By PhD James Henry, AuD Tara Zaugg, PhD Paula Myers, PhD Caroline Kendall
This textbook describes PTM intimately. minimum historical past info is supplied with the focal point on describing the medical approaches for accomplishing PTM. The instruction manual comprises 25 separate appendices to facilitate the medical implementation of PTM with the perfect flowcharts, procedural courses, questionnaires, sufferer handouts, and varieties. A CD and DVD are integrated.
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Extra resources for Progressive Tinnitus Management: Clinical Handbook for Audiologists
The STEM protocol should resolve the hyperacusis problem, at which time the patient should be evaluated to determine if further tinnitus services are needed. If so, then the patient is advised to participate in Level 3 Group Education (shown on the flowchart by the arrow leading from the STEM box to Level 3). Patients who need clinical services beyond Level 3 can schedule an appointment for a Level 4 Interdisciplinary Evaluation. The Level 4 evaluation (ideally performed by an audiologist and a psychologist) will be used to determine if Level 5 Individualized Support is warranted.
These patients should have the option of attending the STEM program. The STEM protocol starts with an assessment of the problem, which relies mainly upon a special sound tolerance interview (see Chapter 6). Testing for loudness discomfort levels can be performed, but is not required. If treatment for reduced sound tolerance is needed, then the use of ear-level devices (noise generators or combination instruments) is a consideration. Special procedures have been developed to evaluate patients for these devices.
If they fail the screening, then they should participate in the sound tolerance evaluation and management (STEM) protocol, as indicated on the figure. The STEM protocol should resolve the hyperacusis problem, at which time the patient should be evaluated to determine if further tinnitus services are needed. If so, then the patient is advised to participate in Level 3 Group Education (shown on the flowchart by the arrow leading from the STEM box to Level 3). Patients who need clinical services beyond Level 3 can schedule an appointment for a Level 4 Interdisciplinary Evaluation.