Implementing a Protocol for Patients with Acquired Brain Injury in an Audiology Practice

The landscape in audiology continues to evolve, including the introduction of over-the-counter hearing aids, changes in reimbursement, and adjustments after the COVID-19 pandemic. With these changes, we can find strength and new opportunities as we diversify to support populations that may have been overlooked in the past. In addition, when we expand our scope of practice, we can make significant contributions to the quality of life of our patients and their families. Patients with acquired brain injury are one of these populations. These patients are not routinely referred to audiologists, and audiologists are rarely a part of the interprofessional practice team working with them. A typical multidisciplinary team for patients with acquired brain injury consists of a speech-language pathologist, physician, nurse, occupational therapist, physical therapist, and social worker. Among stroke survivors, one population of those experiencing acquired brain injuries, 30–60 percent are likely to experience a communication deficit, with a communication screening performed within the first 48 hours after stroke (Dilworth, 2008). At a minimum, hearing screening should be part of this communication screening procedure; however, it is likely not performed. This lack of focus on hearing with this population translates to audiologists not being part of the diagnostic and/or rehabilitative team.