Client Oriented Scale of Improvement (COSI) - American Academy 2025

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  1. Click ‘Get Form’ to open the Client Oriented Scale of Improvement (COSI) in our platform.
  2. Begin by entering your client’s information in the designated fields at the top of the form. Ensure accuracy for effective tracking.
  3. Proceed to the assessment sections, where you will rate various aspects of your client's hearing and communication abilities. Use the dropdown menus or sliders provided for each question.
  4. In the comments section, provide any additional observations that may help in understanding your client's progress and needs.
  5. Once all sections are completed, review the form for any missing information or errors before submitting it.

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The Client Oriented Scale of Improvement (COSI) is a measure of hearing aid benefit that utilizes patient participation to determine the particular listening situations where improved hearing ability is needed.
The Tinnitus Catastrophizing Scale (TCS) was developed to assess the level of overly negative (catastrophic) misinterpretations of the tinnitus.
Cognitive model. Like depressive patients, some tinnitus patients have unrealistic and negative thoughts about tinnitus. CBT aims to identify these negative automatic thoughts, evaluate their validity, and replace them with more realistic and positive thoughts. This procedure is referred to as cognitive restructuring.
Each hearing aid has a technology level based on the processing chip inside. Manufacturers typically offer three to five tiers. Higher tiers provide more features and automatic functions and are more likely to keep up with new developments. Lower tiers might lack some advanced features but can still perform well.
The COSIT is a tool to assist the audiologist in measuring the success of tinnitus therapy. Ask the client: What are 5 problems caused by your tinnitus. Please be as specific as possible. Once listed rank them in order of importance. Discuss realistic goals and a treatment plan for each need.
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An example of a COSI goal for B.B. might be, I want to be able to follow the conversa- tion of my table mates at meal time. The patients needs can almost always be categorized into one of the 16 COSI categories such as (using the above table mate example) Conversations with 1 or 2 in noise.
The Client Oriented Scale of Improvement (COSI) is a clinical tool developed by NAL for outcomes measurement. It is an assessment questionnaire for clinicians to use which allows them to document their clients goals/needs and measures improvements in hearing ability.

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