4: Real-Ear Measurements
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4. Use [F2] to select HTL. A small arrow cursor will appear in the HTL column of
the data entry box.
5. Use the [
5
,
6
] keys to move the cursor through the frequencies. Use the [
3
,
4
]
to enter the client’s threshold levels in dB HL at each frequency.
6. If you have measured your client’s uncomfortable levels:
• Press [F2] to select UCL.
• Use the [
5
,
6
] keys to move the cursor through the frequencies. Use [
3
,
4
]
to enter the client’s uncomfortable levels in dB HL at each frequency.
7. Press [F3] to generate a target using your selected fitting rule. If you did not enter
any measured UCLs, predicted UCLs will also be generated.
8. Press [MENU] and change the selected EAR, if desired. Press [EXIT] to exit the
audiogram menu. If you entered the thresholds for the other ear, those thresholds
will automatically be copied to the current ear as a starting point. The UCL and
target values will not be copied.
9. Repeat steps 4-7 for the new ear, if desired.
4.3.3 Creating an NAL-NL1 Target
The NAL-NL1 fitting rule is more adjustable and slightly more complicated than
DSL and the traditional linear fitting rules. In addition to the client’s air conduction
thresholds, it takes into consideration the client’s bone conduction thresholds,
whether the fitting is binaural or monaural, the number of channels of the hearing
aid, and the type of limiting the aid has. The steps to creating an NAL-NL1 target are
very similar to creating a DSL or a linear target – NAL-NL1 just requires a few more
menu selections.
To create an NAL-NL1 target:
1. Press [MENU] in the Audiogram Entry screen and use the arrow keys to select
the following:
•
EAR: Current ear
•
ASSESSMENT: Type of transducer used in creating the audiogram
2. Press [BACK] to enter the Target menu. Use the arrow keys to select the
following:
• FIT RULE: NAL-NL1
• AGE: Age of the client
• COMPRESSION: The wideband compression threshold of the aid
• CHANNELS: The number of channels of the aid
• AID LIMITING: The type of limiting the hearing aid has
•
FIT TYPE: Unilateral or bilateral
3. Press [EXIT] to return to the Audiogram Entry screen.