VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWAU5.m

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DVBCWAU5 ;BPOIFO/RLC AUDIO WKS TEXT - 1 ; 26 DEC 2006
;;2.7;AMIE;**118**;FEB 2,2004;Build 3
;
TXT ;
;; The Handbook of Standard Procedures and Best Practices for Audiology
;; Compensation and Pension Exams is available online. ( This is a PDF file.
;; You need Acrobat Reader to open pdf files. It is a free download. )
;;
;;Narrative: An examination of hearing impairment must be conducted by a
;;state-licensed audiologist and must include a controlled speech
;;discrimination test (specifically, the Maryland CNC recording) and a
;;pure tone audiometry test in a sound isolated booth that meets American
;;National Standards Institute standards (ANSI S3.1.1991) for ambient noise.
;;Measurements will be reported at the frequencies of 500, 1000, 2000, 3000,
;;and 4000 Hz. The examination will include the following tests: Pure tone
;;audiometry by air conduction at 250, 500, 1000, 2000, 3000, 4000, and
;;8000 Hz, and by bone conduction at 250, 500, 1000, 2000, 3000, and
;;4000 Hz, spondee thresholds, speech recognition using the recorded
;;Maryland CNC Test, tympanometry and acoustic reflex tests, and, when
;;necessary, Stenger tests. Bone conduction thresholds are measured
;;when the air conduction thresholds are poorer than 15 dB HL. A modified
;;Hughson-Westlake procedure will be used with appropriate masking. A
;;Stenger must be administered whenever pure tone air conduction
;;thresholds at 500, 1000, 2000, 3000, and 4000 Hz differ by 20 dB or more
;;between the two ears. Maximum speech recognition will be reported with
;;the 50 word VA approved recording of the Maryland CNC test. When speech
;;recognition is 92% or less, a performance intensity function will be
;;obtained with a starting presentation level of 40dB re SRT. If necessary,
;;the starting level will be adjusted upward to obtain a level at least 5 dB
;;above the threshold at 2000 Hz. The examination will be conducted without
;;the use of hearing aids. Both ears must be examined for hearing
;;impairment even if hearing loss in only one ear is at issue.
;;
;;A. Review of Medical Records: Indicate whether the C-file was reviewed.
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;;
;; 1. Chief complaint.
;; 2. Situation of greatest difficulty.
;; 3. Pertinent service history.
;; 4. History of military, occupational, and recreational noise
;; exposure.
;; 5. Pertinent family and social history; history of ear disease,
;; head or ear trauma, etc.
;; 6. Tinnitus - If present, state:
;;
;; a. Date and circumstances of onset.
;; b. Whether it is unilateral or bilateral.
;; c. Whether it is persistent or recurrent.
;;
;; 7. Describe effects on occupational functioning and activities
;; of daily living.
;;
;;C. Physical Examination (Objective Findings):
;;
;; 1. Measure puretone thresholds in decibels at the indicated
;; frequencies (air conduction):
;;
;; = = = = =RIGHT EAR= = = = = = = = = = = = = LEFT EAR = = = = = =
;; A* B C D E ** A* B C D E **
;; 500|1000|2000|3000|4000|average 500|1000|2000|3000|4000|average
;; | | | | | | | | | |
;;
;; * The puretone threshold at 500 Hz is not used in determining the
;; evaluation but is used in determining whether or not a ratable
;; hearing loss exists. Puretone thresholds should not exceed 105
;; decibels or the tolerance level.
;; ** The average of B, C, D, and E.
;;
;; 2. Speech Recognition Score: Maryland CNC word list
;;
;; _____% right ear _____% left ear.
;;
;; When only puretone results should be used to evaluate hearing loss,
;; the examiner, who must be a state-licensed audiologist, should certify
;; that language difficulties or other problems (specify what the problems
;; are) make the combined use of puretone average and speech
;; discrimination inappropriate.
;;
;; Thresholds should not exceed 100 decibels or the tolerance level.
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. Report middle ear status, confirm type of loss, and indicate
;; need for medical follow-up. In cases where there is poor
;; inter-test reliability and/or positive Stenger test results,
;; obtain and report estimates of hearing thresholds using a
;; combination of behavioral testing, Stenger interference levels,
;; and electrophysiological tests.
;; 2. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;E. Diagnosis:
;;
;; 1. Summary of audiologic test results. Indicate type and degree
;; of hearing loss for the frequency range from 500 to 4000 Hz.
;; For type of loss, indicate whether it is normal, conductive,
;; sensorineural, central, or mixed. For degree, indicate whether
;; it is mild (26-40 HL), moderate (41-54 HL), moderately severe
;; (55-69 HL), severe (70-89 HL), or profound (90+ HL).
;; [For VA purposes, impaired hearing is considered to be a
;; disability when the auditory threshold in any of the frequencies
;; 500, 1000, 2000, 3000, and 4000 Hz is 40 dB HL or greater; or
;; when the auditory thresholds for at least three of these
;; frequencies are 26 dB HL or greater; or when speech recognition
;; scores are less than 94%]
;; 2. Note whether, based on audiologic results, medical follow-up
;; is needed for an ear or hearing problem, and whether there is
;; a problem that, if treated, might cause a change in hearing
;; threshold levels.
;;
;;
;;Signature: Date:
;;END