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Program

Workshops

Workshops

WS1: How to Woo Todays Healthcare Consumer

Ms Brianna McGuiness

Sunday 20 May 2018
9.00am - 10.30am

Overview

Advertising and medical collaborations are losing value as a referral source because our old patients are evolving into healthcare consumers. They have different expectations regarding their involvement and decision making. They look at healthcare like they do other things in their life. They want to be informed and in control. They may source and compare multiple providers and hearing solutions. As a hearing healthcare professional you may consider what matters most is how much you can improve a patients hearing or communication ability. But from your patients perspective, what matters most is how they feel throughout their experience – from their first phone call to their outcomes, from your expertise to their interaction with all of the staff and the clinic or website during visits.

This presentation will cover the evolved hearing healthcare field including the need to reconsider your practice, the impact of the internet and the rise of the healthcare consumer. Its purpose is to describe the shifting landscape and offer concrete suggestions for how you can adapt and thrive in this new reality through each appointment. Passive patients who take what you give them are being replaced by engaged consumers who see themselves as partners with you in their own healthcare decisions. In this presentation we will devise and discuss immediate and easy to implement strategies throughout the patient journey.

WS2: Beyond the COSI – Towards a Richer Communication Assessment – Introducing FOCAS-ME

Mrs Bettina Turnbull, Mr David Crowhen, Professor Louise Hickson

Sunday 20 May 2018
9.00am - 10.30am

Overview

If you are interested in conducting really engaged conversations with your clients and their family members but a bit hesitant about how to manage potentially emotional situations this interactive workshop is for you. In this workshop we introduce the Family Oriented Communication Assessment and Solution – Motivation and Emotion (FOCAS-ME) tool. In the age of eCommerce and commoditisation, Audiologists must develop skills that cannot be replaced by the internet or a computer program. We mostly use informational counselling to advise, but how good are you at really dealing with the issues that make people hesitate
to move forward? At the end of this workshop you will confidently handle emotional issues and family dynamics around the impact of hearing loss on clients’ everyday lives. The FOCAS-ME will help you to establish an in-depth communication assessment that goes beyond the traditional tools to understanding your client’s needs, establishing shared goals with family members and allowing your client to explore his or her own motivation for intervention options within a family-centred context.

WS3: Redefining Speech Mapping and Advanced Fitting Tools with Aurical and Hitbox

Mr Matthew Whitehouse

Sunday 20 May 2018
9.00am - 10.30am

Overview

WS4: Screening, Assessing, Diagnosing and Rehabilitating Persons with (C)APD

A/Professor Wayne Wilson

Sunday 20 May 2018
9.00am - 10.30am

Overview

Deciding how best to screen, assess, diagnose & rehabilitate (C)APD can be difficult. This workshop will briefly introduce the major approaches to (C)APD before taking the participants through some of the more commonly used tools in this field. The workshop will proceed as follows:

1. The room will be arranged into 5 work stations.

2. Wilson will briefly introduce the workshop.
3. Attendees will then be broken into 5 groups of 10. Each group will rotate sequentially through 5 workstations each staffed by one or two of the presenters. At each of these stations, the participants will interact with the presenter as he or she demonstrates some of the more commonly used tools currently being used in the field of (C)APD:
a. Station 1 – Screening tools: CHAPS & ECLIPSE.
b. Station 2 – Assessment tools: Dichotic Digits & Frequency Pattern tests.
c. Station 3 – Assessment tool: Listening in Spatialized Noise – Sentences test.
d. Station 4 – Rehabilitation tools: environmental modifications and compensatory strategies.
e. Station 5 – Rehabilitation tool: SoundStorm.

Wilson will present a brief conclusion.

WS5: Head Impulse testing using the ISC Impulse

Mrs Marianna Charalambous

Sunday 20 May 2018
9.00am - 10.30am

Overview

WS6: eLearning: Providing Daily Support Fools for Vertigo and Tinnitus Clients

Ms Joey Remenyi

Sunday 20 May 2018
9.00am - 10.30am

Overview

Background: Vertigo and tinnitus clients are frequently concerned and worried about the hopelessness of their persistent symptoms. They report increased anxiety, depression, social isolation, loneliness, participation restriction and difficulty with daily tasks.

Clients report seeking support from their GP, ENT and neurology specialists, psychologist, psychiatrist, audiologist, physiotherapist, wellbeing professionals and local support groups. Despite their attempts to seek support, they often report feeling powerless and not understanding why they feel what they feel. They want to understand the mechanisms behind their symptoms- so they can better manage it. Clients are asking for skills, tools and strategies to help them feel at ease in their body. To help them understand their changing sensory system, moment to moment, and how to better use neuroplasticity to reset their brain filters and feel better.

Methods: During this workshop- participants will use interactive videos, audios, pdfs and progress questionnaires, to put themselves in the clients’ shoes- to learn skills, tools and strategies that they can implement into their daily life, self-paced. This offers both professionals and clients a toolkit of support resources and allows them to engage proactively in their individual recovery process.

Starter Kit eLearning Resource: starterkit.seekingbalance.com.au (select for professionals).

Results: Clients report feeling less anxious about their symptoms since having eLearning tools and a daily plan. Clients report that they prefer having resources that they can keep, listen to multiple times and revisit during difficult moments when they need more support. They like feeling independent and able to self-soothe.

Conclusions: eLearning resources are beneficial for both professionals and their vertigo and tinnitus clients.

WS7: Non-invasive Real-Time Verification and Validation of Hearing Devices

Ms Jenny Smith

Sunday 20 May 2018
9.00am - 10.30am

Overview

Hearing aids today are selected to meet lifestyle and listening needs, but audibility and speech intelligibility remain paramount. This is why both verification and validation are an integral component of best practice when fitting a hearing device.

It is current practice to use speech mapping for verification of hearing devices, because it provides documentary evidence of the aided response (REAR) at the eardrum. This workshop will enable participants to practice the techniques required to calibrate and perform a software based speech mapping method which documents hearing aid performance in real time without requiring a probe microphone. This verification tool applies a speech detector algorithm to enable the use of real time speech analysis in situ. The procedure can be applied with an ISTS signal and a generic (NAL-NL2) or proprietary

Speech-o-gram target. The generated output spectrum for continuous input signals shows a statistical analysis of all sounds which can be recorded and saved for documentary purposes.

Validation is a subjective measure that captures the hearing aid user's perceived benefit, satisfaction, and handicap reduction by the use of hearing aids (ASHA, 1998). Validation measures are typically based on aided speech tests or questionnaires.

This workshop will enable participants to demonstrate real world hearing aid benefit to hearing aid users using live speech in real time (preferably with significant other’s voice) to provide a visual guide to aided speech access in real time. This validation tool is a valuable adjunct to best practice in any hearing aid fitting.

WS8: To Refer or not to Refer for Cochlear Implantation - Is it just Based on Profits and Opinions?

Dr Isabelle Boisvert

Sunday 20 May 2018
11.00am - 12.30pm

Overview

You may have heard of the statistic suggesting that less than 10% of adults who could benefit from a cochlear implant receives one. When you think of that statistic, do any of these statements cross your mind?

- This is based on a criteria that is not severe enough: it’s like if everyone could get a cochlear implant nowadays. I don’t think that’s right.
- Are these numbers really accurate?
- Ill probably lose my client if I refer them on to a cochlear implant clinic.

This workshop was developed for audiologists working with adults in hearing aid clinics. We want to open up the discussion and try to identify practical ways to work together and help clients with severe-to-profound hearing loss. This workshop is timely as more and more clients use both a cochlear and a hearing aid together. At the moment, there is no open line communication between hearing aid and implant audiologists to discuss referral criteria nor are there clear approaches to sharing outcomes after surgery. Come and help us design the process of how to make cochlear implant related services clearer, and easier for you.

Learning objectives:
At the end of this workshops, participants will be able to:

- Reflect on the referral process through integrating multiple stakeholder perspectives, including the patient’s voice.
- Use robust evidence to discuss the main factors influencing referrals for a cochlear implant evaluation.
- Identify limitations within current clinical service provision and research.

WS9: "It's about all of us" How can eHealth Enhance Family-centred Care for Children with Hearing Loss and their Families?

Dr Monique Waite, Dr Narina Scarinci, Dr Carly Meyer

Sunday 20 May 2018
11.00am - 12.30pm

Overview

Within Australia, eHealth is increasingly being used to provide early intervention services for children with hearing loss and their families. Although the profession of audiology has traditionally embraced technology in clinical practice, uptake of eHealth is currently limited. A recent study has explored the current application of eHealth services in Australia for children with hearing loss, finding that overall, only 19% of families within the early intervention services who participated in the study received any aspect of their hearing service via eHealth. Overwhelmingly the majority of these families lived outside major cities. Despite this limited uptake, participants identified a wide range of benefits associated with the use of naturalistic environments, promotion of family involvement, increased responsivity to family needs, and the importance of considering the role of children, families, professionals, and organisations in implementing eHealth.

The workshop will use the main findings from this study as well as attendees’ own experiences to frame discussion of the variety of options available for delivering eHealth services for children and their families using a model of family-centred care. Barriers and facilitators to the provision of eHealth services will be discussed, alongside activities focused on the application of family-centred care using eHealth. Throughout the workshop, participants will have the opportunity to reflect on current practice, as well as future applications for eHealth within their service.

This workshop is designed for current users of eHealth as well as audiologists who are considering how they can expand their services to incorporate eHealth.

WS10: Language is Caught not Taught: Applying Functional Listening Skills to Guide Amplification Decisions and Intervention for Children with Hearing Loss

Ms Aleisha Davis

Sunday 20 May 2018
11.00am - 12.30pm

Overview

A child’s world is a noisy place. Increasingly parents and professionals need more than an audiogram to understand a child’s real world listening skills in order to make decisions about amplification and support intervention choices. Integrating information about a child’s access to and use of sound in their everyday environments provides valuable information about their future speech and language skills and maximise their everyday language learning opportunities.

This workshop provides participants the opportunity to develop a greater understanding of a child’s functional listening development. Using the Functional Listening Index (FLI), participants will examine how parents and clinicians can measure and track these skills from birth through preschool years. This goes beyond detection and device usage, through the necessary intersection of cognition that forms the basis of functional listening for real world language acquisition. Participants will explore the issues surrounding the use of functional listening versus traditional auditory measures in children and additional information this can provide.

Throughout this interactive short course participants will use the FLI to examine case studies of children with all levels/types of hearing loss, a range of devices, from different language backgrounds and with varying additional needs and family contexts. The trajectory of their functional listening skills will be discussed to explore how real world hearing skills can support fitting choices for individuals. Group data will be used to discuss evidence and implications for timing of amplification choices, and provide a means of quantifying auditory skill development in a meaningful and contextual way for families.

WS11: Tinnitus 2018: Issues, Ideas and Solutions

Dr Doug Beck

Sunday 20 May 2018
11.00am - 12.30pm

Overview

In 2017, some core beliefs associated with tinnitus management need to be updated to better reflect contemporary outcomes. New concepts have been introduced and adopted, with direct application to best practices to manage tinnitus patients. This course, will review contemporary peer-reviewed and outcome-based findings to debunk myths and move past approaches which have not stood the test of scientific rigor. The overview includes definitions of objective and subjective tinnitus, as well as the most recent USA-based tinnitus demographics. Auditory hallucinations, residual inhibition and the importance of measuring tinnitus pitch and loudness will be addressed. Common tinnitus presumptions will be addressed and debunked. We’ll review and update the association between tinnitus and sensorineural hearing loss, abnormal sensory interaction, emotional/limbic/stress networks, synesthesia, gaze-evoked tinnitus, cross-modal plasticity and more. Tools are available to reliably document the sensation perceived by the tinnitus patient, including; the Tinnitus Handicap Inventory (THI) and Tinnitus Handicap Questionnaire (THQ), as well as tinnitus pitch and loudness matching protocols and we’ll briefly address Cognitive Behavioral Therapy (CBT), Tinnitus Retraining Therapy (TRT), Progressive Tinnitus Management (PTM).

WS12: Caring for Musicians' Ears: HEARsmart Tips and Tools for the Audiologist

Miss Siobhan McGinnity

Sunday 20 May 2018
11.00am - 12.30pm

Overview

High rates of hearing injury have consistently been demonstrated in those working in the music industry. In particular, musicians are at heightened risk of developing hearing loss, tinnitus, hyperacusis, distortion and diplacusis. Kahari (2003) reported that 74% of musicians had experienced at least one of these symptoms, at rates far exceeding those found in non- musicians. Given sound level exposure during rehearsal and performance, regularly surpasses that recommended under workplace health and safety standards, musician clients are clearly in need of targeted support, education, and at times, hearing protection.

Research by the HEARsmart team has found that many audiologists feel they would benefit from further support and education on the topic of musicians’ hearing care, and would like to know exactly how to go about caring for these clients. With this in mind, this workshop has been designed to give participants the tools they need to accurately assess a client’s risk profile, advise on hearing protection, and verify outcomes. Participants will also be introduced to a novel tool, developed by the HEARsmart team, to support their appointments. The Musicians’ Oriented Scale of Improvement (MOSI) is a client-centred, goal-setting tool tailored to musicians. It assists the clinician to assess the client’s hearing protector needs, identify problem areas that might lead to rejection of hearing protectors, and devise problem-solving strategies.

After this workshop, audiologists should feel confident in their ability to provide high-quality care for musicians, and know that they can help reduce the incidence of hearing
injury in this high-risk group.

WS13: Bone Conduction ABR in Neonates and Infants: How to Improve its use in the Diagnosis of Hearing Loss in Babies

Ms Florencia Montes & Ms Monica Wilkinson

Sunday 20 May 2018
11.00am - 12.30pm

Overview

The main goal in infant diagnostic assessment is to accurately define the type, degree and configuration of the hearing loss. The KPI for this states that this has to be achieved by 3 months of age, so appropriate management and referrals can be put in place before 6 months of age.

Although there are some technical difficulties with bone conduction (BC) ABR and lack of normative data in infants, BC ABR can effectively differentiate between conductive and sensorineural hearing loss. In our Clinic around 50% of the babies that go through diagnostic assessment will have a transient conductive hearing loss, and babies with atresia/microtia can’t be tested with air conduction, bone conduction testing becomes very important in the diagnostic battery. Middle ear pathology can take months to clear and diagnosis should be completed by 3 months of age.

The main purpose of this workshop is to improve expertise through gaining knowledge and practical experience with tone burst BC ABR in infants.

Learning objectives:
• Review and discuss the role of BC in infant diagnostic assessment
• Learn/share some tips to improve testing
• Explore different BC placement techniques
• Discuss at what time in the ABR test sequence should BC introduced
• Discuss our protocol
• Latency differences compared with air conduction latencies
• Review case examples

WS14: Expanding Skills in Adult Auditory Rehabilitation – Rehab Tools and Tips for use with Cochlear Implant Recipients

Ms Jade Parr

Sunday 20 May 2018
11.00am - 12.30pm

Overview

This instructional course will discuss the use of electrophysiology measures in mapping of cochlear implant recipients. We will discuss how to collect each measurement and how to ensure collection is accurate and efficient. Particular focus will be placed on Electrically Evoked Auditory Brainstem Response (EABR), Electrically Evoked Stapedial Reflex Threshold (eSRT), Electrical Compound Action Potential (NRI/NRT/ART) and Corticals (e.g. HearLab). We will explore how each measure correlates with cochlear implant map, further clinical applications outside of the map and the limitations of electrophysiological measures.

Wax Management

Dr John Vorrath

Sunday 20 May 2018
Session 1 - 9.00am - 10.30am
Session 2 - 11.00am - 12.30pm
Session 3 - 1.30pm - 3.00pm

Overview

Previously, ear canal instrumentation including ear wax removal under vision was achieved by few other than ENT Surgeons and predominately conducted with the use of a frontal mirror. Moving forward, with the benefit of head worn visual enhancement equipment this necessary procedure can be achievable for all health care providers providing they receive adequate training and experience.

During this workshop, participants will be guided through an informative educational session discussing the types of ear wax and the different removal methods available. There will be a significant focus on the wax ring removal technique as it has found to be suitable for more than 90% of cases. After tuition, participants will be asked to demonstrate a competent technique of this method under direct guidance using head worn visual enhancing equipment and including the use of ear speculums where necessary.

Conference countdown

181
days
06
hours
45
mins

International Convention Centre Sydney - 20-23 May 2018

Platinum Sponsors

Sonova Australia - Phonak

Starkey Hearing Technologies

Gold Sponsors

Signia

Silver Sponsors

Otometrics Division of Natus

Bronze Sponsors

Cochlear Limited

Name Badges / Lanyards Sponsor

Unitron

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