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: firstname.lastname@example.org
Effective Session Fall Term _1_ Year
2006/7 for Change
Proposed Calendar Entry: URL:
AUDI 569 (1.5) Hearing and Aging Present Calendar entry
Type of Action:
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
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
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
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:
AUDI 569: Hearing and Aging
ADDITIONAL COURSE INFORMATION
Course Schedule: Summer Session, Term 1
Instructor: Lorienne Jenstad with clinical faculty guest lecturers as required.
This 1.5 credit course will cover the anatomical and physiologic effects of ageing and the assessment and
management of geriatric population.
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.
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.
Evaluation Procedure Percent of Objective
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
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
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
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
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:
Canadian Journal on Aging
International Journal of Audiology
Journal of Gerontology
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
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
Class 9: Hearing Aids and ALDs Suppl. Readings
Class 10: Identifying Older Adults in Need of Audiological Ch. 10
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