level the test system needed. as 5. Compare the REIR you obtained to your target. If you didn t get a good match, use the controls (trim pots or programming) of the hearing aid to improve the fit. The easiest way to see control changes is to turn on the composite noise and adjust the controls while the test system is running---this way you ll be able to see the changes in real time on the screen. What controls did you adjust to achieve a closer match to target? 6. If you can t achieve the match to target that you want with just adjusting the hearing aid controls, try some modifications such as changing the tone hook to a filtered one, or adding a damper. 7. Although it would not be a good idea to start drilling holes in your listening molds, in a real situation you would also be able to modify your patient s ear mold. If your match to target wasn t close enough, what changes could you have made to your patient s ear mold to get closer? Short of remaking the mold, you have a number of options available in the clinic: enlarge the vent, decrease the vent size, eliminate the vent, add damping material in the vent (such as lambs wool) to reduce feedback; shorten canal; lengthen canal; change tubing to Libby horn; decrease tubing diameter; increase tubing diameter; add a bell bore. If you think remaking the ear mold would have been better, what ear mold style (from Westone) would you order? (In addition to traditional molds, consider some of the special-purpose molds for specific hearing configurations). 8. Hand in appropriate print outs of your results along with answers and comments to the questions in numbers 1-7 above.
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