
CLINICAL GUIDANCE | SECTION TWO
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a better subjective impression between MAPs. Once you select a favourable
MAP, encourage the recipient to use the processor as much as possible. It
is not recommended to give the recipient many different MAPs at a first
programming session.
2.1.1.5 Follow up Programming
Optimal sound processor tuning for Nucleus 24 ABI recipients is a complex
process and will involve many return visits to the clinic. Arrange these visits
regularly to start with to check the stability of T- and C-levels, and the
thresholds of any non-auditory side effects. Carefully monitor and compensate
any small fluctuations, particularly to T- and C-levels. You should record any
increase in side effects. Return visits may be a convenient opportunity to
investigate further parameters such as frequency allocation, sound processing
strategies, mode combinations and other processor settings. Try to make
only minor MAP changes and allow the recipient sufficient time to become
accustomed to a new MAP.
Note: Any adverse side effects, sudden changes to the recipient’s physical
condition, or loss of stimulation during processor use should be reported to
Cochlear within 24 hours.
2.1.1.6 Rehabilitation
It is encouraged to conduct a formal rehabilitation program for Nucleus 24 ABI
recipients, including evaluation of performance at appropriate test intervals. If
the use of the device is discontinued, it must be reported to Cochlear.
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