By John P. Muller
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Extra info for Lacan and Language: A Reader's Guide to Ecrits
Hearing Loss The patient should be questioned about any current or previous problems with hearing. If the clinician has access to previous audiologic evaluations, they should be reviewed. Note the date of last examination shown in Figure 3–1. If there is a previous hearing evaluation, the patient should be asked whether a change has been perceived since the previous examination. A determination should be made of whether the loss is perceived in the left ear, right ear, or both (Figure 3–2). The onset of the hearing loss should be determined: v Was the hearing loss congenital or acquired?
Assessment of the impact of dizziness on the patient’s quality of life through the use of patient self-report measures such as the Dizziness Handicap Inventory ( Jacobson & Newman, 1990) may also be a useful determination in some cases. History of Damaging Noise Exposure Information of exposure to any potentially damaging noise should be gathered (see Figure 3–5 for example). Typical occupational Figure 3–5. Screen shot of eAudio software for information on noise exposure. 38 Professional Communication in Audiology noise sources may include military service, factory work, firearms, farm work, and work with loud music or loud machinery.
Eliciting the primary complaint allows the clinician to 27 28 Professional Communication in Audiology quickly: (a) eliminate any assumptions about the patient’s motivations, (b) focus questions and evaluation components on the issue at hand, and (c) guide clinical thinking. Think of this question as the patient’s “story” (Bickley & Szilagyi, 2009). Listening to the patient’s story allows the provider to focus assessment on particular areas of concern with an appropriate scope. Use of the patient’s own words when possible will help reduce bias in understanding the complaint (Bickley & Szilagyi, 2009).
Lacan and Language: A Reader's Guide to Ecrits by John P. Muller