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Hearing Loss

Hearing Loss. Why You’re Here. Even if you don’t have a hearing loss: You probably care about someone who does Your odds of having a hearing loss in the future are pretty good. Hearing Loss. An Introduction. How We Hear Understanding Hearing Loss Getting Help Getting Good

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Hearing Loss

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  1. Hearing Loss Why You’re Here Even if you don’t have a hearing loss: • You probably care about someone who does • Your odds of having a hearing loss in the future are pretty good.

  2. Hearing Loss An Introduction How We Hear Understanding Hearing Loss Getting Help Getting Good Technical Solutions Hearing Loss Association of America

  3. It’s a Miracle How We Hear Semi Circular Canals Ossicles Nerve Ear Drum Cochlea

  4. Amazing Capability (when it works) How We Hear • Whisper to Jet Plane (1 : 1,000,000) • Rumble to a Sizzle (20 to 20,000 Hz) • Localization • Know Where Sound is Coming From • Automatically Suppress Unwanted Sound

  5. Serious Impact (when it fails) How We Hear • Lose some sounds (usually consonants) • Tinnitus (ringing in the ears) • Can’t Hear in Noise • Loss of Localization • Don’t Know Where Sound is Coming From • Can’t Suppress Unwanted Sounds • Can Affect Your Life • Can Affect Those Around You

  6. You Are Not Alone Understanding Hearing Loss • U.S. population 270+ million • 2 million Deaf • 26 million Hard of Hearing • 1 of every 10 people has a hearing loss • Over age 65, 1 in every 3 persons has some degree of hearing loss • 80% of hard of hearing people are in denial

  7. Untreated Hearing Loss Understanding Hearing Loss • Sadness and depression • Worry and anxiety • Paranoia • Less social activity • Emotional turmoil and insecurity • Source: National Council on the Aging, May 1999

  8. Treated Hearing Loss Understanding Hearing Loss • Better relationships with their families • Better feelings about themselves • Improved mental health • Greater independence and security • Source: National Council on the Aging, May 1999

  9. Types of Hearing Loss Understanding Hearing Loss • Common Audiogram Curves • High Frequency Loss (Ski Slope) • Low Frequency Loss (Reverse Ski Slope) • Mid-range Loss (Cookie Bite) • Flat Loss • Sensorineural, Conductive, Mixed • Timing Gradual/Sudden/Fluctuating Source: National Council on the Aging, May 1999

  10. “Normal” Hearing Understanding Hearing Loss No Loss Consonants Vowels No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  11. Mild High Frequency Loss Understanding Hearing Loss Note: These are illustrations only they are not meant to be precise. No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  12. Moderate High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  13. Moderate/Severe High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  14. Severe/Profound High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  15. Reverse Ski Slope Understanding Hearing Loss No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  16. Cookie Bite Hearing Loss Understanding Hearing Loss No Loss No Hearing 0 Hz 20000 Hz Source: National Council on the Aging, May 1999

  17. Common Causes of Hearing Loss Understanding Hearing loss • Acoustic Trauma (Noise) • Age related • Genetic • Ototoxic Drugs • Illness (examples) • Autoimmune Disease • Meniere’s Syndrome • Acoustic Neuromas

  18. Start With Professionals Getting Help: First Steps • Audiologist • CCCA • AuD • Ear Doctor • ENT • Otologist • Otolaryngologist • Otorhynolaryngologist It’s important to have a thorough audiological workup; not just a hearing screening. It’s important to have a doctor determine whether there are any treatable medical conditions; some are life threatening.

  19. Learn From Others Getting Help: Next Step • HLAA (www.hearingloss.org) • Internet (handout) • Web Pages • Listserves/Groups/Bulletin Boards/Chat Sessions • DSDHH (most states have programs for Deaf and Hard of Hearing) • Regional Resource Centers • Equipment Distribution • Assistive Technology Program (all states have) • Equipment Demonstration • Free Consultations

  20. Do Something Getting Help: Help Yourself • You have a hearing loss: Get Over It! • Polish Your Coping Skills • Help Your Friends and Family • Buy and Learn How to Use Hearing Aids • Take Advantage of Assistive Technology • Pass on What You Learn • Advocate

  21. Coping Skills Getting Good • Don’t Bluff • Explain, Don’t Just Say “Huh” • Choose Your Situation (noise/position/lighting) • Plan Ahead • Confirm Understanding • Keep Your Sense of Humor • (See Detailed Tips on Handout)

  22. Hearing Aids Technical Solutions • Microphone/Amplifier/Speaker • Selectively Make Things Louder • Can Make a Huge Difference • Won’t Completely Correct Your Hearing • You’ll Likely Still Have Trouble • In Noise • At a Distance Both of these can be overcome with ALDs

  23. Hearing Aids (How to Buy) Technical Solutions • Audiologists/Hearing Aid Dealers • Facilities • Joint with Dr’s Office vs. Private Practices • “House Brands” vs. Multi-Brand • Big Box Stores • Web • Fitting is an art … not like glasses • At least 30 day trial period • Your #1 PRIORITY is Better Hearing

  24. Hearing Aid Types Technical Solutions • Basic Styles • BTE • ITE • ITC • CIC • Middle Ear Implantable • Bone Conduction/BAHA • CROS/BiCROS • Disposable

  25. Hearing Aid Features (Quick Tour) Technical Solutions • Volume Control • Telecoil • Multiple Microphones (Noise Control) • Programmable • Feedback Control • Compression/Clipping • Digital vs. Analog • Direct Audio Input • Remote Controls • FM

  26. Cochlear Implants Technical Solutions • Surgically Placed Electrode • Directly Stimulates Cochlea • External Processor with Microphone • Only for VERY Serious Losses • Amazing Successes • Some Moderate Successes • Very Few Complete Failures • Most Likely Destroys Residual Hearing

  27. Assistive Listening (ALDs) Technical Solutions • Transmission • Hard Wired • Magnetic (loop) • FM • IR • User Interface • Headphones • NeckLoop and Silhouette • Direct Audio Input (DAI) • Hear Better: • Meetings/Classroom • In the car • Noisy Restaurants • Telephone • TV/Stereo • Movies • Computer • Solves • Distance • Noise

  28. Telephones Technical Solutions • Hearing Aid Compatible (HAC) • CallerID • Volume Control • Ringer Volume Control • High Frequency Boost • Flashing Lights • Jack (for ALDs) • FM and Bluetooth HAC effectiveness varies greatly on mainstream phone. Special phones exist for Hard of Hearing people for serious features.

  29. Beyond Telephones Technical Solutions • Relay • IP Relay • CapTel And, don’t forget, there’s FAX, Email Instant Messaging, and SMS now. These are often more convenient than telephones or Relay. CA You Other Party

  30. More Assistive Solutions Technical Solutions • Flashers for Doorbell and Phone • Baby Criers • Vibrating Alerters and Bed Shakers • Alarm Clocks (Loud, Vibrating, Light Flashing) • Fire Alarms with Strobe Lights • Captions • Closed • Open • Subtitles

  31. What is HLAA? HLAA • Hearing Loss Association of America (HLAA), formerly Self Help for Hard of Hearing People (SHHH) • A new organization (started 1979). • A new name (starting in 2006) • Mission: to open the world of communication to hard of hearing people by providing education, information, support, and advocacy. • Grassroots network of over 250 chapters/groups across U.S.

  32. Non-Profit Organization HLAA • HLAA (the National Organization) • Education and Advocacy • $25 Membership (Join at www.hearingloss.org) • Great Magazine and National Convention • Discounts • HLA-xx (where xx = State Abbreviation) • State-Level Associations of HLAA • Coordination and Advocacy at the State Level • Established in many states, now • Local Chapters • In many cities across the country • Real “End-User” Support through volunteers

  33. HLAA Helps You Learn About HLAA • Hearing loss in general • Latest developments in hearing aids, Cochlear Implants and assistive technologies • Latest advances in medical research • Relevant legislative issues • Getting your life back • Helping yourself … and others

  34. HLA-Wake County Chapter HLAA • Formed in early 80’s • Averages about 40 members • All volunteer • No dues; everyone welcome • Funded by Donations (including SAS) • Meets monthly • Third Thursday every month • Cary Senior Center You may have to DRAG someone you care about! My Wife Dragged Me!

  35. It’s Up To You HLAA • Never Been a Better Time to be HoH! • There’s plenty of help; you’re not alone. • Only you can accept that help • It can improve your life • It can put you back in control • Isn’t it time? Questions and Answers

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