Cochlear implantation in children with complex needs: the perceptions of professionals at cochlear implant centres

Autor:	Suzanne Harrigan, Sue Archbold, Sheetal Athalye, Imran Mulla, Nina Wolters-Leermakers, Harry Knoors, Jet Isarin
Rok vydání:	2015
Předmět:	Adult Male Parents medicine.medical_specialty Referral Attitude of Health Personnel media_common.quotation_subject medicine.medical_treatment Learning and Plasticity Audiology Speech and Hearing Surveys and Questionnaires Perception Cochlear implant medicine Humans Child Hearing Loss Cochlear implantation Referral and Consultation Netherlands media_common Complex needs Patient Care Team Rehabilitation business.industry Cochlear Implantation Disabled Children United Kingdom Cochlear Implants Otorhinolaryngology Female business
Zdroj:	Cochlear Implants International, 16, 6, pp. 301-311 Cochlear Implants International, 16, 301-311
ISSN:	1754-7628 1467-0100
DOI:	10.1179/1754762815y.0000000012
Popis:	Item does not contain fulltext Objective To explore the views of cochlear implant centre teams about the process of referral, assessment and rehabilitation for children with complex needs. Methods An on-line survey of cochlear implant centres in the UK and in the Netherlands was carried out, with both quantitative and qualitative questions. The survey was designed and piloted by four professionals in each country, experienced in working in cochlear implant services, and with complex children. The open qualitative responses were analysed independently for the emergent themes. Results Seven centres from Netherlands and eight from UK responded. The proportion of children reported with complex needs ranged from under 10% to between 40 and 60%. Children with complex needs were more likely to be later referred than the norm, and to take longer to assess. There was little agreement about the assessments used prior to implantation, or in follow-up. The most commonly seen additional disability was visual, followed by motor/physical challenges and autistic spectrum disorders. The most reported challenge was assessment, followed by parental expectations, and wearing the system. The least reported concern was educational management. The major goal was seen to be hearing and sensory input, rather than speech and language attainment. All centres commented on the importance of parental observation. Conclusion There is a need for a consensus on the assessment of these children, with the development of more objective parent led observation measures to collect long-term data across centres. Closer collaboration with educators, particularly those with other expertise, would facilitate long-term management and asssessment. Data logging, now available, will help monitor wearing and use of system. 11 p.
Databáze:	OpenAIRE
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