Ms Ashcraft, Speech-Language Clinician

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Hearing Loss

Comments and Accommodations/Interventions for People with High Frequency Hearing Loss

A high frequency hearing loss is one type of loss. This loss affects the hearing of the following letter sounds: s z f t th k sh ch and other sounds depending on voice of speaker.

People can have trouble hearing distant or faint speech.

People have trouble in crowds, outside, and with environmental sounds (i.e. air conditioner, ceiling fan, books opening and closing)

They often miss word endings, possessives, plurals and unstressed words for instance.

In fact, the most important word in a sentence such as "stop" can be missed if it is not stressed.

People may be accused of selective hearing.

They may experience social problems since they have problems hearing in noisy places. (i.e. recess, cafeteria, game room, skating rink)

They may misinterpret peers, teachers, bus drivers, etc.

They can become more easily fatigued due to extra effort and energy that they must use trying to make sense of speech.

This loss can negatively affect their self-concept unless grown-ups intervene.

Remember, these are only possibilities, not actuallities.


Call by their name before speaking or giving instructions. Make sure they hear their name in a tone you would normally use. Before beginning your talk with them, make sure you are looking at each other.

Check to make sure your request in understood. Have them tell you what it is you want.

Help them to socialize. Explain any misinterpretations. Remember that they may not know that they misunderstood a friend or adult. And watch for any bullying by others.

Keep good lighting on your face when speaking. If appropriate, wear bright lipstick.

Always give them the benefit of the doubt if you think they are misbehaving. Explain and have them tell you what you said. Give a period of rest or free-play if it appears they have become fatigued (sometimes appearing as distracted or inattentive).

Watch your body language. You want to remain positive. You do not want to appear negative at all. Remember that how you talk is as important as what you have to say. Body language can account for over 50% of what we say!

Use visuals, including rudimentary sign language.

Stay close to them when speaking, especially in group learning situations.

Summarize important points.

Note any changes in hearing ability and report if suspected. Continue modifications/accommodations you have previously learned to use in this situation.

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