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.
Hearing Aid Fitting Note
Patient Details:
[Insert patient’s full name, date of birth, and hospital folder or clinic file number. Include caregiver name if paediatric fitting.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences as a paragraph.)
Fitting Date and Appointment Type:
[Document the date of the hearing aid fitting session and specify whether this was an initial fitting, bilateral or unilateral fitting, or a follow-up re-fitting.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences as a paragraph.)
Devices Fitted:
[Specify the following, where available:]
- [Make and model of hearing aid(s)]
- [Serial number(s) of device(s)]
- [Left and/or right ear]
- [Any accessories fitted (e.g. earmoulds, remote microphones, retention clips)]
(Only include if explicitly mentioned in transcript or context, else omit section entirely. List items as bullet points.)
Fitting Rationale:
[Explain the selection of the device, style, and settings. Include considerations such as degree of hearing loss, dexterity, cosmetic concerns, language development (in paediatrics), or suitability for school/home environments.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences as a paragraph.)
Real Ear Measures / Verification:
[Document objective measures performed during the session, such as:]
- [Real ear measurements (REM)]
- [Coupler-based verification]
- [Aided audiometry or functional gain testing]
- [Listening checks or electroacoustic analysis]
(Only include if explicitly mentioned in transcript or context, else omit section entirely. List items as bullet points.)
Subjective Feedback:
[Record patient or caregiver feedback on initial sound quality, comfort, loudness, or cosmetic concerns. Include any noted sensitivity to environmental sounds, occlusion, or communication benefit.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences as a paragraph.)
Counselling and Education Provided:
[Summarise information given during the fitting, such as:]
- [How to insert/remove and turn the hearing aid on/off]
- [Battery care or recharge instructions]
- [Safe storage and handling (especially in hot or dusty environments)]
- [Expected adjustment period and realistic goals]
- [Troubleshooting (e.g. no sound, distortion)]
- [Caregiver/family training if applicable]
- [Language or visual support used during counselling (e.g. isiZulu instructions, pictorial handouts)]
(Only include if explicitly mentioned in transcript or context, else omit section entirely. List items as bullet points.)
Initial Programming Settings:
[Note relevant programming features such as:]
- [Gain settings or fitting formula used]
- [Noise reduction or compression settings]
- [Directional microphone or environmental adaptation features]
- [Feedback cancellation]
- [Tamper-proof or child lock features if activated]
(Only include if explicitly mentioned in transcript or context, else omit section entirely. List items as bullet points.)
Next Steps / Follow-up Plan:
[Document plans for follow-up care, such as scheduled return visits for adjustment, re-counselling, school monitoring, or device servicing. Mention if contact will be through SMS, outreach audiology, school visits, or caregiver check-ins.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences as a paragraph.)
(Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript. Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care – use only the transcript, contextual notes, or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, you must not state that the information has not been explicitly mentioned in your output. Just leave the relevant placeholder or section blank if not explicitly mentioned.)