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Otolaryngology at GBMC
Audiology @ GBMC

 

TIME FOR A NEW MAP?

Map adjustments may be made during initial activation, regular follow-up or due to parent or teacher concerns.  So how do we know when a map adjustment is needed?  What information is helpful to the audiologist as he/she is making these adjustments?  Below are some helpful hints.

Contact the child’s implant center if:

  • Child is requesting more frequent repetitions
  • Decrease in quality of previously mastered speech sounds
  • Decrease in auditory behaviors/responsiveness
  • Change in quality, frequency or volume of vocalizations
  • Behavioral changes such as withdraw or disruption
  • Signs of physical discomfort or facial twitching

What the implant center will want to know:

  • Which map is being used most frequently?
  • How long has the child been using this map?
  • Does background noise interfere with performance in this map?
  • Does the child begin his/her day with a quieter map and gradually use this program?
  • Are there any sounds that are uncomfortable or startling?  How does the child respond to these sounds?
  • What changes have you noticed since the last map change?
  • Has there been any decrease in the child’s detection of any speech sounds?
  • Has there been any change in speech production?
  • How many hours per day does the child use the implant?
  • How long is the battery life?  Which battery is being used?
  • Is the dri-aid kit being used daily?
  • Has there been any problem with the function of the headset or processor?
  • Has there been any irritation of the skin underneath the transmitting coil?