Cochlear Implant: the complexity involved in the decision making process by the family

Vieira, Sheila de Souza; Bevilácqua, Maria Cecília; Ferreira, Noeli Marchioro Liston Andrade; Dupas, Giselle

doi:10.1590/0104-1169.3044.2432

Cited by 11 publications

(14 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Linked to beliefs relating to Deaf culture, parental decisions are largely influenced by a parent's hopes, expectations and aspirations for their child's future, aligning with the themes "Future planning" and "Quality of life" established in this study, whereby participants reflected on and justified their decision based on their view of their future with or without CI (Li, Bain, and Steinberg 2004;Hyde, Punch, and Komesaroff 2010;Hardonk et al 2011). The literature also establishes similar thought processes in parents regarding the "Consideration of risk" for their children, whereby parents considered potential costs and benefits, forming an important element of the decision-making process as found in this study (Hardonk et al 2011;De Souza Vieira et al 2014).…”

Section: Discussionsupporting

confidence: 70%

What makes someone choose cochlear implantation? An exploration of factors that inform patient decision making

Dillon¹,

Pryce

2019

International Journal of Audiology

View full text Add to dashboard Cite

Objective: Our objective was to understand the factors that determine whether an adult who is eligible for cochlear implantation (CI) choose to take up or not take up the implant. Design: We conducted a qualitative in-depth interview study, informed by grounded theory methods of constant comparison to build a theory to describe why and how people decide to opt for CI or not. Study sample: Our samples were patients from an audiology service in England. Results: Our results describe the key factors in weighing up risks and benefits. These are influenced by living context and support, information and social identity. We identify the key features that impact decision making for adults eligible for cochlear implants. The importance of the patient lifeworld view is discussed. Conclusions: This qualitative study provides the first in depth examination of how and why patients do and do not take up the offer of cochlear implants. It highlights the complex and iterative nature of this decision making and the individualised risks that trade off benefits of implantation.

show abstract

Section: Discussionsupporting

confidence: 70%

What makes someone choose cochlear implantation? An exploration of factors that inform patient decision making

Dillon¹,

Pryce

2019

International Journal of Audiology

View full text Add to dashboard Cite

show abstract

“…It has a surgically implanted device composed of a bundle of electrodes inserted into the cochlea to electrically stimulate the fibers of the auditory nerve, performing the function of the damaged or absent auditory cells. A propagation of impulses to the auditory cortical area of the brain occurs with stimulation of the auditory nerve (7) . Literature is scarce regarding the nurse's role in the area of auditory health, including treatment with CI.…”

Section: Introductionmentioning

confidence: 99%

Nursing diagnoses and interventions in children submitted to cochlear implantation

Pereira

Souza

Almeida

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: Identifying the main nursing diagnoses and interventions in children submitted to cochlear implant in the immediate postoperative period. Method: A crosssectional study conducted between February and April 2016, considering nursing history (anamnesis and physical examination) and nursing diagnoses (NANDAInternational) with their respective interventions (Nursing Intervention Classification -NIC). Descriptive statistical analysis was used to construct the results. Results: A total of 19 children participated in this study. The main nursing diagnoses listed were: impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (n=19; 100%). Regarding the nursing interventions, the following prevailed: Improvement in communication: auditory deficit, Skin surveillance, Protection against infection, Prevention of falls and Precautions against bleeding (n=19; 100%). Conclusion: Nursing diagnoses and interventions related to the cochlear implant postoperative period were related to communication, bleeding control, surgical wound care, infection prevention, comfort and well-being. DESCRIPTORSPediatric Nursing; Cochlear Implantation; Hearing Loss; Nursing Process; Nursing Diagnosis.Nursing diagnoses and interventions in children submitted to cochlear implantation* Diagnósticos e intervenções de enfermagem em crianças submetidas a implante coclear Diagnósticos e intervenciones de enfermería en niños sometidos a implante coclear

show abstract

“…The involvement of trained otolaryngologist, nurse, speech therapist and psychologist is a protocol in our hospital, which is applied to all candidates to CI. The adequacy of expectations is a crucial part of the decision to undergo surgery and can be an important factor to determine postoperative overall satisfaction [22].…”

Section: Discussionmentioning

confidence: 99%

Performance and Results of Hifocus 1j ® Cochlear Implants

Rocha¹

2016

SOJS

View full text Add to dashboard Cite

Before the development of cochlear implants (CI), people with profound deafness had the lowest median education achievement level and the lowest median annual family income when compared with other disabled populations [3]. The benefits of CI in prelingual patients (children and adults) are well documented, including not only better speech perception, language and reading performance but also a higher quality of life [4-6]. For a better audiological outcome, the correct position of CI electrode seems to be critical. Research revealed a probable association between electrode position and discrimination of frequencies and speech perception [7-8]. HiFocus 1j could be an advantage, since it is designed for easy and highly effective placement inside the cochlea [9]. Despite the already described benefits brought by CI as improvement in tinnitus and psychological status [10], patients often report difficulty in understanding speech when exposed to noise [11]. Worst results also can be found in patients with symptoms of depression or denial [11]. The aim of this study is to describe the audiological performance and satisfaction of HiFocus 1j ® cochlear implant. Materials and Methods Retrospective study of medical records of patients who underwent surgical treatment for severe/profound hearing loss with advanced bionics cochlear implants. The medical literature review was performed using the MeshTerms "hearing loss; cochlear implants; rehabilitation of hearing impaired" at Pubmed and Scopus database. Device For this study, we used the Advanced Bionics® devices (the HiFocus®1j electrode and the HiRes 90K® implant). The HiFocus® 1j electrode consists of a fantail, electrode lead, and HiFocus 1j electrode array. The electrodes, composed of platinumiridium alloy, are housed in a silicone carrier and extend from the titanium case.

show abstract

Cochlear Implant: the complexity involved in the decision making process by the family

Cited by 11 publications

References 23 publications

What makes someone choose cochlear implantation? An exploration of factors that inform patient decision making

What makes someone choose cochlear implantation? An exploration of factors that inform patient decision making

Nursing diagnoses and interventions in children submitted to cochlear implantation

Performance and Results of Hifocus 1j ® Cochlear Implants

Contact Info

Product

Resources

About