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Beth Wilson |
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President, RI Self Help for the Hard of
Hearing |
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Pam Zellner |
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Coordinator, RI Commission on the Deaf |
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and Hard of Hearing |
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Myths and Facts and Real Life Stories |
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Hard of Hearing Perspective |
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Deaf Perspective |
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Cultural Diversity Issues |
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Technology Options |
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Business Etiquette |
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Interpreter |
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Relay |
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Communication Strategies |
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Hard of Hearing Perspective |
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Beth Wilson |
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Lights Up for Discussion |
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have discussions in a well-lit room |
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don’t sit in front of a window |
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Minimize Background Noise |
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turn off background music or other noise |
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move away from machines |
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Speak Normally |
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Face the Person with a Hearing Loss |
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Don’t Obscure the Mouth |
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cover with hands or gestures |
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remove chewing gum and mask to talk |
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Some Need Glasses and Hearing Aid to “Hear” |
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Family member may be worst interpreter |
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cannot be neutral in this setting |
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may withhold information |
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may start reporting symptoms |
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Patient with hearing loss should not be a
spectator |
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Deaf Perspective |
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Pam Zellner |
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Writing is inconvenient, but critical |
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“write it down,” not “say it again out loud” |
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frustrating because |
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communication still not there |
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reasonable request simply ignored |
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Listen to your patient -- they have some
experience here … |
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Hearing losses are different -- what worked for
your last Deaf patient may not work for me |
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Talk to the Deaf patient |
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what is going to happen next |
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what does all this mean |
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Ask the Deaf patient about their symptoms |
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avoid “does she …” and ask “do you…” |
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don’t let this become a vet exam |
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talk to the patient, not about the patient |
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What is the Difference Between Deaf and Hard of
Hearing People? |
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Deaf |
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part of Deaf culture/community |
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deafness is an identity |
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deaf |
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cannot hear well even with hearing aid |
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culturally hearing (translation: isolated) |
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Hard of hearing |
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may hear some with hearing aid |
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too deaf to be hearing and to hearing to be Deaf |
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My spouse thinks I can’t hear |
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Hearing aids do not “fix” hearing loss |
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not like glasses |
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external amplifier has to go through “bad” ear |
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Problems with hearing aids |
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amplify background noise |
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can have interference from equipment |
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Kinds of hearing aids |
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conventional |
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programmable |
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in-the-ear |
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behind-the-ear |
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body aid |
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Variety of Technology |
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loops |
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assistive listening devices |
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CART |
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Useful Additions to a Hospital Room |
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light for phone |
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phone amplifier |
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TTY |
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captioning for TV |
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Be conscious about setting communication mode |
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where is interpreter located? |
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Can everyone understand each other? |
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Maintain eye contact with patient |
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talk to patient, not interpreter |
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pretend interpreter is not there |
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Translation takes some time |
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be patient waiting for response |
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only one person can talk at a time |
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Identify yourself (machines don’t recognize
voices) |
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Pretend there is no Relay operator |
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avoid “tell him”, “ask her” phrases |
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speak normal like talking to a hearing person |
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Remember that someone is typing what you say |
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speak at normal pace (not an auction) |
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can be like dictation |
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GA means go-ahead, it’s your turn |
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SK means stop keying, I’m hanging up soon |
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Ask the patient with a hearing loss for ideas |
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they can best describe their loss |
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they have some experience accommodating it |
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Get the critical information conveyed with |
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pen and paper |
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how long will the wait be |
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what are they waiting for |
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Be creative |
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“Have a seat, the doctor will be right with you” |
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“First we need you to go to room 456 for the abc
work” |
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Patients With Hearing Loss Cannot Hear: |
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their
name called |
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a knock
on the door |
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instructions in the dark |
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a
conversation through glass |
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observations made through a mask |
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a
response over the intercom |
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Parade of staff will try to talk to patient: |
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put a note on chart |
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put up a sign in the room |
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Put tape over an intercom to prevent temptation
to verbally communicate with that patient |
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Make sure they understand everything |
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ask them to repeat for confirmation |
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provide as much as possible in writing |
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Communication is not about |
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what is said |
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how it is said |
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Communication is about |
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What is Understood |
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Brochures |
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CDHH |
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SHHH |
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RI Relay |
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“Ear Slash” stickers |
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Fact Sheets |
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How to Secure an Interpreter |
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Suggestions for Communicating |
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Manual Alphabet cards |
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