This edition of FP Essentials™ will cover recent updates on hearing loss. The content should include: evaluating the patient with hearing loss; hearing augmentation; communicating with patients who are deaf or hard of hearing; and issues in the deaf and hard of hearing communities. The content should emphasize recent, relevant literature, rather than provide a general review of the four topics.
This edition of FP Essentials should be approximately 10,000 words in length, divided into 4 sections of approximately 2,500 words each, plus an abstract of no more than 200 words for each section, key practice recommendations, a maximum of 15 tables and figures, recommended readings, and references. This edition should focus on what is new in each topic and should answer the key questions listed for each section. Each section should begin with an illustrative case, similar to the examples provided below, with modifications to emphasize key points; each case should have a conclusion that demonstrates resolution of the clinical situation. The references suggested here include information that should be considered in preparation of this FP Essentials. However, these references are only a useful starting point to point that should be used to identify additional information to review.
Example case: When reviewing your patient schedule for tomorrow, you note that many of your patients have listed hearing loss as the reason for a visit. These patients include a woman in her 60s who has noticed hearing loss, a child who was referred after a school hearing screening, and a young man who cannot hear from his left ear. This reminds you how common hearing loss is, and how the etiologies of hearing loss differ across the lifespan. You plan to review educational materials on the evaluation of hearing loss before tomorrow.
Key questions to consider:
Initial references to consider:
Example case: Mrs. Kravitz, a 70-year-old otherwise healthy woman is having increasing difficulty with hearing that is adversely affecting her quality of life. She is interested in learning about the different options to augment her hearing. Her youngest grandson was born with deafness and has had success with a cochlear implant. Mrs. Kravitz read online that cochlear implants are now being used in elderly patients to restore their hearing, and asks if she might be a candidate.
Example case: Mr. Mitchell, a 75-year-old man presents for a routine follow-up appointment for hypertension and high cholesterol. His wife called your office the day before to tell you that her husband is having increasing difficulty hearing and probably will not tell you about it. During the appointment, you note that you have to ask many questions more than once. When you ask Mr. Mitchell if he is having trouble hearing, he replies, “No.”
Example case: Paul and Dana, a young couple, who both have normal hearing, have learned that their infant is deaf. They have been referred to and seen several subspecialists over the past few months and have begun to recognize and consider the important decisions that they will need to make for their child. They have asked for your guidance in better understanding the various choices they have and help in making those choices.
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