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Drawing pictures and telling stories: treating tinnitus in childhood

There is increasing awareness that tinnitus is not restricted to adults. Indeed, the available evidence suggests that some experience of tinnitus in children is fairly common [1]. For many, tinnitus has little effect and requires limited or no intervention. For...

Access to and uptake of cochlear implants in the UK

Assessing demands on cochlear implant (CI) services is very important for both commissioners and clinicians in anticipating clinical need and funding requirements. Commercial CI’s were introduced in the late 1980s. Initial funding was from charitable sources. The first major advance...

Screening for hearing loss in primary care

Hearing impairment is one physical disability that is increasing in prevalence in society in general, and in older adults in particular. Approximately 34 to 36 million Americans report suffering from some degree of hearing impairment with the number rising to...

Adult hearing screenings has counselling opportunities

Adult hearing screening has its challenges, particularly time constraints. Because the process itself is brief, we could efficiently screen dozens of adults per hour; at events such as health fairs, it’s tempting to march people through screenings as quickly as...

Cognitive spare capacity: what is it and why does it matter?

Cognition refers to thinking and memory. So why would cognition be a useful concept for ENTs and audiologists? Audition provides our main channel of communication and when we speak to each other, we want to exchange thoughts and remember what...

The role of metrics in studies of hearing and cognition

Introduction When perceiving sounds in real-world listening environments, older adults encounter several sources of degradation that can interfere with the perceptual process (Figure 1). Target signals (i.e. the sounds that a listener wants to focus on) have specific acoustic characteristics...

Prudent audiology

Introduction In January 2014, Professor Mark Drakeford, Minister for Health and Social Services, defined Prudent Healthcare as, “Healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit.” ‘Prudent’ healthcare...

Patient-centred audiological rehabilitation: facilitating and hindering factors for implementation

Introduction Patient-centred care in the health sector is a worldwide concern [1, 2]. Patient-centred rehabilitation is characterised by availability, appropriateness, preference, and timelines [3]. A consensus report by the Institute of Medicine [4] defines a patient-centred approach as ‘providing care...

Leadership challenges in the world 
of AQP and accreditation – learning from experience

The words ‘choice and competition’, ‘any qualified provider (AQP)’ and ‘accreditation’ have irrevocably become part of audiology jargon in the last two years in England. Commissioners who chose ‘Adult Hearing Aid Services for age-related hearing loss’ have begun the process...

Making sense of modern wireless hearing aid technologies

Before diving into the topic of the technology behind wireless hearing aids, it is important to define two key concepts. The first is wireless frequency. This is the frequency at which a wireless signal is transmitted. In the context of...

Case studies – transformational benefits of using connecting hearing aids

While hearing aids can provide great benefits there remain some challenging situations for people with hearing loss. These include listening in background noise, groups, using the telephone and listening to TV / music. Hearing aids with integrated wireless functionality allow...

A parent’s journey: beyond the diagnosis

Tamsin Coates lives in Wallesey, UK and talks about coming to terms with the difficulties and joys of having two deaf children. Here she explains about the early days and the impact of their diagnosis upon the family. Thinking back...