Hard of Hearing
3. SOCIAL ISOLATION
What?
1. Conductive hearing losses
A blockage of sound passing
through the outer or middle ear. 
Eg. Wax, ear infection or
malformation of ear canal
2. Sensorineural hearing losses
Loss in the inner ear, damage
cochlea or auditory nerve 
3. Mixed hearing losses
Combined both Conductive
(outer) and sensorineural
(inner) hearing losses
When?
Pre-linguisic: Hearing loss occured
BEFORE child develops speech and
language
Post-linguisic: Hearing loss occured
AFTER child develops speech and
language
Challenges
Poor communication that
develops between children
will lead to social
adjustment difficulties
1. EDUCATIONAL DELAY
Cognitive skills are
intertwined with language
skills. Having inadequate
auditory input will lead to low
academic performance as
compared to normal hearing
children
2. DIFFICULTY FOCUSING
These are the potential
IN CLASS
challenges children will
Difficulty paying attention in
feel. However, what
class due to their reduced
hearing or the amplification provisions were made to
of background noises with help these children?
the hearing aids
 PROVISIONS MADE TO THE
LEARNING ENVIRONMENT
3. CLASSROOM SET UP AND
1. TEACHER'S INTERACTION
Teachers modified their
teaching style to
accommodate for these
children with hearing
impairment
4. INCLUSIVENESS
- Using clear speech and
talking at a slower pace
- face the child when
speaking
- Learning signed language
2. VISUAL AIDS
Since there is low auditory
input, there should be
5. ASSISTIVE TECHNOLOGY
higher visual input.
Usage of more
graphic/print materials 
eg. printed handouts 
ARRANGEMENT Hearing 
The child will be seated at
the front of the class, Impairment in
children
nearest to the teacher. 
Sitting beside the window
or near the fan may
disrupt the child's hearing
Teacher will encourage
communication among
classmates by grouping
them up with normal
hearing children.
During music lessons, they
would also be free to play
the musical instruments
 
Use of FM systems to
reduce background noise. 
Transmit the teacher's
voice directly to the
Provisions in the
reciever learning environment
for your child