Hearing Impairment a Lesson for Teachers
If a child has hearing aids, the teachers must learn to:
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Change batteries
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Clean hearing aids
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Adjust hearing aids if they malfunction
Hearing Impairment Not Previously Identified
Physical Characteristics
The child may:
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Have discharge from his ears.
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Have earaches, or complain of crackling noises
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Breathe through his mouth
What Else Could It Be?
Ear infenctions
Allergies
Swollen adenoids
Objects in the ear
Note: All of the above may create temporary hearing problems.
Autism
Visual Impairment
Speech and Language Problems
Behavioral/Social/Emotional Problems
Some sounds are more difficult if a child’s first language is not English
Cultural/ESL/ESD
Child may hear at some frequencies and not at others.
Autism
Behavior Characteristics
The child may:
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Lack attention; daydream; “space out.”
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Not follow directions; ignore or confuse spoken requests or directions.
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Have poor or delayed social skill be withdrawn or have aggressive/explosive behavior.
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Have poor balance.
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Turn or tilt head to one side (towards sound).
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Ask for instructions to be repeated, or answer questions inappropriately.
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Substitute, omit, or distort certain sounds.
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Have poor grammar and/or articulation.
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Complain of not being able to hear.
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Respond to some sounds/tones and not other.
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Seem to be imitating or picking up cues from others.
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Use hands excessively when talking.
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Have a voice tone which is often inappropriate; monotone; too loud or too soft; poor modulation of different tones; be hoarse or nasal.
Recommendations
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Refer the child for a medical checkup. If the family does not follow up, inform the child’s physician about your concerns.
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If a child has a history of recurring frequent ear infections, observe closely for signs of hearing impairment. A hearing test should be recommended if even a mild degree of hearing loss is suspected.
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When accepting a child into your center, obtain a speech and language history
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Try to obtain eye contact
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In small group activities, team the child with a verbal classmate.
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Use visual cues such as real objects, pictures, and felt boards to reinforce what you are saying.
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Use many gestures to reinforce verbal messages.
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Get down to the child’s physical level.
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Use the child’s name when addressing him.
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Be sure to speak clearly.
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Give simple, concise directions.
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Use simple language.
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Encourage dramatic play and social interaction.
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In responses, model correct response, correct pronunciation.
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Do not pressure the child to repeat. Avoid making the child feel self-conscious.
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Make up games in which all the children can participate and games that will aid this child in practicing certain sounds.
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Use puppets, felt boards and other visual aids to encourage language and social interaction.