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· Audiometric air-bone gap equal to or greater
than 15 decibels at 500 hertz (Hz), 1000 Hz, and
2000 Hz.
· Visible evidence of signicant cerumen accumu-
lation or a foreign body in the ear canal.
· Pain or discomfort in the ear.
Special care should be exercised in selecting and
tting a hearing instrument whose maximum
sound pressure level exceeds 132 decibels due
to the fact that there may be risk of impairing the
remaining hearing of the hearing instrument user.
Children with Hearing Loss
A child with a hearing loss should be directed to
a physician for medical evaluation and to other
professionals for evaluation and rehabilitation since
hearing loss may cause problems with language
development and the educational and social
growth of a child.
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