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All Waking Hours: Strategies for
Caregivers
Michelle Graham, MS, CED, LSLS Cert. AVEd
Lauren Bauer, MSDE, CED
Objectives
• Participants will gain an understanding of the
importance of daily device usage
• Participants will examine case studies utilizing
the coaching model and adult learning theory
• Participants will acquire strategies to increase
device wear-time
Optimal benefit from amplification
may only be achieved with
consistent and appropriate hearing aid use.
-Moeller, et. al 2009
The National Sleep Foundation:
Sleep Duration Recommendations February 2015
Newborns: 14 – 17 hours
Infants: 12 – 15 hours
Toddlers: 11 – 14 hours
Preschoolers: 10 – 13 hours
SJI Copyright 2015
What quantifies “all waking hours”?
Newborn: 7 - 10 hours
Infant: 9 - 12 hours
Toddler: 10 - 13 hours
Pre-K: 11 - 14 hours
“In an average 14-hour waking day, a child spoken to 50 times per hour will hear 700 utterances, a child spoken to 800 times per hour will hear more than 11,000”…..
-Hart & Risely, 1995
In a year that equates
to exposure to
250 thousand
versus
4 million utterances
Trials and Tribulations
• Tired
• Sick
• Resistance
• Removal
• Various Caregivers
• Car rides
• Forget
• Not enough time between activities
• Difficulty with acceptance
• Fear that they will get ruined
Conventional Accessories
• Ear gear
• Hanna Andersson Caps
• SafeNSound
• Sticky wrap/wig tape
• Critter clips
• Huggie aids
• Hearing aid sweatband
Children need access to the full range of
speech sounds during all waking hours,
making daily hearing aid management a
fundamental component for effective
intervention
-Munoz, Preston, Hicken 2014
Provider Behavior/Skill
Family Behavior/Skill
Child Outcomes
Coaching and Adult Learning Theory
• Active Involvement
• Real-Life experiences
• Relevant and Applicable
• Practice Driven
• Reflection
Case study• Bilateral moderate hearing loss
• Fit with hearing aids at 8 months of age
0
1
2
3
4
5
6
7
8
February (Fit) August October November January
00.3
4.8
7.7
6.8
Case study • Bilateral moderate to severe hearing loss
• Fit with hearing aids at 2 months of age
0
2
4
6
8
10
12
14
August October December February April June August October May
Questions, Comments, or Ideas!
Michelle Graham, MS CED LSLS Cert. AVEd
Listening and Spoken Language Specialist
St. Joseph Institute for the Deaf
636-532-3211
SJI Copyright 2015
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