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Programming & Rehabilitation
At about one month after the operation, adults will begin to receive programming of their speech processor and a course of rehabilitation.These are typically carried out at the centre. over the first year this involves many visits to the Yorkshire Cochlear Implant Service and demands a high level of commitment. Visits then become less frequent but will still be necessary throughout the rest of the adult's life.
Operation After the operation, about one month is allowed for the operation site to heal.
Initial Programming and Rehabilitation During the initial programming the external parts of the cochlear implant are fitted by the audiologist. The speech processor is then programmed to suit each individual. A course of rehabilitation will then begin with the Speech and Language Therapist to learn to listen with the cochlear implant.
Intensive Rehabilitation and Reprogramming Usually over the next two to three months appointments are weekly then monthly. The speech processor will continue to be reprogrammed to suit the adaptation and changing perception of sound through the cochlear implant.
The course of rehabilitation will continue to develop listening skills especially for speech. This also involves carrying out listening tasks at home with an identified person such as a member of the family or a friend. Family and friend will also need to talk to the adult normally and clearly to ensure the best use of the cochlear implant.
Reprogramming as Required Over the following years adults may need the speech processor to be reprogrammed. They will need to decide when it is necessary and contact the department.
Regular Reassessment Reassessments are carried out to measure the benefit gained from the cochlear implant. These assessments are exactly the same as those carried out before the operation. They are carried out at certain times after the operation, usually at one month, three months, nine months and two years and sometimes thereafter.
Clinic Reviews In the first year adults will be seen in the clinic six months after surgery and thereafter annually. The clinic visit is to check the adult's health in particular in relation to the cochlear implant. It is also an opportunity to check progress and monitor individual concerns.
Further Rehabilitation if Needed The need for further rehabilitation will be discussed: possible areas may be using the telephone, using voice and speech or working on conversation skills.