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Faculty: Medicine                      Date: 30 November 2004
Department: School of Audiology and    Contact Person: Liz Macleod
Speech Sciences                        Phone: 604-822-4533
Faculty Approval Date:                 Email: macleod@audiospeech.ubc.ca

Effective Session Fall Term _1_ Year
2006/7 for Change
Proposed Calendar Entry:               URL:

AUDI 569 (1.5) Hearing and Aging       Present Calendar entry
                                       N/A

                                       Type of Action:
                                       New Course

                                       Rationale:
                                       This course is a necessary component of the
                                       revised curriculum in the School of
                                       Audiology and Speech Sciences.

                                       Hearing loss is the primary chronic disability
                                       in the geriatric population, an increasing
                                       portion of the North American population.
                                       Audiologic assessment and intervention in
                                       this population requires that clinicians be
                                       aware of special considerations of this age
                                       group and can adapt clinical practices
                                       accordingly.

                                       This course will provide audiology students
                                       with an understanding of the effects of aging
                                       on hearing and on vision, cognition and
                                       mobility. It will also cover the dynamics of
                                       working with caregivers so that caregivers
                                       are better able to identify hearing loss and its
                                       effects and to implement management
                                       strategies.

                                       This course will also be beneficial to speech-
                                       language pathology students planning to
                                       work primarily with older adults, many of
                                       whom will have hearing loss.

                                       This course builds on Masters-level courses



                                                                                          1
in physiology, hearing assessment, hearing
aids, and aural rehabilitation. None of these
courses allow in-depth coverage of the
particular audiological needs of older adults.
There are currently no other graduate-level
courses that cover this topic in-depth.

ID Number for supporting Documents:
[AUDI569NEWv3]




                                                 2
                                          AUDI 569: Hearing and Aging

                                    ADDITIONAL COURSE INFORMATION

Year: 2006/7
Course Schedule: Summer Session, Term 1
Location(s): TBD
Instructor: Lorienne Jenstad with clinical faculty guest lecturers as required.

COURSE DESCRIPTION

This 1.5 credit course will cover the anatomical and physiologic effects of ageing and the assessment and
management of geriatric population.

COURSE CONTEXT

This course is course for students majoring in Audiology in the School of Audiology and Speech Sciences Master’s
level program. The course may also be taken as an elective course by Master’s level students majoring in Speech-
Language Pathology or by graduate students outside of the School, with the instructor’s permission.

COURSE STRUCTURE

The Hearing and Aging class consists of 12 one and a half hour lectures with small group discussion component.

GENERAL COURSE OBJECTIVES

This course is intended to give the Audiology student knowledge for dealing with the particular needs of older adults
in need of hearing services. As the population of North America ages, audiologists can expect to have more older
adults on their caseloads. It is important for the clinician to understand 1) the differences between normal aging
and disease; and 2) how assessment and treatment of hearing loss differences between younger and older adults.

SPECIFIC COURSE OBJECTIVES

Students will acquire a fundamental knowledge of the following:
    1. Causes and characteristics of age-related hearing loss
    2. Identification of older adults in need of hearing services
    3. Assessment considerations for older adults
    4. Aural rehabilitation program requirements for older adults
    5. The unique aspects of hearing aid selection and fitting for this population
    6. The long-term care continuum and its impact on Audiology service delivery

EVALUATION AND GRADING PROCEDURES

A percentage grade will be assigned.


                                                                                             [AUDI569NEWv3]




Course evaluation:
             Evaluation Procedure          Percent of     Objective



                                                                                                                   3
                                             Grade
             Quiz after week 5               25%           Reinforce the factual content covered in the first 5 weeks
                                                           of the course
             Participation                   20%           Demonstrate knowledge and critical evaluation of the
                                                           clinical issues facing practitioners working with older
                                                           adults
             Guided Observation at           5%            To observe and understand how the clinical situation is
             long-term care facility                       altered for individual older adults
             Final Paper                     50%           To demonstrate in-depth knowledge and critical
                                                           evaluation of one clinical issue relevant to older adults
             TOTAL                           100%

Students are responsible for preparing the readings ahead of the class time and coming to class prepared to discuss
the material in the readings. Participation in class will form a portion of your overall grade. Each class the
instructor will note both attendance and participation. For each class day, every student will be awarded
participation points as follows:
         0 = no participation
         1 = some participation of moderate quality and relevance
         2 = high participation of high quality and relevance
Note that participation is based not only on amount of participation, but relevance. For instance, one thoughtful
comment or question may be worth more than many tangential comments.

There will be one quiz after the 5th week of class to reinforce the primarily factual content at the beginning of the
course.

Students will write a short (5 page + references) paper on one clinical issue relevant to older adults. The topic is to
be chosen by the student and approved by the instructor. The paper should be on a topic in one of the knowledge
areas listed in the course objectives. The student should summarize and critically evaluate the pertinent research
literature, particularly noting which recommended practices are supported by the literature and which are not. The
paper is due 1 week after the final class.

Students will be required to participate in at least one guided observation at a geriatric facility to see the practical
application of the theoretical and clinical issues discussed in class. Specific opportunities for the observations will
be discussed at the first class session. After the observation, hand in a two page typed report of your impressions
by the last day of class. Half of the report should be devoted to describing the clinical session and half should be on
your own impressions and interpretations.

The student should comment on the following areas, as relevant:
        a. Where along the long-term care continuum does this facility lie?
        b. What accommodations were made for assessing the older client(s) observed?
        c. How were the hearing aid selection/fitting or aural rehabilitation services tailored for the older
        client(s)?

READING LIST

TEXT: Weinstein, B.E. 2000. Geriatric Audiology. New York: Thieme. Unless otherwise specified, the
chapters indicated are taken from this book.

In order to ensure that students have access to the most current thought and research on these topics, additional
required readings selected from current journals will be provided at the first class meeting. The following journals
will be used as sources for current readings:
                                                                                               [AUDI569NEWv3]
Canadian Journal on Aging
International Journal of Audiology
Journal of Gerontology



                                                                                                                        4
Journal of Aging and Health
Journal of Speech, Language, and Hearing Research
Journal of the Academy of Rehabilitative Audiology
Journals of Gerontology
Psychology and Aging

COURSE OUTLINE

Class                     Topic                                              Readings

Class 1:                  Demography, Epidemiology, Biology,                 Ch. 1,2,3
                          Psychosocial Changes with Age

Class 2:                  Aging in the Auditory System                       Ch. 4

Class 3:                  Behavioural Effects of Age-Related Hearing Loss    Ch. 5

Class 4:                  Electrophysiology and Balance                      Ch. 6 & 7

Class 5:                  Speech Perception and Cognitive Changes            Suppl Readings

Class 6:                  QUIZ
                          Intro to Aural Rehab for Older Adults              Ch. 8

Class 7:                  Aural Rehabilitation – An Integrated Approach      Suppl Readings

Class 8:                  Hearing Aids – Special Considerations for Older    Ch. 9
                          Adults

Class 9:                  Hearing Aids and ALDs                              Suppl. Readings

Class 10:                 Identifying Older Adults in Need of Audiological   Ch. 10
                          Services

Class 11:                 Working Within the Long-Term Care Continuum        Ch. 11
                          (Guest Speaker: Dorothy Fairholm)

                          Observation Reports Due
Class 12:                 Multicultural Issues; Financial Support            Suppl Readings


                                                                                         [AUDI569NEWv3]




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