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Washington Hearing Impairment Calculation Worksheet

Hearing Impairment Calculation Worksheet

Name: Washington Hearing Impairment Calculation Worksheet
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.61 (349 reviews)

Category:

Washington Workers Compensation - Official - Claims

State:

Washington

Control #:

WA-SKU-3033

Format:

Instant download

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Description

Hearing Impairment Calculation Worksheet The Washington Hearing Impairment Calculation Worksheet is a tool used to determine a person's degree of hearing loss in the state of Washington. It is based on the American Speech-Language-Hearing Association's (ASHA) criteria for determining the severity of a hearing impairment. The worksheet involves the calculation of a person's hearing threshold levels in decibels (dB) for each of the four hearing frequencies (250, 500, 1000, and 2000 Hz). Depending on the levels of hearing impairment, the worksheet can be used to determine a person's degree of hearing loss as mild, moderate, moderately severe, severe, or profound. The Washington Hearing Impairment Calculation Worksheet is available in two versions: the Adult Version and the Pediatric Version. The Adult Version is used to assess hearing loss in adults, while the Pediatric Version is used to assess hearing loss in children. Both versions are based on the same hearing threshold calculation criteria, but the Pediatric Version has a slightly different scoring system due to the fact that children's hearing abilities differ from those of adults.

The Washington Hearing Impairment Calculation Worksheet is a tool used to determine a person's degree of hearing loss in the state of Washington. It is based on the American Speech-Language-Hearing Association's (ASHA) criteria for determining the severity of a hearing impairment. The worksheet involves the calculation of a person's hearing threshold levels in decibels (dB) for each of the four hearing frequencies (250, 500, 1000, and 2000 Hz). Depending on the levels of hearing impairment, the worksheet can be used to determine a person's degree of hearing loss as mild, moderate, moderately severe, severe, or profound. The Washington Hearing Impairment Calculation Worksheet is available in two versions: the Adult Version and the Pediatric Version. The Adult Version is used to assess hearing loss in adults, while the Pediatric Version is used to assess hearing loss in children. Both versions are based on the same hearing threshold calculation criteria, but the Pediatric Version has a slightly different scoring system due to the fact that children's hearing abilities differ from those of adults.

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Degree of Hearing Loss Degree of hearing lossHearing loss range (dB HL)Mild26 to 40Moderate41 to 55Moderately severe56 to 70Severe71 to 904 more rows

Ear-specific and better-ear 4fPTAs were used to then assign a WHO-proposed HI grade as follows: (1) normal, ?19.50; (2) slight/mild, 19.51?34.5; (3) moderate, 34.51?49.5; (4) moderately severe, 49.51?64.5; (5) severe, 64.51?80.5; and (6) profound, ? 80.51 dB HL.

Mild hearing loss: Hearing loss of 20 to 40 decibels. Moderate hearing loss: Hearing loss of 41 to 60 decibels. Severe hearing loss: Hearing loss of 61 to 80 decibels. Profound hearing loss or deafness: Hearing loss of more than 81 decibels.

Typical disability ratings for hearing loss range from zero to 10 percent. However, more severe hearing losses may qualify for higher ratings. Zero percent disabilities are commonly assigned for hearing loss.

If you have hearing loss you qualify as disabled if have: An average air conduction hearing threshold of 90 decibels or more in the good ear. An average bone conduction hearing threshold of 60 decibels in the better ear. A word recognition score of 40% or less in the better ear, as determined by standardized tests.

Increase by 1.5% for each dB above 25dB for each ear. Multiply the better ear by 5 (to weight it more heavily). Add that number with the worse ear and divide by 6 to get your hearing handicap.

Results: The hearing loss for numbers a(1) is calculated as a(1)=p(1)+(50-v(1)) (p(2)-p(1))/(v(2)-v(1))-18,4 for two available measured values and as a(1)=p(1)-0,13 v(1)-11,9 if only one measured value is used, with v(i )being number intelligibility in percent at the level p(i) in decibels (dB) of measurement number i.

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CALCULATION WORKSHEET. Date. Name. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. The ARHL (age-related hearing loss) Calculator gives expected median and 95th percentile values for the average of the AMA speech frequencies (0. Download Hearing Impairment Calculation Worksheet (F252-007-000) – Department of Labor and Industries (Washington) form. 56, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator. View Hearing impairment calculation workshett. 46, NOTE: This worksheet is for hearing impairment only. If the worker has other impairment or work disability, use the whole person PPD calculator.

Hearing Impairment Calculation Worksheet

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