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Improve Communication and Independent Living for Individuals with Hearing Loss PowerPoint Presentation

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Description : Check out this medical presentation on Hearing Aids, which is titled "Using Assistive Technology to Improve Communication & Independent Living for Individuals with Hearing Loss", to know about hearing loss and hearing aids.

Tags : Hearing Aids, Assistive Technology, Improve Communication, Independent Living, hearing aids

Published on : Jul 10, 2021 | Views : 1518 | Downloads : 0

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Using Assistive Technology to Improve Communication & Independent Living for Individuals with Hearing Loss Presented by Denise Corson ATEL Program Coordinator, ATAP Partner, Power Point originally created by Tina Thompson Melissa Rosenberg OSCIL Outreach and IL Coordinator, ATAP Partner James Litvack RI Relay Manager
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BEFORE WE BEGIN Does anyone want to try an assistive listening device for this presentation? Does anyone need an Interpreter or Captioning Services for this presentation? If you have questions during the presentation, please raise your hand. 2
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Hearing Loss Basics (Myths and Facts)
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4 Facts about Hearing Loss 48 million Americans currently have a hearing loss More likely than you think to know someone with a hearing loss Among seniors, hearing loss is third most prevalent (but treatable) disabling condition Common aging process result Baby boomers start reaching retirement age in 2010 48 million with hearing loss  62 million by 2030 Population with hearing loss will only grow Current statistics on hearing aid use 95% with hearing loss can benefit from hearing aids 22% currently use them For many it is a hidden disability
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Myths and Misunderstanding about Hearing Loss All People with Hearing Loss Experience the Same Problems One Solution Applies to All Settings Hearing Aid Fixes Everything Lip reading Can Replace Hearing Hearing Loss Only Applies to Volume Let’s Discuss These Myths In Detail
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Myth: All People with Hearing Loss Experience the Same Problems Fact: Hearing Loss is About Loudness and Frequency
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7
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8 How might this sentence sound with this hearing loss? Kathy went fishing in the creek on Saturday. a y wen i ing in e ree on a urday. With all the missing sounds, how might this person know what’s being said?
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9 How might this sentence sound with this hearing loss? Kathy went fishing in the creek on Saturday. Kathy went With all the missing sounds, how might this person know what’s being said?
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10 Audiogram is Only a Partial Story Audiogram Shows: Frequencies heard, Hard of Hearing people have lost the ability to hear either high or low frequencies or both. Other Factors Beyond the Audiogram: Listening skills Coping strategies Technology Sleep the night before Tinnitus?
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Myth: You Could Hear if You Tried “But you had no problem last time”
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12 Fact: Hearing Ability Varies People with no hearing loss do not experience this variation
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Myth: Hearing Aids Fix Everything “Are you wearing your hearing aid?”
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14 Fact: Hearing Aid is Partial Solution Hearing aids do not “fix” hearing loss not like glasses external amplifier has to go through “bad” ear Problems with hearing aids amplify background noise can have interference from equipment A Hearing Aid helps, but it is not total solution
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Myth: Volume is the Only Problem “We can turn up the volume.” “Just turn up your hearing aid.” “How about if you just sit closer?”
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16 Fact: Louder Not Necessarily Clearer
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17 Ambiguity is the Real Problem A few numbers that sound the same 15, 16, 50, 60 “Fifteen, that is, one-five.” Letters sound the same B, C, D, E, G, P, T, V, Z A person with hearing loss, may only get part of what is being said. You might need to say something like: “C as in Cat” or use a different word
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18 Effect of Noise on Speech Do You See Me? Do You See Me? Do You See Me? Do You See Me? No noise Low Noise Moderate Noise Too Much Noise From Rebecca Morris “On the Job with Hearing Loss”. Morgan James, 2007, pg. 48 Courtesy of Samual R. Atcherson, Ph.D.
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19 Communication Communication is not about what is said how it is said Communication is About What is Understood
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When Hearing Aids aren’t enough, Cochlear Implants may be an option Who should get a cochlear implant? The American Speech-Language-Hearing Association says the device is best for adults who have: Severe to profound hearing loss in both ears Hearing loss after they’ve already learned speech and language Limited help from hearing aids No medical problems that would make surgery risky A strong desire to hear better A good understanding of what the device will -- and won’t -- do for them What is the age limit for getting a cochlear implant? According to AARP Health 2016 article, chronological age is -not the issue, it’s a person’s overall health. In other words, it’s not so much how many years you’ve lived as how well your body has held up. In April 2014, Mollie Smith, 99, became the oldest cochlear implant recipient in Europe. So if your doctor recommends an implant, go for it, no matter what your age. “When elderly patients tell me they are too old for a CI,” Dr. Rubinstein said, “I tell them age is not important unless they are a cheese.” 20
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21 Using Assistive Listening Devices? Hearing aids alone don’t work well in these situations: Listening to someone at a distance Listening in a noisy environment Listening in a room with reverberation (echoing) Assistive Listening Devices Can Help!
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22 Two Major Types of Assistive Listening Devices 1. Hard-Wired Devices or Systems carry the sound signal through an electrical wire Most common hard-wired device is hand-held amplification device. These devices contain a microphone, amplifier, and wire. Pocket Talker Sound Wizard Personal Listener
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23 Two Major Types of Assistive Listening Devices (continued) 2. Wireless Devices or Systems carry the sound signal without an electrical wire use a transmitter and receiver (similar to baby crib monitors or radio stations) Wireless devices contain a transmitter and receiver and carry the signal in different ways: FM systems (radio waves) Infrared (light waves) Induction Loop (magnetic energy)
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24 Using an FM System: Making Conversation Easier Conversations Restaurant Car Bus Bingo Church Tours Use FM radio signals Microphone near speaker Wireless receiver (earpiece or loop)
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25 Using an Infrared System: Watching TV or Attending a Play TV: Use infrared light to transmit the TV signal. The transmitter connects to TV. Use the receiver to hear the TV sound directly in your ears. Theater: Use infrared light to transmit house sound to patrons with special receivers using headset or neckloop. The theater must have an infrared transmitter set up. headphones Transmitter Receiver Transmitter Receiver
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26 Magnetic Connection to Hearing Aid Using Neckloop or Hearing Loop system with T-coils A Neckloop or Hearing Loop System sends sound signal to a hearing aid when it is switched to telecoil setting; the hearing aid can then be adjusted to amplify and customize the sound. If you do not have a t-coil hearing aid, you can wear earbuds or headphones with receiver!
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27
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28 Television Listeners Use FM or IR to transmit the TV signal. The transmitter connects to TV. Use the receiver (IR receiver, FM receiver, or FM boot) to hear the TV sound directly in your ears. Ear bud or loop Allows the entire family to enjoy TV at their own listening volume
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29 Captioning TV Captioning: Embedded in most TVs – switch on to see words Movie Captioning: Open captioned – everyone can see (like foreign subtitles) Closed captioned – need a special screen to see the words (Rear Window, Captiview or Glasses) Plays: LED Display Real-Time Captioning: Computer Aided Real Time (CART): words displayed at event (screen or laptop) CART Writer = stenographer with special training in providing hearing access In person CART writers and remote CART providers CPrint = summary is typed (note taking used for classes) Captel Telephone (later slide) Relay Conference Captioning (later slide)
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Movie Captioning in RI Six Theatres in RI currently show movies with open captions (captions on the screen). All 3 RI Showcase Locations CinemaWorld in Lincoln South Kingstown 8 Island 10 - Middletown 30
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Theater Captioning in RI Providence Performing Art Center (PPAC) Trinity Repertory Company 31
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Sign Language Interpreters Video Remote Interpreting (VRI):VRI technology remotely provide professional and confidential sign language interpreting. VRI is particularly beneficial when there is an emergency that cannot wait for an interpreter to travel to be on-site or in areas where the nearest certified interpreter is hours away. 32 Video Relay Service (VRS) is a form of Telecommunications Relay Service that enables people who use American Sign Language to communicate with voice telephone users through video equipment, rather than through typed text. Video equipment links the VRS user with a TRS operator – called a communications assistant, or CA – so that the VRS user and the CA can see and communicate with each other in signed conversation. Contact the CDHH Interpreter/CART Referral Service: The statewide work unit of the RICDHH Interpreter/CART Services, established under RI G.L., 23-1.8 which receives requests for Interpreters and CART.
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Landline Telephones, Business Telephones and Smartphones Devices
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Landline Telephones Amplified telephones and in line amplifiers Relay Captioning telephones TTY (Almost extinct!) Speaker Phone Phone Flasher Caller ID Neckloops Telephones and Accessories Quality of telephone or connection Adjusting to a new voice Automated Response systems Poor speech discrimination/ understanding, you can’t lipread over the telephone. Issues that Impact Telephone Use for People with Hearing Loss
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Hamilton CapTel for Business Interconnected by Tenacity Captions are displayed directly on the Cisco phone. Users can use existing features of the Cisco phone including hold, transfer and conference. No need for analog lines supporting 3rd party phones that exist outside of Cisco Unified Communications Manager. The solution uses existing features built into Cisco Unified Communications Manager minimizing setup complexity. For more information call (866) 756-0321 * For an optimal experience, we recommend the Cisco 8851 phone. 35
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Smartphones are changing the life of those with hearing loss 36 Amplification Visible and Vibrating alerts Texting Relay (Captioned and Video Phone) Captioning videos and speech Video Calls (Facetime and Skype) Emergency Service Hearing Aid Support
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InnoCaption+ (plus) Caption Smartphone Calls InnoCaption+ (plus) is a free mobile app, funded by the FCC, for the oral deaf and hard of hearing that provides CART captioning for incoming and outgoing calls. If you voice for yourself, but have a hard time hearing the other party on the phone, this App is for you! IMPORTANT: Before using the InnoCaption+ (plus) app, you must first register at https://www.innocaption.com/register . And self-certify that you have a hearing loss which necessitates the use of the service 37
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iOS and Android Accessibility for Individuals Who are Deaf and Hard of Hearing 38 Live Caption Live Caption for iOS or Android listens to spoken words and translates that to text in real time. It is best for in-person conversation.
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New Android 10 Accessibility for Individuals Who are Deaf and Hard of Hearing Live Transcribe: This speech to text app allows you to participate in face to face conversations more easily by reading the transcript on your screen in real time. Can type responses. Font size is adjustable. Internet connection, or data required. 39
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Google Pixel Accessibility for Individuals Who are Deaf and Hard of Hearing Live Captions- Accessibility feature found in settings. Caption all media on your device, no matter what the source. Caption videos, audiobooks, podcasts and more. Captions are generated on the device. No internet connection, and no data used. One of the top features of the Pixel 4 / 4XL and 3rd generation Pixels. 40
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Google Pixel Accessibility for Individuals Who are Deaf and Hard of Hearing (continued) Google Recorder – This app records and transcribes conversations. It has the ability to save and share recordings and transcript. The transcription occurs on the device itself so the apps works without an internet or data connection. 41
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Google Pixel Accessibility for Individuals Who are Deaf and Hard of Hearing (continued) Emergency Service- Coming Soon!!! “Tapping on the “Medical,” “Fire” or “Police” buttons during an emergency call will convey the type of emergency to the operator through an automated voice service. That service works on device, which means the information stays between you and emergency services, and the service functions whether or not you have a data connection. After you activate the service, you can always speak directly to the operator as well.” 42
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The Adaptive Telephone Equipment Loan (ATEL) Program provides demonstrations, training, and long term loan and device reutilization services of specialized telephone equipment to qualified individuals who are Deaf, Hard of Hearing, have a speech disability, or who have neuromuscular disabilities, that hinders them from using a standard telephone.
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What are the Qualifications? To receive equipment the person must have the following: Be a resident of Rhode Island. Be Hard of Hearing, Deaf, or have either a speech disability or neuromuscular damage or disease that hinders you from using a standard telephone. Meet income criteria of 250% of the federal poverty line. Approx.<30K for a family of one.
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How Does A Person Apply? Complete an application for either a landline or a wireless device. Have an authorized professional complete a Certificate of Disability (COD). Mail application, COD and Proof of financial eligibility to ATEL Program.
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Landline Telephones Amplified and Captioning Emergency and Handsfree 46
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Wireless Telephone Devices The ATEL program provides the wireless device ONLY, the client is responsible for activation fees and monthly plans. Jitterbug, Lucia, iPhone and Pixel Android
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ATEL Program Contact Info 48 Voice ~ (401) 462-7857 TTY ~ (401) 222-1679 Fax ~ (401) 222-3574 www.atel.ri.gov Denise.Corson@ors.ri.gov Department of Human Services Office of Rehabilitation Services ATEL Program, 5th Floor 40 Fountain Street, Providence, RI 02904
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OSCIL The Ocean State Center of Independent Living The Ocean State Center for Independent Living’s mission is to provide a range of Independent Living Services to enhance, through self-direction, the quality of life of persons with disability and to promote integration into the community. YOUR RESOURCE CENTER OSCIL is a designated location for “The Point,” RI’s Aging & Disability Resource Center offering information on disability resources as well as being a satellite walk-in site offering one-to one services for persons seeking disability related information. INFORMATION AND REFERRAL & REQUESTING SERVICES OSCIL’s Information and Referral program provides consumers and their families, service providers, and the general public with information on a wide array of community resources and disability services. Information can be obtained via phone, e-mail, fax or in person. OSCIL’s Signs of Independence quarterly newsletter provides information on disability issues to consumers and service providers. 49
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What are the Qualifications? At least 18 years of age Have a presence of a severe and permanent disability Independent in the use of requested adaption and equipment as recommended by the IL coordinator Within the range of economic needs assessment 50
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Funding Eligibility Liquid assets can not exceed $20,000 1 person household $4849 Proof of any other source of income such as CD’s and renters income Proof of liquid assets are for example CDs, pension, IRA after 70 years old 51
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Gift of Hearing Program The Ocean State Center for Independent Living (OSCIL) works in collaboration with the Gift of Hearing Program at the University of Rhode Island (URI) Speech & Hearing Center to provide low cost hearing aids to those in need. Hearing aids cost $600 per ear. For those who qualify, OSCIL can pay for hearing aids. Hearing aids come with a limited warranty. 52
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Amplification Devices Personal Amplification devices basically function by amplifying the sound or increasing the loudness of the sound and reaching it to the ear of the user. This can be used for in person communication and to amplify your television. 53
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Alerting Devices 54 Signaling systems are notification devices designed to alert everyone - deaf, hard of hearing, or hearing - of different events around the home of events like phone or VP calls, baby cries, smoke/carbon monoxide alarms, doorbell and alarm clocks . Hearing as well as deaf and hard of hearing individuals can benefit from the flashing lights, loud alarms and/or vibration alarms
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Alerting Devices Continued 55
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Ocean State Center for Independent Living Contact Info 401-738-1013 (v) 401-244-7792 (vp, Margie Malloy) 1944 Warwick Ave Warwick,RI. 02889 175 Main St. Pawtucket, RI. 02860 56
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Rhode Island Relay James litvack – Rhode Island Relay Manager
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What is rhode island relay? It is a FREE service that provides full telephone accessibility to Rhode Island residents who are: Deaf Deaf/Blind Hard of Hearing Speech-Disabled
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Background Mandated by the Americans with Disabilities Act of 1990 – Title IV (Telecommunication Relay Services) State of Rhode Island Public Utilities Commission contracts with Sprint Accessibility Funded by a telephone surcharge
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Rhode Island Relay at a glance Available 24/7/365 Make a call from anywhere within Rhode Island No restrictions on the number, length of call(s) All calls are confidential Dial 711 or toll-free phone number No Records of any conversation are kept and maintained.
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types of RI relay service for DEAF and Hard of hearing TTY –Deaf IP Relay Service - All CapTel and Web Captel- Hard of Hearing Relay Conference Captioning
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TTY Service (TTY user) A TTY User types his/her conversation to the Relay Operator. The Relay Operator reads the typed message aloud to the Voice User. The Voice User listens and then speaks his/her conversation to the Relay Operator. The Relay Operator type the spoken message to the TTY User. Vice versa.
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What is a CapTel telephone? Person with hearing loss places a call in the same way as dialing a traditional phone Calls will be captioned You won’t have to make wild guesses as to what the caller is saying
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What is WEB CapTel? Make a CapTel Call Via the Web With any phone with a direct number
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How to obtain a CapTel telephone
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Relay Conference Captioning Captioner listens and transcribes in person meeting or conference call. Deaf/hard of hearing RCC participant reads the conference call captioning using a computer, tablet or mobile device. The RCC participant speaks directly to participants.
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rhode island relay Profile Form Contact Information Billing Information Branding Information Stores an individual relay user's call preferences Expedites call processing such as: Frequently dialed numbers Emergency numbers Customer notes Many other preferences https://www.rhodeislandrelay.com/profile
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RI Relay Contact Information James Litvack – Rhode Island Relay Manager James.Litvack@sprint.com (Email) 401-384-0163 (Wireless) http://www.rhodeislandrelay.com/ (RIR Relay site) http://www.rhodeislandcaptel.com/ (RIR CapTel site) http://www.facebook.com/rhodeislandrelay (Facebook)
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