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Cochlear Case Studies: Pediatric Series #1 - Encouraging Consistent Device Use

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1.  Without full-time device use, pediatric cochlear implant recipients are in danger of:
  1. Facial nerve stimulation
  2. Slower or limited progress on speech and language outcomes
  3. Increased risk of infection
  4. Cognitive delays
2.  Using Hearing Tracker in the Nucleus SmartApp, families can:
  1. Track where the child is at all times
  2. Turn on noise reduction in the sound processor
  3. Track the hours per day of speech input
  4. Make the processor water resistant
3.  All of the following are ways professionals can use data logging except:
  1. Counseling families about the importance of full-time device use
  2. Understanding a child’s progress on speech and language goals
  3. Flagging potential device-related issues (e.g., frequent coil-offs)
  4. Measuring a child’s speech perception abilities
4.  Age at full-time device use for a child can be even more important than age at implant because it can predict:
  1. Speech and Language outcomes
  2. Parental involvement
  3. Hearing thresholds
  4. Sound processor upgrades
5.  Strategies for supporting full-time device use in children may include:
  1. Not wearing the cochlear implant for a period of time
  2. Co-treatment by the Speech-Language Pathologist and Audiologist
  3. Ensuring care at the cochlear implant center and local professionals is kept separate
  4. Keeping parents out of the treatment room during programming

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