Programming and Rehabilitation (adults)

At about one month after the operation adults will receive initial programming of their speech processor and a course of rehabilitation.  These appointments are typically carried out at the centre over the first year following surgery.  This involves seven to eight visits to the Yorkshire Auditory Implant Service and demands a high level of commitment from the implant recipient. Visits then become less frequent but will still be necessary throughout the rest of the adult’s life.

Adult RehabOperation: After the operation up to one month is necessary 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 with the Speech and Language Therapist to learn to listen with the cochlear implant starts at the first switch on appointment.

Rehabilitation and Reprogramming: Usually there are four to five appointments in the first three months. The speech processor will continue to be reprogrammed to provide optimal perception of sound for the cochlear implant user.

The course of rehabilitation will support the individual in developing their listening skills which may include helping the cochlear implant user to identify ways to have more conversations.  It may also involve carrying out listening tasks at home with an identified person such as a member of the family or a friend.   The speech and language therapist may offer support with regards to using the telephone, music appreciation, managing in difficult communication situations and improving speech intelligibility if this is required.  Individual and group rehabilitation is offered.

Reprogramming as Required: Over the following years adults may need the speech processor to be reprogrammed. They should contact the department as soon as they realise this is necessary.

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 three months, nine months and two years post implant and sometimes thereafter.

Clinic Reviews: Adults will be seen by the ENT Consultant one year after surgery. The clinic visit is to check the adult’s health in relation to the cochlear implant.  If the cochlear implant recipient has any concerns with regards to their implant they should contact the department for advice.