Document Type

Capstone Project

Publication Date


First Advisor

Antony Joseph, MA, Au.D., Ph.D., CCC-A, CPS/A, F-NAP


mild hearing loss, tinnitus, patient-centered counseling, client-centered communication, patient involvement, shared decision making


Introduction: Mild sensorineural hearing loss should command as much attention as more severe levels of hearing loss. When clinicians encounter cases of marginal and mild hearing loss, patient-centered counseling should be employed. Case Presentation: A young adult-aged patient presented with a family history of hearing loss and difficulty hearing binaurally. Discussion: Special care and attention are required to council and provide care for patients with mild hearing loss. The audiogram alone is often incapable of identifying the extent of listening difficulty for persons with mild hearing loss. Conclusion: Amplification and patient counseling can benefit individuals with marginal to mild hearing loss.

Introduction: Tinnitus is common and can significantly impact quality of life. Patient involvement with the treatment of tinnitus can improve health outcomes. Case Presentation: A middle-aged adult presented to the clinic with unilateral mixed hearing loss and bilateral bothersome tinnitus. Discussion: Although a patient may not always make the best medical decision for themselves initially, involvement in their treatment can improve satisfaction level and compliance with the management plan. Positive outcomes from patient involvement can be achieved by practicing shared decision making. Conclusion: The use of client-centered communication and shared decision making may improve patient satisfaction and improve hearing-instrument outcomes.