Paeds Cases · growth-development-and-behaviour
Confirmed bilateral hearing loss — counselling OSCE
OSCE on counselling after diagnostic confirmation of permanent bilateral hearing loss and early intervention planning.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
9-month-old; diagnostic ABR confirms bilateral severe SNHL after newborn refer; parents ask if speech will be normal.
Objectives
- Explain confirmed permanent bilateral hearing loss without using the screen result as the diagnosis. [1] [3]
- Prioritise early amplification and family-centred early intervention. [3] [10]
- Outline cochlear implant pathway principles without inventing local eligibility cut-offs. [4]
- Use teach-back and non-false reassurance about language outcomes. [1] [4]
References4ShowHide
- [1]Yoshinaga-Itano C Outcomes of Universal Newborn Screening Programs: Systematic Review. Journal of clinical medicine, 2021.PMID 34202909
- [3]Muse C, Harrison J, Yoshinaga-Itano C, et al. Supplement to the JCIH 2007 position statement: principles and guidelines for early intervention after confirmation that a child is deaf or hard of hearing. Pediatrics, 2013.PMID 23530178
- [4]Niparko JK Spoken language development in children following cochlear implantation. JAMA, 2010.PMID 20407059
- [10]Szarkowski A Family-Centered Early Intervention Deaf/Hard of Hearing (FCEI-DHH): Structure Principles. Journal of deaf studies and deaf education, 2024.PMID 38422449