How are you going to explain the effects of the hearing loss to his mother?
What are you going to recommend for him (referrals, testing, intervention)?
How will this affect your treatment plans/goals going forward?
Case History:
Joey, a 4-year-old male, has been your client for about 6 months. He was born full-term following a routine
pregnancy. According to his mother there are no known health issues or concerns about hearing, she is mostly
worried about his speech development. Mother cannot remember whether Joey passed his newborn hearing
test and he has not had any other evaluations. She does not report any family history of hearing loss.
You have been working on articulation and language goals with him. Joey attends sessions with you regularly
and he appears to work hard and be compliant during those sessions. Unfortunately, despite your best efforts,
Joey is not progressing as you think he should, and you are beginning to be concerned. Because you are an
outstanding clinician, you recommend that he have a full audiologic evaluation and receive the results shown
below.
Audiogram Values
500 Hz 100Hz 2000Hz 4000Hz
Right Ear 50dB 55dB 50dB 45dB
Left Ear 55dB 50dB 55dB 50dB
SRT = 50dB in both ears
Bone conduction matches air conduction
Tympanograms are normal in both ears
Patient cooperated for testing and responses are reliable.