Optimising the Fitting of Hearing Aids with Cochlear Implants - PowerPoint by sdfwerte

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									                                                     A REVIEW OF SERVICE DELIVERY AT
                                               SOUTH OF ENGLAND COCHLEAR IMPLANT CENTRE
                                                                1990-2005
                                                                                                                                   Sarie Cross and Julie Eyles
                                                                                  South of England Cochlear Implant Centre, ISVR, University of Southampton, UK

                      The South of England Cochlear                                                                 In 2006 SOECIC will be moving into new                                                                SOECIC has developed its
                      Implant Centre (SOECIC)                                                                       purpose-built accommodation with state of the                                                         service provision to meet the
                      provides a regional service for                                                               art audiological test facilities, rehabilitation and                                                  challenges of a changing
                      severely and profoundly deaf                                                                  seminar rooms.                                                                                        population. Since it was
                      adults, teenagers and children in                                                                                                                                                                   established in 1990 over 300
                      the South of the UK and the                                                                                                                                                                         patients have received cochlear
                      Channel Islands. Situated within                                                                                                                                                                    implants at this centre. At the
                      the Institute of Sound and                                                                                                                                                                          end of 2005 SOECIC was
                      Vibration Research (ISVR) at the                                                                                                                                                                    supporting 124 adults, 48
                      University of Southampton                                                                                                                                                                           teenagers and 126 children with
                      SOECIC benefits from being part                                                                                                 2005                                                                cochlear implants including 10
                      of a high quality research                                                                                                                                                                          using bilateral implants. The
                                                                                                                                             Foundations laid for
                      establishment.                                                                                                             New Building
                                                                                                                                                                                                                          team has grown to over 25 staff
                                                                                                                                            ISVR receives Queen’s                                                         members.
                                                                                                                                            Anniversary Award for
                                                                                                                                                excellence and
                                                                                                                                                achievement in
                                                                                                                                                   research
                                                                                                                                                 Music Study
                                                                                                                                               Nucleus Freedom




                                                                                                                   2002                              2003                          2004
                                                                                                            User Group Meetings              Teens Programme               Surgery at 3 centres
                                                                                                             Child implanted at              First simultaneous               Southampton
                                                                                                              under 18 months                 bilateral implant                 General
                                                                                                             Bilateral Cochlear                Professionals’              Wessex Nuffield and
                                                                                                             Implant Research                    Newsletter                 Queen Alexandra,
                                                                                                            Nucleus Double Array               Ophthalmology                   Portsmouth
                                                                                                            MED-EL Compressed                 appointments for               CIHA Research
                                                                                                                and Custom                         Children                 Advanced Bionics
                                                                                                                                                                             MED-El Pulsar




                                                                         1997                                       1998                            1999                           2000                                         2001
                                                                 Deaf-blind adult                                2 Surgeons                    Deaf Advocate                 New Audiology                            First bilateral
                                                               receives an implant                            2 Teachers of the                  joins team                 Room opened and                               implant
                                                                 Early Listening                                    Deaf                     Computerised stock               waiting area                          Paediatricians join
                                                               Sessions for newly                               2 Speech and                   control system                 redecorated                                  team
                                                               implanted children                                 Language                       developed                                                           Listening Boxes
                                                                  FM Radio Aid                                   Therapists                                                   1st Teens Day                         loaned to families
                                                                    Research                                   4 Audiologists                 Compound Nerve                   Drumming
                                                                                                                2 Admin Staff                 Action Potential                 Workshop                              ISVR receives 5*
                                                                   Nucleus 24                                      MED-EL                        Research                   UK FM Radio Aid                         rating for research
                                                                                                             Standard and Split                                                   Survey                                  activity
                                                                                                                                                                            Eye Colour Study



                              1990                                    1991                                          1992                            1993                           1994                                         1995                                 1996
Centre established at                                    The team consisted                                 First child received                Initial tuning             Hearing and Balance                           Centre moves from                 SOECIC hosts BCIG
  University with 3                                          of surgeon,                                    a cochlear implant                of first child with           Centre established                            Detached House                   Annual Conference
 year funding from                                           radiologist,                                   Teacher of the Deaf              congenital hearing                                                          into ISVR building                  Hanen Parents’
                                                                                                                                                                              10 adults and 5
 the Dept of Health                                       hearing therapist,                                   joins the team                        loss                                                                with sound treated                 Communication
                                                                                                                                                                             children received
                                                        audiological scientist                                                                                                                                                  rooms                       Course launched
      Surgery at                                                                                                                                                            cochlear implants in
                                                         and clerical support                                     Ineraid                         BBC Film
     Southampton                                                                                                                                                                  this year
                                                                                                                                            Katy -The Early Years                                                         Speech Coding                         Two Implant
    General Hospital
                                                                                                                                                                                                                         Strategy Research                       Surgeons
                      Nucleus 22




                                      Changing Paediatric Population                                                         Comments on some of the changes in Service Provision                                                   Patients Implanted at SOECIC
                                                                                                                                                                                                                                              1990 - 2005
                     35                                                                                             “We didn’t expect speech but the cochlear implant has opened up her                                  350
                                                                                                                            world” (parents of an autistic child with an implant)
                     30
                                                                                                                      “I never knew it was such a noisy world” (teenager implanted at 15)                                300



                     25                                                                                                                  Parents’ Communication Course                                                   250
  Number Implanted




                                                                                                                                                                                                   Numbers of Patients




                                                                                                                              “Left course feeling I can really help my child” (parent)
                     20                                                                                                                                                                                                  200
                                                                                                                                               User Group Meetings
                     15
                                                                                                                     “It was helpful to discuss with someone who has watched their child                                 150

                                                                                                                      undertake a major operation and to hear how well they developed”
                     10                                                                                                                                                                                                  100
                                                                                                                            “It’s made me understand a lot more about what to expect”
                                                                                                                                                                                                                         50
                      5
                                                                                                                   “I found the meeting very useful in understanding what kinds of sounds
                                                                                                                               she will hear and also the support she will need”
                      0                                                                                                                                                                                                   0
                          1   2   3    4   5   6   7   8    9    10   11     12    13   14   15   16   17
                                                                                                                                              Deaf Advocate Meeting
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                                                   Age at Implantation
                                                                                                                                              “inspirational” (parent)
                                                   1993-1999     2000-2005                                                                                                                                                                adults   teenagers   children

								
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