Om gesproke taal (nie gebaretaal) aan te leer, is dit belangrik dat ‘n hardhorende vroeg geïdentifiseer word.
Gehoorgestremdes vanaf die ouderdom van drie jaar kan in ‘n voorskoolse program geplaas word, wat uiters suksesvol kan wees. In die grondslagfase, word ‘n ouditiewe-verbale benadering gebruik om taal aanleer te bevorder.
Om die kind dus tot sy/haar volle potensiaal te ontwikkel, bied ons die volgende dienste:
Koshuisfasiliteite, Vervoer, Na-skoolsorg, Inligtingsfasiliteite, Kultuuraktiwiteite, en Sport
Gehoorverlies
Klassifikasie van gehoorverlies en die effek op kommunikasievaardighede ontwikkeling
Gehoorverliese verskil van mens tot mens en daarom ook die invloed op spraak- en taalontwikkeling. Dis logies dat hoe groter gehoorverlies daar is, hoe groter sal daar ‘n negatiewe impak wees op spraak en taal. Gehoorverlies beïnvloed individue ook anders. Die erns van ‘n gehoorverlies gaan bepaal word deur sekere aspekte:
*Tipe verlies
*Die db-vlakke en frekwensies aangetas.
*Ouderdom waar verlies begin het
*Ouderdom toe verlies vasgestel is
*Vorige intervensie
*Mediese intervensie
*Persoon se intelligensievlak
*Persoon se motivering
*Persoon se algehele gesondheid
*Sorg en stimulasie ontvang
Tipes gehoorverlies
Konduktiewe gehoorverlies ‘n Konduktiewe gehoorverlies gebeur as die oordrag van klank onderbreek word. Dit kan in die buite-oor of meerendeels in die middeloor gebeur.
In kinders is die mees algemene redes vir middeloor probleme otitis media of middeloorontstekings. In volwassenes is die mees algemene oorsaak van ‘n konduktiewe verlies otosklerose, ‘n siekte van die middeloorbeentjies.
Sensories-neurale gehoorverlies A Sensorineural hearing loss occurs when the hair cells of the cochlea or the acoustic nerve (CN VIII) are damaged. Causes of sensorineural hearing loss include:
Ototoxicity or damage from drugs (including certain antibiotics)
Infections, such as meningitis or maternal Rubella
Genetic factors, such as birth defects that result in partially developed or missing parts of the cochlea or auditory nerve
Syphilis or anoxia contracted during the birth delivery
Presbycusis associated with the effects of ageing
Meniere’s disease, a unilateral disease that is characterised by dizziness (vertigo) and noise in the ear (tinnitus)
Mixed Hearing Loss Mixed hearing losses involve a combination of a conductive hearing loss and sensorineural hearing loss. Both air and bone conducts pathways are involved so the hearing loss is partially conductive and partially sensorineural. The hearing by bone conduction is typically the better of the two. The sensorineural component of a mixed hearing loss determines the amount of speech distortion that is present.
Thus bone conduction audiograms are the best indicators of the degree of difficulty a client will have recognising and discriminating speech, even if it has been amplified.
Central Auditory Disorder Central auditory disorders stem from problems within the auditory system, caused by damage that occurs along the auditory nerve or within the cochlear nuclei. Clients with auditory disorders may have difficulties localizing sound, understanding speech, or understanding noise in speech.
