ms karen thomas - gp cmegpcme.co.nz/pdf/2017 south/sat_room7_1100_thomas... · 2017-08-12 · cme...
TRANSCRIPT
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Ms Karen ThomasAudiologist
Bay Audiology
11:00 - 11:55 WS #92: Hearing Loss - Rehabilitation Options and Funding Entitlements
12:05 - 13:00 WS #103: Hearing Loss - Rehabilitation Options and Funding Entitlements
(Repeated)
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Hearing Loss: Rehabilitation Options
and Funding Entitlements
Karen Thomas – Audiologist MNZAS
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Disclosure Statement
I am employed by Bay Audiology, which is part of the Amplifon Group. We are independent of any Hearing Aid Manufacturer.
CME sessions will not promote products, brands or incentives, and will give a balanced view of all therapeutic options available for good quality patient management.
Information presented is unbiased and based on scientific evidence.
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The Hearing System
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Hearing Loss
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Conductive Hearing Loss
• Wax
• Eustachian tube dysfunction
• Otitis media
• Otosclerosis
• Cholesteatoma
• Ossicular disorders
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Hearing Loss –Limits of your ability to communicate
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Sensori-neural Hearing Loss
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Causes of Permanent Hearing Loss
• Hereditary
• Aging/Presbycusis
(90+ ~ 100%)
• Noise Induced Hearing
Loss (NIHL)
• Ototoxic drugs
• Virus
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The Audiogram
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Main types of Sensorineural Loss
Presbyacusis
• Over 60 – 1 in every 2 (55%)
• Over 80 – 9 out of 10 (93%)
Noise Induced Hearing Loss
(NIHL)
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Cost of Hearing loss
880 350 New Zealanders = 18.9%
• Total cost: $4.9 Bil
• Economic costs 1 Bil
• Loss of well-being 23 130 DALY’s ($3.9 Bil)
• Tinnitus ($3.5 – $7.5 bil in NZ)
Social and economic cost of hearing loss in NZ – National foundation for the deaf
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Treatment options
1. Do nothing
2. Hearing Aids (HA)
3. Cochlear Implant (CI)
4. Assistive devices
5. Hearing Therapy
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Cost of Treatment options: Nothing
• Communication Difficulties
• Cognitive strain• Frustration and Tiredness
• Depression & Social isolation
• Quality of Life/Overall functioning
• Social and Emotional decline
• Auditory Deprivation
• Economic Implications
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Cost of Treatment options: HA
• Amplifies sound
• $1500 - $10 000/ pair• Smaller market
• Human body constraints
• Research and development
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Funding options: HA
• Min of Health subsidy
• ACC – 3 500 – 4 500/p.a.
• Funding bands
• Min of Health HA funding – special cases
• War Pensions (Veteran affairs NZ)
• WINZ loan
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Cost of Treatment options: CI
• $50 000
• Fully funded
• Children - 2
• Adults – 1 (except..)
• Limited funding – 40/year
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• Amplified telephones
• Wireless headphones for TV
• TV Captioning
• Integrated home systems
• CapTel
Cost of Treatment options: Assistive devices
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Life unlimited – Free
• Listening strategies:
Hearing dogs :
• $30 000
• NO funding, NO cost to client
Cost of Treatment options: Hearing Therapy
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Untreated Hearing Loss
Individuals with mild hearing loss were twice as likely to develop dementia as those with normal hearing.
Dr. Frank Lin, Johns Hopkins University
Self-reported hearing loss is associated with accelerated cognitive decline in older adults; hearing aid use attenuates such decline. Amieva et al; 2015
The difference in age-equivalent to the cognitive reduction associated with a 25 dB increase in hearing loss is 7 years. Lin, 2013
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Role of the GP in Hearing Related Issues
• Primary health care provider
• Widespread impact on overall
health, well-being and
independence.
• Promotes healthy ageing
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Hearing Loss in General Practice
How can you detect hearing loss in your
patients?
People mumble….
it’s the young people, they talk so FAST
The TV is FINE when it’s the news, but the American programs are
terrible,,,,
I am ok on the telephone, except for accents
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When to refer to an Audiologist
• 55+
• Concerns
• Tinnitus
• Unilateral
• Sudden loss
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Overall Goal: Healthy Hearing The maintenance of quality of life
by ensuring hearing is not a barrier to social
interactions and communication.
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Feel free to contact us for a copy of
the presentation or for any
audiology enquiries:
nz
Any
Questions?