Hearing Loss: Signs, Treatment, Prevention

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Hearing loss is one of the most common conditions affecting older adults. Approximately 17 percent, or 36 million, of American adults say that they have some degree of hearing loss. Roughly one-third of Americans 65 to 74 years of age and 47 percent of those 75 and older have hearing loss. Men are more likely to experience hearing loss than women.
Hearing loss comes in many forms. It can range from a mild loss in which a person misses certain high-pitched sounds, such as the voices of women and children, to a total loss of hearing. It can be hereditary or it can result from disease, trauma, certain medications, or long-term exposure to loud noises.

Types of Hearing Loss

Presbycusis

One form of hearing loss, presbycusis, is the loss of hearing that gradually occurs in most individuals as they grow older.

Presbycusis can occur because of changes in the inner ear, auditory nerve, middle ear, or outer ear. Some of its causes are aging, loud noise, heredity, head injury, infection, illness, certain prescription drugs, and circulation problems such as high blood pressure. Read more on Presbycusis.

Tinnitus

Tinnitus, also common in older people, is the ringing, hissing, or roaring sound in the ears frequently caused by exposure to loud noise or certain medicines. Tinnitus is a symptom, not a disease, so it can accompany any type of hearing loss.

Tinnitus can also be a sign of other important health problems, such as allergies and problems in the heart and blood vessels. Tinnitus can come and go, or it can persist or stop altogether. Read more on Tinnitus.

Sensorineural Hearing Loss

There are two general categories of hearing loss. Sensorineural hearing loss occurs when there is damage to the inner ear or the auditory nerve. This type of hearing loss is permanent.

Conductive Hearing

Conductive hearing loss occurs when sound waves cannot reach the inner ear. The cause may be earwax build-up, fluid, or a punctured eardrum. Medical or surgical treatment can usually restore conductive hearing loss.

 
 

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kiddo1

Give a Hug

Oct 17, 2007

My mother jokes that my father has "selective hearing". But the reality is that his hearing is shot. He refuses to wear a hearing aid. And when we do get him to use one, he says it doesn't work and he is better off without it. How do you change this behavior?

 
 

lorimarie

Give a Hug

Jul 31, 2008

I am not an audiologist but I wonder about the type of hearing aid he received. Getting a hearing aid is not like getting glasses, adjustments may need to be made. Perhaps he needs a different type of hearing aid?

Getting a personal amplifier may be a solution, but he still would need to use it. Personal amplifiers are handheld devices that can be used with a headset or earphone.
Just make sure you get a quality personal amplifier. (There are a lot of cheap and low quality brands on the market.) A popular brand that has been on the market a long time is the Pocketalker.

Good luck!

 
 

llaurier41

Give a Hug

Nov 7, 2010

my mother at 88 refuses to get her ears tested, she will not admit to being hard of hearing. She uses the excuse that her ears are filled with wax. She is almost deaf at this point, plus she tries to self treat herself with putting olive oil in her ears to soften the so called hard wax. I am just so frustrated in how to deal with this. She is isolating herself from everyone because it is so difficult for anyone to call and talk to her. She only hears about 20% of what is being said.

 
 

lorimarie

Give a Hug

Nov 8, 2010

I work at Harris Communications, a company that sells assistive devices for deaf and hard of hearing people. We have found it is very common for people to be in denial about their hearing loss. Something that often happens is when given the opportunity to use an amplified device, the person with the hearing loss suddenly discovers that his/her hearing could be better. I would suggest getting her an amplified phone. When you can't communicate on the phone, there can be a real safety issue, particularly if a parent lives alone. There are many models of phones available for mild to severe hearing loss. The phones for severe hearing loss have decibel ratings up to 60 decibels. (They have adjustable tone and volume controls so a person can adjust to his/her hearing needs. The adjustable tone controls are helpful because people lose their hearing in different frequencies. Just having a loud phone will not address her specific hearing loss.)
You can get some pretty basic corded phones without all the bells and whistles. You may have to pay around $150 for an amplified phone but it usually is worth it. (If the phone doesn't work for her, most reputable companies have a 30 day return policy.)
Ideally it would be best for your mother to get her ears tested but there are a lot of phones and other assistive devices available that can help her hear. Try to find quality listening devices. You may pay more but they will end up being used.

 
 

jannylouise

Give a Hug

Nov 9, 2010

In Washington State, the Office of Deafness and Hard of Hearing would be a resource for you. I imagime most states have similar agencies. The nonprofit that I work for is part of their telephone distribution program that provides adaptive phones for the hard of hearing and also for nonverbal clients. Frequently this is at no cost to the client.
My husband has two hearing aids and they frequently drive him crazy and is frequently having them repaired and adjusted. Thank goodness he is wise enough to realized that the alternative - not using them - would severely impact our live together. My MIL on the other hand, refuses to consider aids and gets defensive when she misses out on a conversation and thinks we are keeping things from her. It is quite the merry-go-round.

 
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