COVID-19 and Our Tinnitus Service: Triage Patients with Tinnitus, Hyperacusis and Misophonia Using Telephone Appointment
Patients are actively encouraged to change their appointment type to telephone in order to minimise physical contact during COVID-19 outbreak in the UK and elsewhere in the world. This interview form has been designed in order to facilitate triage of new patients experiencing tinnitus, hyperacusis, and misophonia using telephone appointments. Application of this form will assist the therapist to gather all the essential information needed to explore the relevant medical red flags and the impact of the symptoms on individual’s life and their psychological wellbeing. By clicking on the submit button, you will receive the form securely to the email address you provided. No other copy will be saved anywhere else.
Instructions on how to use this form:
Arrange a suitable time to telephone your patient. See the basic requirement listed below. Add your name or a pseudo name, a code to identify your patient, and the email address that you would like the form to be sent to. For your telephone clinical interview, read the questions to them and complete this form online. Once all questions are answered, click the submit button.
Before ending the call, please make sure to offer the patient an opportunity to ask their questions. You may choose to use some sections from the papers below to offer reassurance and advice:
What are the basic requirements for a telephone clinic?
Triage Patients with Tinnitus, Hyperacusis and Misophonia Using Telephone Appointment
Now please rank your tinnitus, on a scale of 0 to 10, with regard to severity, annoyance, and effect on your life. Please do not include hearing difficulties when you answer these questions.
Use the questions below only if hyperacusis or misophonia are the main complaint. If tinnitus is the main compliant then the questions below can be ignored for this telephone appointment.
Definitions:
For each question please choose one number based on how you/your child (for parents) are feeling now.
Screening for Anxiety and Depression-Tinnitus/Hyperacusis/Misophonia (SAD-T) or SAD-T (Parent)
Total Score : 00