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Paeds Casesgrowth-development-and-behaviour

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.

osce communication and developmental counselling1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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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

  1. Explain confirmed permanent bilateral hearing loss without using the screen result as the diagnosis. [1] [3]
  2. Prioritise early amplification and family-centred early intervention. [3] [10]
  3. Outline cochlear implant pathway principles without inventing local eligibility cut-offs. [4]
  4. Use teach-back and non-false reassurance about language outcomes. [1] [4]
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References4ShowHide
  1. [1]Yoshinaga-Itano C Outcomes of Universal Newborn Screening Programs: Systematic Review. Journal of clinical medicine, 2021.PMID 34202909
  2. [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
  3. [4]Niparko JK Spoken language development in children following cochlear implantation. JAMA, 2010.PMID 20407059
  4. [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
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