Hearing Aid Fitting Note

Hearing Aid Fitting Note Patient Details: Ms. Eleanor Vance, born on 15 March 1978, with hospital folder number HV789012. Her partner, Mr. David Vance, was present during the fitting. Fitting Date and Appointment Type: The hearing aid fitting session took place on 1 November 2024 and was an initial bilateral fitting. Devices Fitted: - ReSound ONE 9, RIE (Receiver-In-Ear) hearing aids - Serial numbers: Left: 123456789, Right: 987654321 - Left and right ear - Custom-made silicone earmoulds, mini-receiver retention clips Fitting Rationale: The ReSound ONE 9 RIE aids were selected due to Ms. Vance's moderate to severe sensorineural hearing loss bilaterally, as well as her expressed desire for a discreet yet powerful solution. The RIE style was preferred for its comfort and cosmetic appeal, while the custom earmoulds provide optimal acoustic coupling and retention. The advanced features of the ONE 9, including its excellent sound processing capabilities, were deemed suitable for her active lifestyle and frequent participation in social gatherings. Real Ear Measures / Verification: - Real ear measurements (REM) were performed bilaterally using the NAL-NL2 prescriptive target, demonstrating good match to targets across the frequency range. - Listening checks confirmed clear and undistorted sound quality. Subjective Feedback: Ms. Vance reported that the initial sound quality was clearer than expected, noting improved perception of environmental sounds and speech. She found the devices comfortable and aesthetically pleasing. She did mention a slight awareness of her own voice at first, but understood this was part of the adjustment period. Counselling and Education Provided: - Detailed instructions were given on how to insert and remove the hearing aids, how to turn them on and off, and proper battery insertion. - Guidance was provided on daily cleaning and safe storage practices, emphasizing the importance of keeping them dry and away from extreme temperatures. - The expected adjustment period was discussed, with emphasis on gradually increasing wear time and managing realistic expectations regarding immediate communication benefit. She was advised on troubleshooting common issues like no sound or distortion. - A pictorial handout on hearing aid care was provided for her reference. Initial Programming Settings: - NAL-NL2 prescriptive fitting formula was used, with slight fine-tuning based on her subjective feedback. - Moderate noise reduction settings were activated. - Automatic environmental adaptation features were enabled. - Feedback cancellation was set to a standard level. Next Steps / Follow-up Plan: A return visit is scheduled for 15 November 2024 for a follow-up adjustment and re-counselling session. Ms. Vance was encouraged to note down any specific listening challenges or comfort issues before this appointment. Contact will be primarily through direct phone calls, with SMS reminders for her upcoming appointment.