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Excerpted from the Colorado Resource Guide for Families GETTING STARTED Getting Started "Your Child Has a Hearing Loss" Even though you may have suspected there was a problem, hearing a doctor or audiologist say, "Your child has a hearing loss", may have come as a shock to you. Most people do not know much about hearing loss and what it means for their child and family. As the professional who delivered this news to you talked further, you may not have heard much of what he or she was saying. In your mind, questions may have started to churn: "Can it be corrected?" "What caused it?" "Will it get better?" "Will it get worse?" "Can he learn to talk?" "Can she go to regular school?" "If we have more children, will they be deaf, too?" "Can he get married?" "Will she be able to get a job?" The answers you get to some of these questions may not be what you want to hear; "No, this type of hearing loss cannot be medically or surgically corrected." Or "We don't know for sure what your child's future holds - it depends on a lot of things." You want the best for your child, and now you are not sure you know what to do. In the days and weeks following the diagnosis of your child's hearing loss, you may feel like you are on a roller coaster. Your feelings may swing from despair to hope, from sadness to anger, from feeling incompetent to feeling confident. As you carry out your daily routines --finishing a chore or arriving at a destination - you may realize that your mind was somewhere else, thinking about your child and what you should do. You may also find within yourself unexpected sources of strength to do what has to be done in spite of feeling that you are living under a cloud. The professionals who evaluate your child's hearing will have recommendations for you: see an ear specialist, meet with early intervention professionals, have more testing done. As you follow these recommendations, you will meet people who can help answer your questions and explain the decisions you must make. The information they give you and opinions they express may also create more confusion for you! You will be making many decisions in the days ahead. Give yourself the time you need to make decisions that feel right for your family. Keep in mind there are very few decisions you will make that you cannot change. Taken with permission, from 'For Families Guidebook" copyright, Hearing & Speech Inst. Portland, OR WHO CAN HELP? You will meet new people as a result of your child's hearing loss. Some of these people will be medical professionals, some will be parents and caregivers of other children with impaired hearing, some will be educators, and some will be audiologists. Here is a brief description of ways in which each of these groups may be of help to you. Audiologist The audiologist can help by:
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Having the appropriate equipment (Visual
Reinforcement, Audiometry, Tympanometry) and the skills to test the
hearing of infants and toddlers.
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Obtaining complete information about your
child's hearing in each ear at a range of frequencies.
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Carrying out, or referring infants or
difficult-to-test children for, Otoacoustic Emissions (OAE) testing
and Auditory Brainstem Response (ABR) testing, when necessary.
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Recommending appropriate amplification.
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Keeping your child equipped with well-fitting
earmolds.
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Testing your child while wearing amplification
and questioning parents about their child's responses to sounds at
home.
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Giving you information about early intervention
programs available to your family.
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Working in partnership with you and early
intervention specialists to monitor and maintain your child's
amplification systems (Hearing aids, FM systems, cochlear implants). Early Intervention Specialist of Deaf/Hard of Hearing Infants & Toddlers The Specialist/Educator can help by:
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Describing the services offered through their
early intervention program and costs, if any, associated with
services.
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Describing how your family members will be
involved in early intervention services: defining your roles in early
intervention and their expectations about your family's participation.
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Answering, when possible, your questions about
how your child's hearing loss will affect his ability to learn, to
communicate, and to participate in school and society.
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Discussing with you how both your child's
strengths and needs and your family's strengths and needs will be
assessed and when these assessments will take place.
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Giving you a time line for when services will
begin and end.
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Describing the curriculum that will be used to
promote your child's acquisition of listening and communication
skills.
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Describing how you and other caregivers will be
given opportunity to acquire information and skills that will help you
promote your child's development of listening and
communication/language skills.
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Listening to your observations and concerns
about your child and discussing these with you.
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Working with the audiologist to help your child
learn to use amplification and make sure the child's hearing aids
function properly.
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Keeping records of child's progress in
acquisition of listening skills.
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Providing you and your child with high-quality,
individualized early intervention services that lead to your child
acquiring listening and communication/language skills.
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Giving you support during difficult times.
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Working with you to define your child's
educational needs when your child is ready to "graduate"
from early intervention.
Pediatrician/Family Practitioner
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Your child's primary care physician can help
by:
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Referring you to an audiologist skilled in
testing the hearing of infants and toddlers when you express concern
about your child's hearing.
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Answering your questions about medical or
surgical treatment of different types of hearing loss.
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Confirming the need for prompt action involving
amplification and early intervention once your child has been
diagnosed with hearing loss.
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Putting you in touch with early intervention
programs.
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Treating your child - or referring to ear
specialists - when your child has middle ear disease that increases
his/her degree of hearing loss.
Otologist, Otolaryngologist or Ear, Nose, Throat (ENT) Physician The ENT can help by:
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Confirming that there is not a medically
treatable condition in your child's Outer ear or middle ear that is
causing the hearing loss.
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Answering your questions about medical or
surgical treatment of different types of hearing loss.
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Scheduling further procedures (i.e. urinalysis,
CT scan) to rule out other causes of the hearing loss.
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Signing a form authorizing use of hearing aids
with your child (required by law in some states before hearing aids
can be fit on a child).
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Placing ventilation, or PE, tubes in your
child's eardrums if he has chronic middle ear disease that is not
resolved by antibiotics in a timely way.
Other parents of deaf or hard of hearing children Other parents can help by:
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Sharing experiences they have had with
professionals and early intervention programs.
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Telling you about people and information
sources they have found useful.
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Listening to you.
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Sharing with you their feelings related to
parenting a child with hearing loss and how their feelings have
changed over time.
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Telling you about their child's achievements.
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Getting together with you so your children can
play together.
Taken with permission, from "For Families Guidebook" copyright, Hearing & Speech Inst. Portland, OR Deaf and Hard of Hearing Adults
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Other deaf and hard of hearing adults can help
by:
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Sharing personal experiences and information by
a D/HH individual.
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Sharing educational, social, and cultural
experiences and perspectives.
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Modeling different means of communication.
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Acting as a role model for the parents and D/HH
child.
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Bringing hope to families about overcoming
challenges and creating success.
For more info, see the full Guidebook at handsandvoices.org End Page
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