Management of far advanced otosclerosis in the era of cochlear implantation.

Objective: To evaluate issues pertaining to cochlear implantation in patients with far advanced cochlear otosclerosis.

Study Design: Prospective cohort.

Setting: Tertiary care referral center.

Tinnitus suppression in patients with cochlear implants.

Objective: To determine the degree of tinnitus suppression provided by currently available multichannel cochlear implants and to determine factors that can influence this process.

Study Design: Prospective cohort.

Setting: Tertiary-care referral center.

Facial nerve stimulation from cochlear implants.

Objective: To evaluate the incidence of facial nerve stimulation from cochlear implants and to better define the segment of nerve being stimulated and the causes of stimulation.

Study Design: Retrospective patient case review and a temporal bone dissection study.

Setting: A tertiary care setting.

Assessing health needs in people with severe learning disabilities: a qualitative approach.

The nursing assessment, and the contribution it makes to the identification of an individual's health needs, is often a complex and multidimensional process. This is always true when the individual concerned has a severe learning disability. The nurse should develop the assessment in partnership with individuals who may experience major communication difficulties, or have unappreciated levels of perceptual or cognitive dysfunction.