
CLINICAL GUIDANCE | SECTION ONE
11
where T-NRT fell in relation to the behavioural dynamic range. As a
result of the large variability between recipients, offsets may need to be
changed depending on the stimulation rate being used for the MAP. The
current C-level offsets in Custom Sound may result in MAPs that are too
soft for some recipients when using the higher stimulation rates.
8. The current clinical recommendation is to combine the preset method
with any behavioural measures wherever possible, in order to determine
an offset for each individual. To change the preset defaults, go to Clinician
Preferences and the Progressive MAPs tab. To have an offset applied in
the negative direction, it is necessary to enter the value as a positive
number. To have the offset applied in the positive direction, enter the
value as a negative number. Then, create MAPs with progressively larger
dynamic ranges. Alternatively, drop the T/C-level profile to a minimum
value and increase the levels using live speech mode until a behavioural
response is observed. Initially, T-levels can be brought up to this point and
MAPs with progressively wider dynamic ranges made. Where behavioural
responses are not available to determine an offset for any individual, it is
recommended that clinicians proceed conservatively.
9. Sweep the C-levels to look for any sound awareness or behavioral
responses before going live with the first MAP. Go live with the MAP and
watch for any responses to sound. Note: this is a very conservative MAP.
Sweep C-levels of each progressive MAP prior to going live.
10. Save the MAPs.
11. Personalize the MAPs for the listening environment(s) prior to writing
them to the sound processor.
Comentários a estes Manuais