最新When Hearing Loss Occurs with Multiple Disabilities当听力损失发生与多个障碍教学讲义PPT课件.ppt

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1、WhenHearingLossOccurswithMultipleDisabilities当听力损失发生与多个障碍AcknowledgementsMariaLuisaEscolarMeredithHolcombPatriciaRoushTopicsEtiologyofHLandMultipleDisabilitiesDisabilitiesthatOccurwithDeafnessImplicationsforAudiologicManagementRoleofthe“MedicalHome”ImplicationsforEducationalManagementParent/FamilyP

2、erspectivesPostnatal/AcquiredConditionsLowbirthweight/HypoxiaOtotoxicityHyperbilirubinemiaMeningitisProgressiveDiseasesMetabolicDisorderse.g.HurlersyndromeProgressiveNeurologicalDiseasese.g.Friedreich’sAtaxiaSensoryNeuropathiesCharcot-Marie-ToothSyndromeMultipleDisabilitiesthatOccurwithHearingLossD

3、isabilitiesThatOccurwithDeafness(%)DeafnesswithNoOtherDisabilities60.1LearningDisability10.7IntellectualDisability9.8AttentionDeficitDisorder(ADD/ADHD)6.6BlindnessandLowVision3.9CerebralPalsy3.4EmotionalDisturbance1.7Otherconditions12.1GallaudetResearchInstitute,Jan2003IntellectualDisability(10%)La

4、rgestGroup:DownSyndromeMostchildrenwithintellectualdisabilitieshaveHLinoneorbothearsSomeestimatesapproach80%Intellectualdisabilitiesaffectlanguage,learning,socializationIntellectualdisabilitiesareexacerbatedbyhearinglossLearningDisabilities(11%)TheDSM-IVdefinitionIQ-achievementdiscrepancyfourtypeso

5、flearningdisorders:reading,writtenexpression,mathematics,andlearningdisorder“nototherwisespecified”Domain-basedFocusoncognitiveabilities,phonologicalawareness,listeningcomprehension,wordretrievalLearningDisabilities(cont.)Describedforover100yearsbutremarkablylittleresearchEachchildisuniqueUnabletou

6、setraditionalresearchmethodsEducationalChallengesprogramsthatprovidestructuredinterventionspecific,clearlystatedobjectives,focusingontheindividualstrengthsandneedsofeachchild.AttentionDisorders(7%)ADD/ADHD(5%ingeneralpopulation)InattentionDistractibilityImpulsivityHyperactivityCaninterferewithallas

7、pectsofdevelopmentEducationalachievementsocializationParentsandteachersmayover-identifyNeedforComprehensiveMedicalEvaluationMedicationforADVisualImpairment(4%)GeneticSyndromesUsher(TypesIandII)GoldenharOcul