History of sudden or rapidly progressive
•
hearing loss in one or both ears within the
previous 90 days.
Acute or chronic dizziness;
•
Audiometric air-bone gap equal to or
•
greater than 15 dB at 500 Hz, 1000 Hz and
2000 Hz;
Visible evidence of significant cerumen
•
accumulation or a foreign body in the ear
canal;
Pain or discomfort in the ear;
•
Abnormal appearance of the eardrum and
•
ear canal such as:
- Inflammation of the external auditory
canal,
- Perforated eardrum;
- Other abnormalities which the HCP
believes are of medical concern
The Hearing care professional may decide
that a referral is not appropriate or in the best
interests of the patient when the following
applies:
36
When there is sufficient evidence that
•
the condition has been fully investigated
by a medical specialist and any possible
treatment has been provided;
The condition has not worsened or
•
changed significantly since the previous
investigation and / or treatment.
If the patient has given their informed and
competent decision not to accept advice to seek
a medical opinion, it is permissible to proceed
to recommend appropriate hearing aid systems
subject to the following considerations:
The recommendation will not have any
•
adverse effects on the patients health or
general well being;
The records confirm that all necessary
•
considerations about the patient's best
interests have been made
If legally required, the patient has signed a
disclaimer to confirm that the referral advice
has not been accepted and that it is an informed
decision.
37