- CConnexion
RééDOC
75 Boulevard Lobau 54042 NANCY cedex Christelle Grandidier Documentaliste 03 83 52 67 64 0
|
Clinical management of Tinnitus using a ''progressive intervention'' approach
HENRY JA; SCHECHTER MA; LOOVIS CL; ZAUGG TL; KAELIN C; MONTERO M
J REHABIL RES DEV , 2005, vol. 42, n° 4, p. 95-115 Doc n°: 125026 Localisation : Documentation IRR Descripteurs : MA - GERONTOLOGIE, AD6 - MANIFESTATIONS NEUROCOMPORTEMENTALES - FONCTIONS COGNITIVES Chronic tinnitus is experienced by 10%-15% of the Population, of which only about 20% require clinical intervention. People requiring intervention have different levels of need, ranging from the provision of basic information to long-term, individualized treatment. We address this clinical need by outlining a five-level ''progressive intervention'' approach to the management of tinnitus that would provide a systematic framework for treatment by audiologists. At each level, patients must be appropriately referred-usually to otolaryngology, psychology, and/or psychiatry. Level 1 is in interview method of screening for determining if the person requires clinical intervention (and addressing basic questions). Level 2 is the provision of structured group educational counseling. If the screening determines that care is urgently required or if further help is needed following the group session(s), a tinnitus intake assessment (Level 3) should be performed. The intake assessment, which includes educational counseling, can often meet a patient's needs. If not, then a program of continuing treatment (Level 4) would be indicated. If significant benefit were not achieved through consistent treatment over 1-2 years, longer-term treatment (Level 5) Would be indicated, which could include alternate or Multiple treatment modalities. Langue : ANGLAIS |
0
|