Initial assessment - Audiology

Clients verbal consent obtained to use transcribing software. Hearing Assessment: Patient Information: - John Smith - 01/01/1960 - Male - 01 November 2024 Previous Hearing Aids? - No Reason for Referral: - Patient reports difficulty hearing in noisy environments and requests a hearing assessment. COSI - Established or Reviewed - Asking for repeats with general conversations: 3 - Asking for repeats with background noise: 4 - TV up louder than others would like: 2 - Difficultly hearing people on the phone: 3 - Socially Active/Meetings: 2 History: - Patient reports gradual hearing loss over the past 5 years, worse in the left ear. Difficulty following conversations in background noise. No history of ear infections or trauma. - No significant past medical history. No previous surgeries. - Patient is a retired teacher, lives with his wife, and enjoys social activities. Examination: - Otoscopy: External auditory canals clear bilaterally. Tympanic membranes intact and pearly grey. - Tympanometry: Type A tympanograms bilaterally. - Pure tone audiometry: Mild to moderate sensorineural hearing loss bilaterally, worse in the high frequencies. - Speech audiometry: Speech reception thresholds (SRT) consistent with pure tone averages. Word recognition scores reduced, especially in the left ear. Assessment: - Mild to moderate sensorineural hearing loss bilaterally. - Sensorineural hearing loss, bilateral. Clinical Comments: - Patient is motivated to improve his hearing and is open to hearing aids. - Discussed communication strategies, including reducing background noise and facing the speaker. - Results explained to the client. Plan: - Recommend hearing aids for both ears. Discussed different hearing aid styles and features. - Schedule a follow-up appointment for hearing aid fitting and orientation. Hearing Device Advice, including Free To Client: (If proceeding with Top Up Aids - DEVICE SELECTION TO BE COMPLETED) - Top Up Aids Discussed: Yes - Quotation Completed: Yes - Batteries & Maintenance Discussed: Yes - WANT completed if fitted with device: Yes OTHER SERVICES MAY BE COMPLETED: - Report to GP: Yes - Complex Client: No - Results Explained to the Client: Yes - Claim 610 or 810: No - Advice regarding Rehabilitation Services (ITEM 670) if client not being fitted with a device: No Clinician Information: - Dr. Jane Doe - [Clinician Signature] - 01 November 2024