
DEAFNESS: a hearing impairment so severe that a child is impaired in processing linguistic information through hearing, with or without amplification, that adversely affects a child’s educational performance.
Etiology:
Although these factors can be encountered at different periods across the life span, individuals are most susceptible to their effects during critical periods in life.
Prenatal Period
- Genetic factors – Include hereditary and non-hereditary hearing loss
- Intrauterine infections – such as rubella and cytomegalovirus infection
Perinatal period
- Birth asphyxia (a lack of oxygen at the time of birth
- Hyperbilirubinemia (severe jaundice in the neonatal period)
- Low-birth weight
- Other perinatal morbidities and their management
Childhood and adolescence
- Chronic ear infections (chronic suppurative otitis media)
- Collection of fluid in the ear (chronic nonsuppurative otitis media)
- Meningitis and other infections
Adulthood and older age
- Chronic diseases
- Smoking
- Otosclerosis
- Age-related sensorineural degeneration
- Sudden sensorineural hearing loss
Factors across the life span
- Cerumen impaction (impacted ear wax)
- Trauma to the ear or head
- Loud noise/loud sounds
- Ototoxic medicines
- Work related ototoxic chemicals
- Nutritional deficiencies
- Viral infections and other ear conditions
- Delayed onset or progressive genetic hearing loss
General Characteristics:
- Difficulty following verbal directions
- Difficulty with oral expression
- Some difficulties with social/emotional or interpersonal skills
- Will often have a degree of language delay
- Often follows and rarely leads
- Will usually exhibit some form of articulation difficulty
Tips for Teachers w/ Students that Have a Hearing Impairment:
- Be sure that the student wears his or her amplification device and you are wearing your microphone.
- Keep in mind that few people are totally Most have some sort of residual hearing, and we want to utilize it fully.
- Make sure your student has preferential seating with a direct view of your face and mouth.
- Don’t yell at your student. Speak in a normal tone. Remember the microphone you have on?
- If your student has an interpreter, then give him or her a copy of the lesson in advance.
- Remember that there is no need to talk to the interpreter.
- Don’t speak while writing on the board.
- Use lots of pictures and graphic organizers. These kids are visual learners.
- Repetition is key, as is the use of hands-on activities.
- Every lesson is a language lesson. Hearing-impaired kids often lack necessary language skills, so every word counts.
Possible Techniques/Interventions:
- Working with a professional (or team) who can help a child and family learn to communicate.
- Getting a hearing device, such as a hearing aid.
- Joining support groups.
- Taking advantage of other resources available to children with a hearing loss and their families.
- Hearing aids
- Cochlear or brainstem implants
- Bone-anchored hearing aids
- Other assistive devices
- Captioning
- Learning ASL
Possible Accommodations:
- Allow front row seating.
- Avoid turning your back to the student when speaking.
- Avoid standing with your back to a window or other light source.
- Avoid pacing.
- Repeat questions or comments made by other students/persons in the classroom before answering.
- Provide a written list of “new” terms.
- Use visual aids whenever possible.
- Avoid oral testing.
- Do not assume that a student wearing a hearing aid can clearly understand what is being said.
- Captioned media & extended time.
Resources for Support:
- Florida Coordinating Council for the Deaf and Hard of Hearing | Florida Department of Health. (n.d.). Retrieved October 7, 2022, from https://www.floridahealth.gov/provider-and-partner-resources/fccdhh/
- Homepage. (2020, December 1). Hearing Loss Association of America. Retrieved October 7, 2022, from https://www.hearingloss.org
- American Speech-Language-Hearing Association. (n.d.). Hearing Loss Organizations and Associations. Retrieved October 7, 2022, from https://www.asha.org/public/hearing/hearing-loss-organizations-and-associations/
- The Hearing Loss Association of Florida, Inc. (2022, April 6). Hearing Loss Association of Florida – A Voluntary Non-Profit Organization. The Hearing Loss Association of Florida, Inc. – a Voluntary Non-Profit Organization. Retrieved October 7, 2022, from https://www.hla-fl.org
- Alexander Graham Bell Association for the Deaf, Inc. (n.d.). Retrieved October 7, 2022, from https://www.agbell.org
- Better Hearing Institute (BHI). (n.d.-b). Hearing Industries Association. Retrieved October 7, 2022, from https://betterhearing.org
- Audiology, Hearing Aids, Speech and Language Services | Center for Hearing and Communication. (n.d.). CHChearing.org. Retrieved October 7, 2022, from https://www.chchearing.org
- Hearing Loss Association of America. (2020b, December 1). Hearing Loss Association of America. Retrieved October 7, 2022, from https://www.hearingloss.org
- ECTA Center: Improving Systems, Practices and Outcomes. (n.d.). Retrieved October 7, 2022, from https://ectacenter.org
- My Baby’s Hearing. (n.d.). Retrieved October 7, 2022, from https://www.babyhearing.org