Thi Qar college of Medicine Family Community medicine

Thi. Qar college of Medicine Family & Community medicine dept. Family Medicine Lecture 9 post graduate-FAMCO prepared by: Dr. Muslim N. Saeed Tuesday, December 21 st , 2015

Newborns -All newborns should receive a newborn metabolic screening test prior to hospital discharge. Hearing Impairment: -Routine screening of all newborn infants for hearing loss. -Universal screening of infants for congenital hearing loss should be performed during the first month of life. 1. Screening involves either a one-step or a two-step process. 2. The two-step process includes oto-acoustic emissions (OAEs) followed by auditory brainstem response (ABR) in those who fail the OAE test. 3. The one-step process uses either OAE or ABR testing.

Auditary brain stem response

Newborns -Hemoglobinopathies: Recommend screening all newborns for hemoglobinopathies (including sickle cell disease). -Newborn screen tests for phenylketonuria (PKU), hemoglobinopathies, and hypothyroidism.

Newborns Gonorrhea, Ophthalmia Neonatorum Recommend prophylactic ocular topical medication against gonococcal ophthalmia neonatorum for all newborns.

Hearing Impairment -Adults aged > 50 years Question older adults periodically about hearing impairment, counsel about availability of hearing aid devices, and make referrals for abnormalities when appropriate. 1. 20%– 40% of adults aged > 50 years and > 80% of adults aged ≥ 80 years have some degree of hearing loss. 2. Additional research is required to determine if hearing loss screening can lead to improved health outcomes. 3. No harm from hearing loss screening. 4. No harm related to hearing aid use.

Functional Assessment Screening in the Elderly

Thank you