最新When Hearing Loss Occurs with Multiple Disabilities当听力损失的发生与多重障碍教学讲义ppt课件.ppt

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1、WhenHearingLossOccurswithMultipleDisabilities当听力损失的发生与多重障碍AcknowledgementsMariaLuisaEscolarMeredithHolcombPatriciaRoushTopicsEtiologyofHLandMultipleDisabilitiesDisabilitiesthatOccurwithDeafnessImplicationsforAudiologicManagementRoleofthe“MedicalHome”Impli

2、cationsforEducationalManagementParent/FamilyPerspectivesPostnatal/AcquiredConditionsLowbirthweight/HypoxiaOtotoxicityHyperbilirubinemiaMeningitisProgressiveDiseasesMetabolicDisorderse.g.HurlersyndromeProgressiveNeurologicalDiseasese.g.Friedreich’sAtaxiaSe

3、nsoryNeuropathiesCharcot-Marie-ToothSyndromeMultipleDisabilitiesthatOccurwithHearingLossDisabilitiesThatOccurwithDeafness(%)DeafnesswithNoOtherDisabilities60.1LearningDisability10.7IntellectualDisability9.8AttentionDeficitDisorder(ADD/ADHD)6.6Blindnessand

4、LowVision3.9CerebralPalsy3.4EmotionalDisturbance1.7Otherconditions12.1GallaudetResearchInstitute,Jan2003IntellectualDisability(10%)LargestGroup:DownSyndromeMostchildrenwithintellectualdisabilitieshaveHLinoneorbothearsSomeestimatesapproach80%Intellectualdi

5、sabilitiesaffectlanguage,learning,socializationIntellectualdisabilitiesareexacerbatedbyhearinglossLearningDisabilities(11%)TheDSM-IVdefinitionIQ-achievementdiscrepancyfourtypesoflearningdisorders:reading,writtenexpression,mathematics,andlearningdisorder“n

6、ototherwisespecified”Domain-basedFocusoncognitiveabilities,phonologicalawareness,listeningcomprehension,wordretrievalLearningDisabilities(cont.)Describedforover100yearsbutremarkablylittleresearchEachchildisuniqueUnabletousetraditionalresearchmethodsEducat

7、ionalChallengesprogramsthatprovidestructuredinterventionspecific,clearlystatedobjectives,focusingontheindividualstrengthsandneedsofeachchild.AttentionDisorders(7%)ADD/ADHD(5%ingeneralpopulation)InattentionDistractibilityImpulsivityHyperactivityCaninterfer

8、ewithallaspectsofdevelopmentEducationalachievementsocializationParentsandteachersmayover-identifyNeedforComprehensiveMedicalEvaluationMedicationforADVisualImpairment(4%)GeneticSyndromesUsher(TypesIandII)GoldenharOcu