UNIVERSITY OF CENTRAL MISSOURI
Welch-Schmidt Center for Communication Disorders
Audiologic Evaluation Report
CLIENT: Reba Peach CLINICIANS: Amy Arsenault and
Wendy Kriewitz
DATE OF BIRTH: 7-9-23 DATE OF EVALUATION: 2-12-01
HISTORY:
Mrs. Reba Peach, a 77 year-old female, was seen at the Welch-Schmidt Center on February 12, 2001 for a hearing evaluation. Mrs. Peach wears in-the-ear Miracle Ear hearing aids bilaterally, since 1998. She reported that the hearing aid fit in her right ear was not satisfactory and often caused feedback. She wants to try something new. Mrs. Peach reported difficulty understanding speech in the following situations: group and telephone. She reported that her family members also have a history of hearing loss. Mrs. Peach experiences constant high-pitched tinnitus in both ears. She denies history of ear infections, dizziness, and noise exposure. She is currently taking the following medications: Feledene, Pravachol, and Tenormin.
RESULTS:
During today’s evaluation, both tympanic membranes were visualized during video otoscopy and were unremarkable. Conventional pure tone audiometry revealed pure tone averages (PTA) of 80 dB HL in the right ear and 65 dB HL in the left ear. Significant air/bone gaps were noted in the low frequencies, possibly due to vibrotactile responses. Speech reception thresholds (SRT) using monitored live voice through headphones were 90 dB HL in the right and 75 dB HL in the left. Word recognition scores (WRS) using monitored live voice were 68% for the right ear and 84% for the left ear at the most comfortable loudness level (MCL) of 95 dB HL and 90 dB HL. Binaural WRS were 84% at the MCL of 90 dB HL in the right ear and 85 dB HL in the left. Impedance audiometry revealed Type A tympanograms, bilaterally. Acoustic reflexes were absent at 1 and 2 kHz, bilaterally, when screened at 105 dB SPL.
IMPRESSIONS:
The results indicate Mrs. Peach’s hearing loss in her left ear to be moderately severe in the low and mid frequencies, sloping to a profound loss in the high frequencies. The hearing loss in her right ear is severe in the low and mid frequencies, sloping to a profound loss in the high frequencies. Tympanometry revealed normal middle ear function. Speech discrimination was judged to be good when words were presented at an elevated loudness level. Because of the amount of hearing loss and feedback with her current in-the-ear hearing aid, a different style hearing aid may be more appropriate to fit her needs.
RECOMMENDATIONS:
It is recommended that Mrs. Peach:
1) Return to the clinic on Monday, February 26, 2001 at 1:00 pm for a hearing aid evaluation to discuss amplification options.
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Amy Arsenault Deborah Galley, M.S., CCC-A
Graduate Clinician Clinical Supervisor
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Wendy Kriewitz
Graduate Clinician
February 12, 2001
Mrs. Reba Peach
123 Peach Avenue
Warrensburg, MO 64093
Dear Mrs. Peach,
Enclosed are the results of the audiological evaluation performed on February 12, 2001 at our clinic.
As we discussed after your evaluation, your hearing loss is moderately severe in your left ear and severe in your right ear in the pitches that are very important in hearing and understanding speech. Your current hearing aid may not be providing enough sound before feedback occurs, which may be due to the problems with the fit.
It is recommended you:
1) Return to the clinic on Monday, February 26, 2001 at 1:00 pm for a hearing aid evaluation to discuss amplification options.
Please feel free to contact the clinic at (660) 543-4993 if you have any questions or if we can be of any further assistance.
Sincerely,
______
Amy Arsenault Deborah Galley, M.S., CCC-A
Graduate Clinician Clinical Supervisor
______
Wendy Kriewitz
Graduate Clinician