Cochlear implants and the deaf child: a nursing perspective

Area of Science:

• Otolaryngology
• Pediatric audiology
• Speech-language pathology

Background:

• Cochlear implantation is an established treatment for profound pediatric sensorineural hearing loss.
• The decision involves ethical considerations and potential objections from the deaf community.
• It necessitates significant family and healthcare system commitment.

Purpose of the Study:

• To detail the multidisciplinary approach to pediatric cochlear implantation at Children's Hospital in Boston.
• To outline the assessment, surgical procedure, and follow-up protocols.
• To provide insights into managing the complexities of pediatric cochlear implant outcomes.

Main Methods:

• A multidisciplinary team including surgeons, audiologists, speech-language pathologists, psychologists, nurses, and educators.
• Comprehensive assessment of pediatric candidates for cochlear implantation.
• Detailed surgical procedures and extensive post-operative rehabilitation and follow-up.

Main Results:

• Gradual and steady improvements in speech perception, speech production, and language development are typical.
• Outcomes are variable, influenced by numerous factors.
• Successful implantation requires a long-term commitment from the family and healthcare providers.

Conclusions:

• Pediatric cochlear implantation is a viable option for profound hearing loss, demanding a collaborative approach.
• While risks and rehabilitation challenges exist, the potential for significant developmental gains is substantial.
• The Boston Children's Hospital model provides a framework for successful pediatric cochlear implant programs.