Otitis Media and Conductive Hearing Loss

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Otitis MediaOtitis Mediaandand

ConductiveConductiveHearing LossHearing Loss

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phoenix consulting 2006

By Damien Howard PhDBy Damien Howard PhD


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This book

This book is to help parents andThis book is to help parents andThis book is to help parents andThis book is to help parents andfamilies understand morefamilies understand morefamilies understand morefamilies understand more

about what happens whenabout what happens whenabout what happens whenabout what happens whenchildrens middle diseasechildrens middle diseasechildrens middle diseasechildrens middle diseasecauses them to have Conductivecauses them to have Conductivecauses them to have Conductivecauses them to have Conductive

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Hearing LossHearing LossHearing LossHearing Loss

If you would like to know moreIf you would like to know moreIf you would like to know moreIf you would like to know morego togo togo togo to www.eartroubles.comwww.eartroubles.comwww.eartroubles.comwww.eartroubles.com ....


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Listening problems

Children with middle eardisease (otitis media) often

have Conductive HearingLoss. They can be

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demanding, argue a lot or be

sulky at home often in trouble at school

and/or

can often be quiet, shy andanxious

may think they are dumb.


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Otitis media

Is middle ear disease. It is acommon childhood illness

experienced by 90% ofchildren. It is the most common

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Some children experience

persistent otitis media whichcan result in regular conductivehearing loss.


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With otitis media

Pus

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Outside of ear Ear drum

It is harder for sound to be conductedthough the middle ear because

of mucus (pus) build up. Sometimesthis build up also causes the eardrumto burst


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How do we hear?

Sound is caught by the outsidepart of the ear and moves

down the ear canal to theeardrum.

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vibrate, which moves somesmall bones.

The small bones help transmitthe sound onto the brain.

The brain then works out whatthe sound is.


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Conductive Hearing Loss

When sound cant getthrough the middle ear it

is called ConductiveHearing Loss (CHL).

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often causes Conductive

Hearing Loss


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How many kids have it?

Many young children haveconductive hearing loss.

In early childhood classes onethird of children have conductivehearing loss at any time.

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In many Aboriginal communities

most children have it.

?


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What can happen whenchildren have

Loss?


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At home

Children may not understandwhat is said to them

Parents may think they are justbeing naughty

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ren may e eman ng,

argue a lot and/or sulk. Parents may blame

themselves for being not goodenough parents

Others can blame them for notmanaging their child better


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At childcare

Children may have difficultiesparticipating at childcare

They can be seen as

aggressive

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mma ure

over indulged

too shy

over sensitive


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At school

Children with CHL are oftenseen as having behaviour

problems and difficultieslearning, especially when in

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classrooms


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They can hear when

they want to

Conductive Hearing Losscomes and goes with children's

ear infections. Even when theyhave a Conductive Hearing

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quiet and they are talking to a

familiar person about a familiartopic. Having trouble listeningonly at particular times makessome people think they can

hear if they want to.


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Differences with age

Infant, toddler, and pre-schoolchildren with CHL often displayaggressive and demandingbehaviour. While seven-to-ten-yearolds can be the same or may bequiet, sulky and withdrawn.

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Teenage boys with a history ofotitis media are more likely todefensive and have behaviourproblems. Generally girls are morelikely to be less socially confidentthan their peers. Many but not allchildren with CHL respond in theseways.


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Kids think they are

dumb

Children with listening problemshave trouble knowing what to do

from listening to instructions. They also see that other children

can understand what to do from

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ver a nstruct ons, so t n t eymust be dumb.

Im

dumb


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May feel left out

Children often feel left out ofsocial groups when it is hard for

them to understand what issaid. They are often sensitiveand may get upset about

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feel they are being left out or

rejected.


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Need help

Children with CHL may need extrahelp to do things. They especially

need help that involves showing aswell as telling. But they may feelshamed if they get help in front of

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.refuse help so others dont think

they are dumb.


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Reading

Children often have difficultylearning to read and with

spelling.

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?


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Teasing

Children with CHL may teaseothers, especially when it is noisy

at school. Other children, parentsand teachers can get annoyed withthem for this.

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This document is copyright to phoenix consulting 2005

I wont giveIt back!


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Talking when quiet

Because it is hard to listen whenit is noisy, children may try to talk

at school when its quiet so theycan hear the reply of the personthey are talking to. They may get

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.

Shush!


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Dominating talk

One way of making sure you dontget shamed by not understanding

what is said to you is by doing mostof the talking. Other children,parents and teachers can get

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getting a chance to talk.

Blahblah

blah


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Knowing what will

happen

Knowing what is going tohappen reduces listening

demands. Children with CHLmay often want to know what

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Bossing others

One way of knowing what willhappen is to tell others what to do.

Some children with listeningproblems try to boss other children,and even adults, to do what they

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.bossing may sometimes end up in

bullying.


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Being quiet and shy

Some children with listeningproblems are very quiet and shy,

especially girls. These childrenoften worry about being with newpeople or being in new situations.

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Worrying

Children with CHL may worry a lotabout not being able to do things or

getting things wrong. They may tryvery hard to do the right thing. Theyalso may be vulnerable to being

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.


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Angels at school,

tantrums at home

Some children may work so hardlistening at childcare and school

that they arrive home exhaustedand emotional. As a result theymay have tantrums or need to rest

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.


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The unfamiliar is hard

Children may worry about doingunfamiliar things or meeting

new people. They may rely onfamily members and may beclingy in these situations.

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Sport

Children may have problemsplaying team sports because it is

hard to hear other players or thecoach.

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Loud noises

As well as having trouble hearing,loud noises may be painful.

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More problems at

school than home

Children may have moreproblems at school because it is

often noisy at school. There are there are more

demands to learn by listening.

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?


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Parental experiences

Parents often feel inadequatebecause their children are difficult

to manage and relate to. They may be criticized in social

situations because of their

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c ren s e av our.


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What Can Families do to

Help with Middle EarDisease?


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Breast feeding

Helps protect babies against earinfections

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Keep away from smoke

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Washing

Get kids to wash their hands andface often so they dont spread

germs.

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Get medical help

See your GP

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How Families CanHelp Communication

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When talking

Get close

Make sure child is looking at you

and can see your face

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Showing

Show as well as talking. What

children see can help themunderstand understand what issaid

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Watching others

Watching is one way to copeeven though it is hard to listen.

It is often easier to learnthrough hands on activitiesthan when there is too much

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talk


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Noise

Be aware that backgroundnoise will make it even harder

to understand what is beingsaid.

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?


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Repeat

Say important things two orthree times. Check

understanding by askingchildren to say what they haveunderstood back to you.

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Let them know

Let them know what is goingto happen so they know what

to expect and dont have tolisten as hard.

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We will go to

the playground


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Build confidence

Focus on what children do welland help them feel good about it.

Help children understand they arenot dumb but may they havemore trouble listening than others.

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Talk to people about

what is in this book

Talk with other people in yourfamily.

Talk with friends and people wholook after your child.

Talk to teachers.

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Teachers

Child care

Family


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Talk to teachers

Let teachers know aboutConductive Hearing Loss.

Teachers can learn more abouthearing problems at

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. . .

ConductiveHearing Loss


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Thanks

To the following people andTo the following people andTo the following people andTo the following people andorganizations that helped puttingorganizations that helped puttingorganizations that helped puttingorganizations that helped putting

together this book.together this book.together this book.together this book. Kathy CurrieKathy CurrieKathy CurrieKathy Currie

Denyse BainbridgeDenyse BainbridgeDenyse BainbridgeDenyse Bainbridge

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More information

For more information onFor more information onFor more information onFor more information on

listening problems go tolistening problems go tolistening problems go tolistening problems go towww.eartroubles.comwww.eartroubles.comwww.eartroubles.comwww.eartroubles.com

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For information onFor information onFor information onFor information on

communications training contactcommunications training contactcommunications training contactcommunications training contactDamien Howard onDamien Howard onDamien Howard onDamien Howard on

08 89484444 or08 89484444 or08 89484444 or08 89484444 [email protected]


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Conditions of use

This booklet can be used with nocharge by individual families.

It is not to be sold for profit. Organisations who print multiple

copies for distribution are asked topay a $2.00 per copy fee to Phoenix

Consulting PO Box 793 NightcliffNT Australia 0814.

These materials were developedwithout any public funding and any

fees paid will be used to developfurther resources.

Otitis Media and Conductive Hearing Loss

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