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Session notes_Guides for therapy at home.pdf
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- 2. Why home training? Parents •Are the child’s first and best teachers • Are a constant in child’s everyday life • Spend most time interacting with the child • Know the child’s likes, dislikes & interests • Understand their child the best Icon source: Flaticon
- 3. Role of parents •Help set goals with the therapist • Describe daily activities & routine • Learn strategies to be used at home • Report changes & child’s progress • Determine next steps along with the therapist Icon source: Flaticon
- 9. Easy tips • Dailylistening check • Focus on language skills • Use conversational level voice • Practice in a quiet room • Expand language & vocabulary • Use listening strategies • Integrate listening to daily activities Icon source: Flaticon
- 10. Daily listening check •Ling 6 sound test • Conducted separately for each device • Covers entire speech spectrum • Use of toys or Ling soundcards Icon source: Flaticon
- 11. ah sh oo ss ee mm Ling 6 sounds Iconsource: Flaticon
- 12. Monday Tuesday WednesdayThursday Friday Saturday Sunday ah ee oo mm sh ss Listening check Icon source: Flaticon
- 13. Monday Tuesday WednesdayThursday Friday Saturday Sunday ah ee oo mm sh ss Listening check Icons source: Flaticon
- 14. Focus on language skills •Emphasis on building language skills first • Develop pre-linguistic skills for younger children • Follow the child’s lead • Avoid repetitions • Tip: Teach language, do not test Icon source: Flaticon आ
- 15. Use conversational level voice •Avoid speaking in very loud tone • Use intonations with babies • Monitor loudness level • Make volume adjustments to the Sound Processor(s) Icon source: Flaticon
- 16. Practice in aquiet room • Focus on listening skills • Control distractions & noise • Optimise room acoustics Icon source: Flaticon
- 17. Expand language & vocabulary •Use complete language • Try to avoid short phrases • Include new words into conversations • Tip: Use speech, not gestures Icon source: Flaticon
- 18. Listening strategies • Useadequate pauses • Practice the 10 second rule • Other strategies – Sound Processor(s) should be worn throughout the day – Be close to the microphone while speaking (only initial stages) – Always maintain auditory presentation before visual – Acoustic highlighting – Auditory sandwich for older children Icon source: Flaticon
- 19. Include listening into theroutine • Listening should be a common goal in every activity • Fit listening activities into the routine • Create opportunities through daily activities Icon source: Flaticon
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- 21. Reference: Gillis &Schaerlaekens, 2000 Approximately 80% of what a child learns in their language development is done so incidentally.
- 22. Importance of incidental learning •Aids development of new vocabulary • Encourages a deeper level of curiosity • Skills learned can be generalised in natural & realistic environment Icon source: Flaticon
- 23. Language through cooking • Namethe ingredients & cooking utensils • Describe the food • Explain each step before you do it • If something goes wrong, talk about how you can fix it • Talk about origin of ingredients using descriptive language Icon source: Flaticon
- 24. Language through laundry • Nameeach piece of clothing • Categorise the clothes • Talk about all items that are used • Explain each step like drying, folding & separating Icon source: Flaticon
- 25. Language through reading • Askto point out animations, objects & colours • Make sounds & encourage imitation • Before moving forward, ask them to guess what they think may happen next • Talk about the pictures & objects • Encourage other family members to participate Icon source: Flaticon
- 26. Language through games • Developlistening skills • Improve expressive language abilities • Encourage use of descriptive words • Include games like – I spy – Vocabulary games – Auditory memory games – Simon says Icon source: Flaticon
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- 28. Cochlear resources • SoundFoundation – Babies (1-2 years) – Toddlers (2-3 years) – Children (3-4 years) – Starting School Guide • Leap on with language • Listen, learn & talk • Chit-chat
- 29. Mobile applications • LingokidsTM •ABC kids • Easy music for kids • Speech blubs • Minimal pairs • 28 categories for kids • Epic! • Avtar auditory verbal training Icon source: Google
- 30. Other websites • CBeebies •YouTube for kids • Storyline Online • ManyThings • RIDBC hearing resources Icon source: Google
- 32. Practical advice • Getcomfortable with the processor • Practice in quiet room • Practice regularly • Be patient Icon source: Flaticon
- 33. Get comfortable withthe SP • Practice wearing for longer time • Sustained & prolonged use • Understand Sound Processor functionalities & adjustments • Daily device check & maintenance
- 34. Practice in aquiet room • Try to avoid distractions • Optimise room acoustics for easy listening • Practice in comfortable loudness level • Slowly increase complexities Icon source: Flaticon
- 35. Practice regularly • Practicefor 15 to 30 minutes daily • Practice at a fixed time regularly • Listen to different voices Icon source: Flaticon
- 36. Be patient • Hearingrehabilitation may take longer to show results • Focus on listening with Sound Processor(s) alone • Have realistic expectations Icon source: Flaticon
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- 38. Level 1 • Wearyour Sound Processor(s) • Watch TV / online media / audio books with captions • Practice reading aloud – newspaper / books • Pay close attention to what is being read Icon source: Flaticon
- 39. Level 2 • WatchTV with captions disabled • Close eyes occasionally to practice listening without visual information • Watch TED talks with captions enabled • Listen to a talk show on the radio or a podcast Icon source: Flaticon
- 40. Level 3 • Startwith video calls to familiar people & subsequently with different people • Increase complexity by moving to regular phone calls • Start in a quiet room & then increase difficulty • Listen to an audiobook without the book to follow • Listen to a TED talk without captions • Watch videos or listen to favorite music with captions enabled Icon source: Flaticon
- 41. Tips • Examine thefactors that influence understanding during conversations • Be an assertive communicator • Use anticipatory & repair strategies Icon source: Flaticon
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- 43. Cochlear resources • CochlearImplant Home-based Auditory Training – Post-lingual hearing loss – Pre-lingual hearing loss • Adult Communication Strategies Guide • Music & Implants: Piecing the Puzzle Together
- 44. Mobile applications • NatureSound • Breethe • Coffitivity • Hear Coach • Apple books / Google books • Heroes • White noise • Annoying sounds Icon source: Google
- 45. Other websites • AngelSoundTM • ESL lab • YouTube Icon source: Google
- 46. • Home trainingis crucial for effective communication. • Parents/ family/ caregivers have more opportunities to experience, interact & communicate. • Empower the parents/ caregivers to be the primary person delivering therapy. • Boost ideas & help family to come up with innovative ways of integrating listening. Summary Icon source: Flaticon