10/23/2018 WE REALLY USE THE BRAIN TO HEAR; GIVE YOUR CLIENTS THE - - PDF document
10/23/2018 WE REALLY USE THE BRAIN TO HEAR; GIVE YOUR CLIENTS THE TOOLS TO COMMUNICATE STRESS FREE!!! Susan Antonellis, Au.D. CCC-A/F-AAA Director of Audiology Center for Hearing Health Program of Mill Neck Services INTRODUCTIONS
WE REALLY USE THE BRAIN TO HEAR; GIVE YOUR CLIENTS THE TOOLS TO COMMUNICATE STRESS FREE!!!
Susan Antonellis, Au.D. CCC-A/F-AAA Director of Audiology Center for Hearing Health
Program of Mill Neck Services
STRESS HAS NO AGE LIMIT OR GENDER!!!!!!!
Hearing is thinking. You hear with your brain, not with your ears. Hearing, and especially speech understanding, is a cognitive process, not a mechanical one. The ears receive sounds and it is in the brain that they are processed to give meaning to you.
RESEARCH SHOWS!!!
being sent to the brain, factor in the complexity of what we’re listening to, and adjust to the quality of listening conditions.
affect what is stored in the brain
Cognitive hearing science is not just about auditory aspects of speech but also relates to lip reading and to visual language, such as sign language. It also includes cross-cultural comparisons of tests and tools that address the mechanisms involved in auditory perception.
It really doesn't seem fair: Hearing loss, a troublesome fact of life for more than 48 million Americans, according to the Hearing Loss Association of America, may increase the risk of cognitive problems and even dementia. By the time Americans reach their 70s, two-thirds have hearing loss.
STATISTIC
Speech understanding is a cognitive process – it happens in the brain. Research shows, that untreated hearing loss is associated with accelerated cognitive decline and a higher risk of dementia. The greater the untreated hearing loss, the greater the risk of dementia. (Oticon, 2016)
TRANSLATE THE AUDITORY STIMULI INTO INFORMATION YOUR BRAIN CAN UNDERSTAND.
COMPLETELY MECHANICAL—WHILE OUR OTHER SENSES INVOLVE CHEMICAL REACTIONS—HEARING IS COMPLETELY PHYSICAL.
structure helps you determine direction of sound. The way it bounces off the pinna alters the pattern of the sound wave. Your brain recognizes the change in patterns and determines whether the sound is in front of you, behind you, above you or below you.
THE EAR CATCHES THE SOUND WAVES!
THE EAR.
SIGNAL THAT YOUR BRAIN CAN UNDERSTAND.
SOUND THEN TRAVELS TO THE MIDDLE EAR
down the ear canal and then vibrate the tympanic membrane—more commonly known as the eardrum.
between the ear canal and the middle ear.
SOUND THEN TRAVELS TO THE MIDDLE EAR
it is attached to the tensor tympani muscle, which constantly pulls it inward.
no matter which part of it is hit by a sound wave.
ENTIRE SENSORY ELEMENT IN YOUR EAR.
THE COCHLEA
ear and conducts sound through a flluid, instead of through air.
move through fluid than through air, so the sound has to be amplified.
THE COCHLEA
the ossicles—the tiny bones in the middle ear—in fact they are the smallest bones in the body.
THE COCHLEA IS THE MOST COMPLEX PART OF THE EAR!
physical vibrations caused by the sound wave and translate them into electrical information that the brain can recognize as distinct sound.
SYSTEM IS AFFECTED.
AFFECTED EQUALLY ON THE AUDIOGRAM.
*Hearing loss due to aging. *Usually a sloping hearing loss. *Poor understanding of speech. *Difficulty hearing in noise.
NOW HEAR THIS!!! CAN YOU HEAR THIS?? WHAT DO YOU MEAN?? I HEAR JUST FINE!!! YOU MUMBLE!
SPOUSACUSIS
CENTER FOR DISEASE CONTROL AND PREVENTION, FEB. 2017
in the US. Almost twice as many people report hearing loss as report diabetes or cancer.
much as working in a noisy place.
to loud concerts—can cause permanent hearing loss. And once it’s gone, you can’t get it back!
noise-induced hearing loss.
noise do not have noisy jobs.
hearing already have hearing damage.
HEARING LOSS CAUSES MANY PROBLEMS.
stress, anxiety,
disease, and many
SOME PEOPLE ARE AT HIGHER RISK FOR HEARING LOSS, INCLUDING THOSE WHO: 1. are exposed to loud sounds at home and in the community. 2. work in noisy environments (especially noise of 85 dB or more for 8 hours or longer). 3. take medicines that increase their risk. 4. are male. 5. are age 40 or older.
OTOTOXICITY
Drugs that can cause hearing loss: MYCIN DRUGS:
antibiotic ointments) DRUGS CAUSING TINNITUS:
CANDIDATE.
HEARING LOSS AND ITS RELATIONSHIP TO AGE
In Jan. 2014-Health Day News reported in a new study suggesting that older adults with impaired hearing may have a faster rate of brain shrinkage as they age. Many studies have found that older people with hearing loss tend to have a quicker decline in their memory and thinking skills, compared to those with normal hearing.
quickly than their peers with normal hearing.
impairment slow changes in the brain structure and more importantly delay dementia?
to track brain tissue changes for up to 10 years.
degree.
decline in brain volume over years---especially in brain regions involved in processing sound and speech.
“USE IT OR LOSE IT”
brain tissue loss and slow mental decline.
we need a study to test that and it has yet to be done.”
mental decline—we still have not proven causation.
ONION TOMATO FRENCH FRIES PICKLES HAMBURGER BUN LETTUCE KETCHUP
be at increased risk of developing dementia, including Alzheimer’s disease.
hearing loss worsens.
away from social activities and leisure— leading to a sedentary lifestyle.
Researchers at Johns Hopkins have done studies looking at how hearing loss may influence cognitive
developed Alzheimer’s and how quickly the disease progressed. In each study, the people with hearing loss had higher rates of dementia.
that there’s a link between the two. The researchers have a few theories on why that might be:
processing auditory information may simply start to work differently when the hearing part of that equation goes away (or becomes strained), causing a change to how your brain is structured, which could be related to the effects of Alzheimer’s.
sense of what people are saying. Every conversation you participate in requires more mental energy and work. If your everyday conversations are taking up most of the mental energy you have, then there’s less left for you to put toward memory or other cognitive functions. Researchers at Johns Hopkins have done studies looking at how hearing loss may influence cognitive
developed Alzheimer’s and how quickly the disease progressed. In each study, the people with hearing loss had higher rates of dementia.
both physical and mental health. When it’s hard to hear, it becomes harder to maintain social connections, which can lead to feeling alienated and experiencing all the negative effects of social isolation and loneliness.
control this, but concede there is some possibility Alzheimer’s and hearing loss may both be caused by some third health issue that people who experienced both in the study shared.
due to one of these things or some combination of them, but simply knowing the relationship exists is a step toward being able to do something about it.
MINI COG. (RECOMMENDED BY THE ALZHEIMER’S ASSOCIATION)
for cognitive impairment in older adults in the primary care setting. The Mini-Cog uses a three-item recall test for memory and a simply scored clock-drawing test.
Actively Using Hearing Aids Reduces the Risk of Cognitive Decline (Oticon, 2017)
Decline in Elderly Adults: A 25-year Study”, just published in the Journal
decline among older adults who were using hearing aids and those who were
people with no reported hearing loss and people with hearing loss who used hearing aids.
Elderly Adults: A 25-year Study," Journal of the American Geriatrics Society.
RESEARCH SUPPORTING AMPLIFICATION
University of Maryland Department of Hearing and Speech Sciences Reports, June 2018
According to the National Institutes of Health, as many as 28.8 million Americans could benefit from wearing hearing aids, but less than a third of that population actually uses them.
EFFECT ON MENTAL HEALTH Claudia Dewane, DEd, LCSW
environmental stressors.
important to mental health, yet individuals who are hard of hearing don’t belong entirely in the hearing world or in the deaf culture. A significant cultural difference exists between older adults who are somewhat deaf and those who are Deaf, that is, totally without
letter D.) Varying degrees of dependence on assistive listening devices extend along the continuum. Hearing loss can create a psychological solitary confinement. Yet many older adults with hearing loss deny the disability or the impact it exerts on their quality
five to seven years. Thus, an audiologist working with older adults experiencing hearing loss may need to ascertain the individual’s stage of acceptance, as well as the location along the cultural continuum. Family members who attribute hearing loss to normal aging and physician descriptors of hearing loss as mild or moderate inadvertently bolster individuals’ denial.
Older adults who are hard of hearing often report that when their hearing loss causes communication problems, it can result in difficulty thinking or concentrating. This results in inattentiveness, distraction, and boredom. The most serious consequence is withdrawal or abandoning participation. The self-talk is predictable: “I can’t participate, so I might as well pack it in. I can’t contribute, so what good am I?”
The desire to hide hearing aids often arises from feelings of shame. Hearing aids render visible the fact that an older adult differs socially from others. Society’s value on physical perfection and beauty affects everyone, including older adults. Many elders who are hard
Hearing-impaired older adults may feel shame related directly to difficulties in understanding what is being said. Inability to understand verbal communication results in feelings of isolation when elders are left out of group conversations. To avoid shame, elders with hearing loss sometimes choose isolation. (Social Work, 2010)
Hearing Loss in Older Adults Tied to More Hospitalizations and Poorer Physical and Mental Health
The John’s Hopkins team's analysis of the health survey data from 1,140 men and women aged 70 and older with hearing loss found that those with hearing deficits were 32 percent more likely to have been admitted to a hospital than 529 older men and women with normal hearing. All study participants had volunteered to have their hearing tested over a four-year period, as part of a larger, ongoing study, according to the National Health and Nutrition Examination Survey.
Hearing Loss in Older Adults Tied to More Hospitalizations and Poorer Physical and Mental Health
"Hearing loss may have a profoundly detrimental effect on older people's physical and mental well-being, and even health care resources," says senior study investigator and Johns Hopkins otologist and epidemiologist Frank Lin, M.D., Ph.D. "Our results underscore why hearing loss should not be considered an inconsequential part of aging, but an important issue for public health," says Lin, an assistant professor at the Johns Hopkins University School of Medicine and the university's Bloomberg School of Public Health. According to Lin, as many as 27 million Americans over age 50, including two-thirds of men and women aged 70 years and older, suffer from some form of hearing loss.
HEARING LOSS IS LINKED TO DEPRESSION
A study by the National Institute on Deafness and Other Communication Disorders (NIDCD) shows that more than 11 percent
percent in the general population. Depression was most prevalent in those between the ages of 18 and 69. “We found a significant association between hearing impairment and moderate to severe depression," said Dr. Chuan-Ming Li, a researcher at NIDCD and the author of the study. The study does not confirm the nature of the cause-and-effect of the connection.
Hearing loss is the third-most occurring condition in older adults. Presbycusis, the most common form of hearing loss is associated with aging, occurs gradually. It is characterized by loss of the high frequency consonant sounds and trouble understanding speech in the presence of background noise. Between 25 and 40 percent of those over the age of 65 have hearing loss. Unfortunately, in the majority
that only 9 percent of internists recommend hearing tests to their older patients. Even with testing, only 25 percent of those whose hearing loss is treatable take action to get amplification.
Contemporary Psychiatrist William Glasser, MD, proposes that all individuals have five basic needs. How might hearing loss affect these needs?
hearing a fire alarm or a car horn?
larger society? How does hearing loss affect a relationship or the ability to have a relationship?
perceptions of the abilities of the individual who is hard of hearing?
have fun in any number of ways?
75, whose hearing and thinking and memory skills were tested.
diagnosed with mild cognitive impairment.
cognitive impairment as people who had no hearing loss.
with no hearing loss, 60 percent, had mild cognitive impairment.
impairment than people with no hearing problems.
that occurs in cognitive decline, rather than the sensory deprivation that happens with peripheral hearing loss
people who are older than 65 and also to people with cognitive impairment.”
test of thinking and memory skills.
COMMUNICATING.
COMMUNICATE.
TO MAKE LISTENING EASIER. Aural rehabilitation refers to services and procedures for facilitating adequate receptive and expressive communication in individuals with hearing impairment. These services and procedures are intended for those persons who demonstrate a loss
communication situations as if they possess a loss of hearing sensitivity. The services and procedures include, but are not limited to:
MONITORING HEARING AID PERFORMANCE AND USE OF HEARING AID LIPREADING AUDITORY TRAINING COUNSELING HEARING IMPAIRED INDIVIDUAL AND FAMILY
AURAL REHABILITATION IS NOT NEW!!!
Aural rehabilitation has been around for decades. Due to costs and time management, it is not implemented as often as practitioners would like. The need is there but fulfilling it is difficult.
OTHER FACTORS THAT INFLUENCE A HARD OF HEARING INDIVIDUAL’S COMMUNCIATION
SUCCESSFUL HEARING AID USER.
USE OTHER OPTIONS IN ADDITION TO HEARING ABILITY TO COMMUNICATE BETTER.
TYPES OF AURAL REHABILITATION
INDIVIDUAL BASIS OR IN A GROUP.
SPOUSES OR CHILDREN OF THE HEARING IMPAIRED PERSON.
OF LIPREADING AND AUDITORY TRAINING SKILLS.
LIMITATIONS THAT COME WITH HEARING LOSS.
WATER IS RUNNING DOES NOT WORK.
UTMOST IMPORTANCE AND GETTING THE PERSON’S ATTENTION TOO!
hearing partner did most telephoning work. In most cases neither partner resisted this; however, occasionally, hearing partners resisted taking this on where they were pushing for the person with hearing loss to retain as much independence as possible.
aspects of communication that are small but important, such as reflections on events, can be
which would sometimes spill over into ongoing resentment.
were missing out on companionship.
illustrates how the couple, not just the individual with hearing loss, can withdraw from social interaction. This also suggests that couples can become lonely despite the partners interacting with each other. (Echalier, Royal National Institute of Deaf People-2016)
hearing loss.
Two simple rules for family communication (Healthy Hearing, May 2016)
1- If you are the speaker, it's your job to be sure what you're saying is being heard and understood. If it isn't, you need to fix it. 2- If you are the listener, it's your job to let the speaker know whether you've heard and understood.
REHABILITATION AND THE IDEAL SITUATION IS OF COURSE TO PROVIDE BOTH MODES FOR THE PATIENT.
INDIVIDUALS—THE FEELING OF BEING ALONE IS ALLEVIATED WHEN MEETING OTHERS WITH SIMILAR PROBLEMS.
IN THE GROUP DYNAMIC—PATIENTS ARE ABLE TO SHARE TRIALS AND TRIBULATIONS THAT THEY EXPERIENCE ON A DAILY BASIS. KNOWING THAT THEY ARE NOT ALONE IS HELPFUL FOR THEM IN HANDLING THEIR PROBLEMS, ESPECIALLY THOSE WHO ARE HAVING DIFFICULTY WITH ACCEPTANCE.
understanding of the human dynamics associated with hearing loss.
The Ida Institute as a Change Agent
1-An independent non-profit
2-Funded by the Oticon Foundation since 2007 3-Work with co-creating change toward patient- centered practice in audiology
Ida Institute Mission
To foster a better understanding
associated with hearing loss
THE WIDER MEDICAL CONTEXT Professionals often try to persuade patients to change their habits by:
“Hearing aids will improve your quality of life” “You should wear your aids every day” “An FM system is just what you need”
How Successful is the Change? Information and recommendations rarely work well
It is better to let the patient convince themselves of the need to change.
BUT HOW??
Audiology: ✓Using hearing devices ✓Adopting effective communication strategies Personal: ✓Losing weight ✓Taking adequate exercise Medical: ✓Taking vital medication ✓Controlling sugar intake
Knowing is not automatically followed by doing
The Problem: It’s Hard to Change Habits
We often fail to do what has been recommended, even if we know it is for our own benefit.
Two lines… …a box… …and a circle
The Process of Changing Habits
Ida Motivation Tools A means to structure patient-centered dialogue Track record in other health care areas Well-established theoretical framework History of Motivation Tools
change (Prochaska and DiClemente,1993)
Today...
WHO: Collaboration Center for Evidence Based Health Promotion in Hospitals uses the tools as an approach to manage chronic health conditions Successfully implemented and used within the Danish Health Care System since 1990 Applicable in a variety of medical contexts e.g. nursing, surgical medicine, audiology, and occupational therapy
A Transtheoretical Model of Behavior Change
from:
and
psychology, behavioural psychology and psychoanalysis (Prochaska et al, 1991,Babeau et al 2004)
and engage clients in the self-management of their hearing loss.
incorporating their needs into the rehabilitation process, these tools can help increase client satisfaction, encourage collaboration, and help lead to better
educational resources to help you use them in your facility.
MOTIVATION TOOLS: You must encourage your clients to take action on their hearing loss.
The Circle
Let the Patient Tell You.....
Which best describes you?
1.
I am not ready for hearing aids at this time (Pre-contemplation)
2.
I have been thinking that I might need hearing aids (Contemplation)
3.
I have started to seek information about hearing aids (Preparation)
4.
I am ready to get hearing aids if recommended (Action)
5.
I am comfortable with the idea of wearing hearing aids (Maintenance) (Babeau, Kricos et al, 2004)
receive hearing care recommendations and to assess if they need more guidance in change of behavior or attitude.
different phases of their rehabilitation, as well as the types of clinician interactions that may foster change. Client self-assessment and the hearing care professional's observations help to focus the discussion around the client's readiness for change. It is not necessary to share where you would place the client on the Circle with them. Identify the patient’s views with respect to:
The Lines
now? 0 = not at all 10 = very much
aids, assistive listening devices or communication strategies? 0 = not at all 10 = very much
The Lines
The Core Part of the Dialogue
ASK: What is the reason for giving yourself 6 and not 1? RESPONSE: The patient begins to articulate their reasons and maybe thinking about it more. You are always more likely to be convinced by listening to your own arguments and voice
Don’t Stop There... Typical follow-up questions: ASK: What would it take to increase the importance from 5 to 9? ASK: What would it take to increase your belief in your ability to change habits from 3 to 8? ASK: What can I do to help you to go from 1 to 7?
hearing and how capable they feel they are to do it. The primary purpose of the Line is to help people with hearing loss evaluate their stories and offer sources of motivation.
those who have relapsed, for example, by no longer using hearing aids they have purchased.
The Box: Decisional Balance
1) What are the advantages
today? 2) What are the disadvantages of continuing as you do today? 3) What are the disadvantages of taking action on your hearing? 4) What are the advantages of taking action on your hearing?
Adapted from Janis and Mann 1977
‘Status quo’: Making no change in respect of hearing situation ‘Change’: Adopting instruments/strategies to hear better
The Box: Costs and Benefits of Change
1) What are the advantages of continuing as you do today? 2) What are the disadvantages
today? 3) What are the potential costs
4) What are the potential benefits of taking action?
Adapted from Janis and Mann 1977
‘Status quo’: Making no change in respect of hearing situation ‘Change’: Adopting instruments/strategies to hear better
I look normal I’ll be able to join in family conversation People will know I’m hard of hearing I feel left out and isolated
maintaining the status quo versus taking action on their hearing loss. Hearing care professionals must be prepared to work with clients along a broad spectrum of readiness for change, including those openly rejecting hearing loss management.
part of the counseling process on hearing and communication management. This can result in a facilitated counseling process and clients are more willing to take clinician recommendations.
Motivation
Resistance and Denial
interaction.
strategies.
achieve a specific goal. Good Practice
The Ida Moment
LIVING WELL WITH CONDITIONS AND /OR CIRCUMSTANCES
Fibromyalgia Hearing Loss
Destitution Huntington’s disease
Kidney donation Loneliness
Assisted living Osteoporosis
Dementia Retirement communities Cancer Divorce Spinal Cord injury Motherhood Heart disease Hypothyroidism/Hyperthyroidism Homelessness Cystic fibrosis
Older age Stroke Multigenerational Households Parkinson’s disease Stress Diabetes Menopause World Health Organization International Classification of Functioning: A Biopsychosocial Approach to Health
ICF Focus:
Implications of the ICF for Audiology
problem and solution.
Why is it Important to Know What Living Well Means to Your Client?
Living well by taking part in activities Only person who can identify how they would like to take part HCP PATIENT Expert in own hearing loss and goals Expert in technological and communication strategies and AR process Shared decision making PATIENT
whole person, not just ears/audiogram.
model.
personal and contextual factors.
Some Challenges With Counseling
Patient selects important situations and tells HCP about them Patient rates each situation in terms of ease and importance Joint goal setting Step 1 Step 2 Step 3 Step 4 Patient and HCP discuss strategies
partner
Focuses on growing personal successes
Advantages of Living Well Tool
My Turn to Talk for Parents Introduction My Turn to Talk for Parents can help you prepare for your child's next appointment. We will ask you to identify the people your child communicates with most often and then to fill out four brief questions.
Select people belonging to your child's social network below:
MOTHER FATHER SISTER TEACHER FRIEND HEARING CARE PROF. CHILD GRANDPARENT
2 1 2 3 CHILD MOTHER
HEARING CARE PROF. FRIEND
audiologist.
Hear what’s happening in real time.
volume television.
home use. It assists in developing listening and communication skills and strategies that can help compensate for those communication situations when hearing is impaired and inadequate.
LACE Online (LOL) is a browser-based web app that enables low cost LACE aural rehabilitation training from any device with an internet connection. With LOL there is nothing to download or
browser at www.lacelistening.com. LOL training can be started on one device and easily completed
completely synchronized across all devices.
HOW DOES IT WORK?
speakers.
WILL HEAR IN BACKGROUND NOISE.
UNDERSTOOD THE ENTIRE SENTENCE THAT WAS PLAYED.
PRESENTED VERY RAPIDLY TO YOU.
ALOUD.
HEARD THE ENTIRE SENTENCE.
ON:
WHAT THE TARGET VOICE SAID.
HE/SHE UNDERSTOOD THE ENTIRE SENTENCE THAT WAS PLAYED.
IMMEDIATELY BEFORE OR AFTER THE TARGET WORD IN THE SENTENCE.
“AFTER” AND THE TARGET WORD BEFORE THE SENTENCE IS GIVEN.
FROM THE ONE SENTENCE BASED ON PARAMETERS GIVEN.
RESEARCH: SWEETOW & HENDERSON, 2006
limitations of traditional therapy. Computerized training has been proven effective in sensory training for other visual deficits, as well as for cognitive disorders such as aging-associated memory deficits and early-stage Alzheimer's.
computerized protocol. For example, it is essential that the patients being trained maintain a high level of interest. Visual graphics and dynamic interaction between the patient and the computer program help hold their attention.
RESEARCH: SWEETOW & HENDERSON, 2006
so hard as to create frustration. One can accomplish this by keeping the level
model has proven beneficial in driving neural plasticity. In other words, the difficulty level of the task is based on the accuracy of a person's response to the previous task. For example, if a subject can correctly identify a sentence presented at a +2 dB signal-to-noise ratio (SNR), the next presentation would be made at a 0-dB SNR. Or, if the subject cannot correctly identify the stimulus at a +2-dB SNR, the next presentation would be at a +4-dB SNR.
BACKGROUND OF HEAR COACH
speech in noise and as a result experience communication breakdowns. Tasks like the ones in this game have been shown to help improve listening ability in noise. When people have improved listening in noise they don't have to work as hard to hear and can relax and participate in conversations without straining, even in loud or busy environments. Hear Coach is a suite of listening games developed by Starkey Laboratories; it features games that challenge both your cognitive and auditory sharpness.
Hear Coach allows you to track your progress over time and unlock more difficult levels as your performance improves. A different background noise stimulus within each of the levels provides you with varying degrees of difficulty to help you train your auditory system in different environments. This app is designed to help people who think they might have a hearing loss, people who have new hearing aids, and even experienced hearing aid users who want to get the most out of their listening.
ReadMyQuips™ is very effective for two reasons: it mimics real-life face-to-face communication, and it makes it a fun client experience. It is a realistic program. It gives contextual cues, facial expressions, and body language which is important in any communicative situation. *And the fun factor means your clients spend more time using the program. *They will want to use ReadMyQuips™, and “time on task” directly correlates to improved skills. *This system adapts to your clients’ skills as they improve. The first few puzzles are easy to hear, but as the client advances, they must rely more and more on visual cues as the noise level rises. *Your clients will be surprised at how much they can comprehend, even in a very noisy environment.
Understanding speech requires not just hearing, but
senses, we call that visual-auditory speech comprehension.
Research indicates that with consistent use, ReadMyQuips can improve speech comprehension by
Every client will have the opportunity complete a puzzle just like this!
BrainHQ has more than two dozen brain- training exercises organized into six categories: Attention, Brain Speed, Memory, People Skills, Intelligence, and Navigation.
Faster AUDITORY PROCESSING Have you ever found yourself having difficulty understanding a person who's talking to you— especially in a crowded room? Or remembering details from a conversation from just a few days ago? When that happens, it's usually because your brain isn't processing what you hear quickly and accurately enough. This course is designed to work out the auditory processing machinery in the brain, challenging it to be faster and more accurate. By targeting your auditory processing skills, you'll be working towards improving your memory, too. That's because the clarity of what you hear greatly determines your ability to confidently and accurately remember it later.
Newest reports, July 2018-three important new studies on how exercises found in Brain HQ can have a positive effect on people’ s lives.
cognitive issues following stays in hospital intensive care units.
adults ( average age 81), whether in independent living or assisted living.
Brain HQ exercise increased levels of a key chemical—acetylocholine—which usually decreases with aging and dramatically decreases with dementia.
A good memory is a great asset. When your memory is strong, you can do things better and with greater confidence, from recalling all the ingredients in a recipe to keeping up with every task at work. Sharp memory skills are also important to your social life, enabling you to keep track of names and faces, follow- up on prior conversations, and share news with others. In this challenge, you’ll have the opportunity to work out your memory with exercises focused on auditory memory, visual memory, and working memory.
Lumosity is a full featured online brain training site with a large number of games that Lumosity claims will improve cognitive skills like memory, processing speed, attention, and problem solving. "Lumosity is based on the science of neuroplasticity, the idea that the brain can change and reorganize itself given the right kinds of challenges," says Erica Perng, Lumosity's head of communications. "People have a variety of reasons for wanting to boost their brain power, whether it's to focus at work, do better at school and standardized tests, or just to stay sharp.“ (US World 2018)
HAVE BEGUN A DECLINE IN MENTAL ABILITY. (Health, 2016)
PEOPLE WITH MILD COGNITIVE IMPAIRMENT, THEY FOUND THAT BRAIN TRAINING LED TO IMPROVEMENTS IN GLOBAL COGNITION, MEMORY, LEARNING AND ATTENTION, MOOD, AND SELF- PERCEIVED QUALITY OF LIFE. HOWEVER, WHEN THEY ADDED IN DATA FROM THE 12 STUDIES ON PEOPLE WITH DEMENTIA, THAT ASSOCIATION DISAPPEARED. (Health, 2016)
OTICON MEDICAL offers to its patients an interactive game dedicated to auditory rehabilitation for patients with hearing loss. This game has two
1- an opportunity to train. 2- gives a score of this training. With adults and children worlds, OTICON MEDICAL rehabilitation game will accompany children and adults throughout their discovery of the hearing.
Detection Discrimination Identification
Detection Discrimination Identification
Brainwell will give your brain a daily workout and challenge your cognitive
with cognitive exercises, and have fun as you play this mind training app that’s meant for both kids and adults. Brainwell trains attention, problem solving, memory, language, and visual skills. It is filled with challenging exercises for the mind, including more than 50 games designed with the knowledge of neuroscience. It’s an app for adults and kids to play to get a brain workout nearly anywhere – anytime!
The ear gathers sound –to the middle ear---- then to the cochlea— The energy is converted from mechanical-physical vibrations to electrical energy to be understood by the BRAIN. Therefore, we really hear with our BRAIN! In addition, you must keep the BRAIN active and stimulated to prevent degeneration. When hearing loss is identified, it should be treated immediately as to keep the BRAIN intact.