16-25 dB HEARING LOSS
|FLUCTUATING HEARING LOSS |
|Possible Impact on the Understanding of Language and Speech |Possible Social Impact |Potential Educational Accommodations and |
| | |Services |
|Of greatest concern are children who have experienced hearing |Barriers begin to build with negative impact on|Impact is primarily on acquisition of |
|fluctuations over many months in early childhood (multiple episodes |self esteem as the child is accused of "hearing|early reading skills and attention in |
|with fluid lasting three months or longer). |when he/she wants to," "daydreaming," or "not |class. |
|Listening with a hearing loss that is approximately 20 dB can be |paying attention." |Screening for language delays is suggested|
|compared to hearing when index fingers are placed in ears. |Child may believe he/she is less capable due to|from a young age. |
|This loss or worse is typical of listening with fluid or infection |understanding difficulties in class. |Ongoing monitoring for hearing loss in |
|behind the eardrums. |Typically poor at identifying changes in own |school, communication between parent and |
|Child can "hear" but misses fragments of what is said. Degree of |hearing ability. With inconsistent hearing, the|teacher about listening difficulties and |
|difficulty experienced in school will depend upon the classroom |child learns to "tune out" the speech signal. |aggressive medical management is needed. |
|noise level, the distance from the teacher and the current degree of|Children are judged to have greater attention |Will benefit from sound-field FM or an |
|hearing loss. |problems, insecurity, distractibility and lack |assistive listening device in class. |
|At 30 dB can miss 25-40% of the speech signal. |self esteem. |May need attention to development of |
|A child with a 40 dB loss associated with "glue ear" may miss 50% of|Tend to be non-participative and distract |speech, reading, self esteem, or listening|
|class discussions, especially when voices are faint or speaker is |themselves from classroom tasks; often socially|skills. |
|not in line of vision. |immature. |Teacher inservice is beneficial. |
|Child with this degree of hearing loss will frequently miss | | |
|unstressed words, consonants and word endings. | | |
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