Ukstins Carol A. - Fundamentals of audiology for the speech-language pathologist

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Library of Congress Cataloging-in-Publication Data
Names: Welling, Deborah R., author. | Ukstins, Carol A., author.
Title: Fundamentals of audiology for the speech-language pathologist/
Deborah Welling and Carol Ukstins.
Description: Second edition. | Burlington, Massachusetts: Jones & Bartlett
Learning, [2019] | Includes bibliographical references.
Identifiers: LCCN 2017010700 | ISBN 9781284105988
Subjects: | MESH: Hearing Disorderstherapy | Hearing Disordersdiagnosis |
Hearingphysiology | Speech-Language Pathologymethods
Classification: LCC RF290 | NLM WV 270 | DDC 617.8dc23
LC record available at https://lccn.loc.gov/2017010700

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Printed in the United States of America
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I dedicate this book to my mother, Regina, and to my sister, Barbara,
who inspired me to pursue audiology.
To my husband, Bill, for the days, months, and years of
seeing me through this project again.
To my friends of faith, who get me through each day;
and to Harissa and Isabel, who not only get me through
each day but through the bumps in life as well.

Thank you for your support.
Deborah R. Welling

I dedicate this book to Dr. Susan Rezen, the person who taught me to love audiology,
and to never say Oops! behind an audiometer. To my family: my husband, Jim,
and my children, Nyasia, John, and Elizabeth, who have afforded me the time
to be away from them again to complete a Second Edition.
To my mother, Joyce, who taught me
that I could do anything.

Carol A. Ukstins

Together, we dedicate this book to Dr. Annette Zaner, mentor and friend,
who brought us together more than 25 years ago, never imagining
that we would still be working together 25 years later.

As an undergraduate student with aspirations to become a speech-language pathologist, I found my first course in audiology to be interesting but not particularly practical. I knew hearing was important for language and communication, but I thought hearing problems would be managed by the hearing professionals (audiologists) and that I would diagnose and treat the speech disorders. To a young student in the communication disorders professions, the division between audiology and speech-language pathology seemed clear. They (AuDs) did hearing tests and we (SLPs) did therapy. End of story. Except, as I advanced in my studies and began to see the connection between the classroom and the clinic, it became clear that the input (hearing) and output (speech) modes of communication were integrally linked and that any separation of those modes would negatively affect rehabilitation. While I loved learning about speech and language developmenthow we produce certain sounds, how children put sounds together to make words and then to make sentencesit became clear that I needed to give more than minimal attention to the role of hearing and auditory processing as a foundation for language and speech.

As a clinician, one may focus on ways to improve clients' output; to advance the form of their language and how they use speech, communication, and social skills to effectively interact with the world around them. However, the SLP's role in oversight and management of hearing status may seem unclear. The SLP's responsibility to his or her client may seem limited to performing a hearing screening and creating an action plan of what to do if someone failed a screening. However, understanding one's role beyond this referral process may be incomplete. The SLP may have the confidence to read an audiogram and identify the degree and severity of a hearing loss but is likely less able to predict the impact of that loss on communication and quality of life. The ability to partner with colleagues in audiology will become a valuable tool and resource resulting in better client outcomes.

In my work as a faculty member, I have been challenged with what to teach my students about teamwork and collaboration for patients with hearing challenges. Changes in health policy are impacting our practices. We are increasingly called upon to collaborate with our colleagues to work together to reduce cost and implement efficiencies that improve our patients' lives. This valuable resource can provide a bridge between the professions of speech-language pathology and audiology and facilitate collegial exchange and collaboration. The publication of the first edition of this book was a welcome addition to the library of both seasoned SLPs and students of the profession. Now with this revised and expanded edition, Deborah Welling and Carol Ukstins have provided even more tools for SLPs to enable them to engage in effective interprofessional practice for individuals with hearing challenges.