Hearing Loss April 2006
April 2006 One of the most common problems associated with aging is hearing loss. Hearing loss is caused by long term exposure to environmental noise, disease processes affecting the ear, certain medications and physical trauma to the ear or brain processing centers, as well as genetic factors. Hearing loss is categorized by severity, what part of the ear is affected, when the hearing loss began and whether both ears are affected. This means that two people with hearing impairments may have very different experiences and different solutions.
People with hearing impairments often find that their experience varies widely depending on the circumstances. It is easier to hear when there are few noise distractions like other people talking, rustling papers or background TV. It is easier to hear low frequency sounds than high ones, so men are easier to hear than women, children and birds. It may be hard to differentiate consonant sounds like b, d, and p. Rooms that reverberate present challenges, as do unfamiliar accents.
Hearing impairment can be treated with hearing aids and cochlear implants, but rarely does a person feel that these restore them to normal, youthful hearing. Many people also benefit from the growing array of adaptive technologies that are available. These include several types of telephone modifications that boost sound, and close captioned TV. It can also be helpful to convert to light or motion signals where one used to have sound signals, such as doorbell, and other alarms. Some people prefer written communication which is evolving in many new ways through email, instant messaging, and voice-to-text converters.
In addition, there are many adaptations that a hearing impaired person and their friends can implement to facilitate communication. When speaking to a hearing impaired person, make sure there is light on your face, and face the person so they can clearly see your lips. Don’t cover your mouth. Most of us augment comprehension through lip-reading. Use your whole body to express yourself, especially facial expressions and hand gestures. Reduce background noise. Try lowering your tone rather than increasing volume. Look for clues that you are understood. Don’t get impatient if you have to repeat yourself. If repeating a phrase once doesn’t work, try different words. Speak slowly and enunciate clearly, but not so much that you distort your words. Emphasize key words. Family and friends can also help make sure that hearing aids are worn and maintained properly.
Diminished hearing can lead to withdrawal from social interactions and depression. Consistent with our mission to help people age in place with dignity, we want to encourage you to get your hearing checked regularly and to make use of the adaptive technologies that are currently available. We also want to practice and encourage others to utilize the noted strategies to maximize opportunities for enjoyable social interactions. One of our goals for this year is to reduce the reverberation that occurs at the Suzanne Patterson Building! Susan W. Hoskins LCSW |
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