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The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.
Although half of all deafness and hearing impairment is avoidable, an estimated 278 million people worldwide are living with disabling hearing impairment (moderate or worse level of hearing loss in the better hearing ear). Many more have mild hearing loss and/or ear diseases. One quarter of hearing impairment begins during childhood, and 80% of all deaf and hearing impaired people live in low and middle income countries. These problems can be life-long and sometimes life-threatening; they may have profound effects on: inter-personal communication, education, employment prospects, social relationships and through stigmatization. They produce substantial economic burdens on countries. Some of the most effective and cost-effective interventions against ear and hearing problems can be implemented at the primary level by trained primary ear and hearing care (PEHC) workers or primary health care (PHC) workers or their equivalents. Used on a large scale, these interventions will have a major impact on the burden of ear disease and hearing loss. However most developing countries do not have PEHC workers and the topic is hardly addressed in the training of PHC workers. The Primary Ear and Hearing Care Training Resource manuals provide practical information and guidance and can be used as part of a training course, stand-alone training module or in a self-taught manner. They are designed to be useful to a wide range of primary health care personnel. The manuals can also be used to help communities understand common causes of deafness and hearing impairment and ways to prevent and/or treat the conditions.
“Everything you ever wanted to know about ears from two outstanding physician scientists. I loved this book!” —Donna Shalala, Former U.S. Secretary of Health and Human Services In The Ear Book, Drs. Thomas J. Balkany and Kevin D. Brown, recognized experts on ears and hearing, explain how the anatomy of the ear facilitates hearing and balance and then examine the causes, symptoms, and treatment of common problems of the outer, middle, and inner ear. Their explanations take the mystery out of hearing aids, the proper care of ears, and how the pressurized conditions of scuba diving and air travel affect the ears. And they debunk ear-related myths—from the notion that exposure to loud noise strengthens the ear to the idea that tinnitus can be cured with nutrients—and urge readers to stop using ear candling or Q-tips to get rid of wax. Drs. Balkany and Brown address such common questions as: Can dizziness be cured? How loud is too loud? Why do my ears ring? Do cochlear implants work for nerve deafness? What promise do innovations in gene therapy and stem cell therapy hold for the future? Fully illustrated and including helpful tables, hearing preservation tips, a glossary of terms, lists of ear medications and resources, and suggestions for further reading, The Ear Book is sure to be a welcome family guide. “This book is gem for everyone with questions about their ears. I highly recommend it—especially the chapter on Myths of the Ear!” —D. Bradley Welling, MD, PhD, Harvard University Department of Otolaryngology
Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Although millions of people could use good advice about hearing loss, it turns out that asking is difficult, and accurate advice is hard to come by. This book directly addresses the problem: it provides useful, first-hand advice from people who have experienced hearing loss themselves, along with accurate treatment information from a highly experienced audiologist. Prompted to write this book by a patient who thought the reality of hearing loss and its associated problems could only be truly understood by someone with personal experience, audiologist John M. Burkey gathered information from his own patients and their spouses. The Hearing-Loss Guide presents their candid recommendations for anyone who suffers hearing loss, as well as families, friends, and co-workers. The author opens with chapters on the basics of hearing loss, hearing aids and other devices, and treatments. He then turns to his patients, who discuss coping with hearing loss, the real-life consequences of losing hearing, how to get help, adapting to a hearing aid, and other useful topics. Family members also offer valuable advice. A resource guide completes this indispensable volume.
Essentials of Modern Hearing Aids: Selection, Fitting, and Verification is a comprehensive textbook, ideal for graduate-level amplification courses in audiology programs. It also is the ultimate go-to reference for anyone fitting and dispensing hearing aids. This is truly an "A to Z" textbook, with topics including audiologic prefitting testing, needs assessment and treatment planning, hearing aid selection, verification, orientation and counseling, post-fitting follow-up, and real-world validation. Moreover, a substantial portion of the book reviews the underlying up-to-date design and function of digital hearing aid components, circuitry and processing, the wide assortment of hearing aid features, and the many algorithms that make these features work successfully. The world-renowned authors have included numerous prefitting and post-fitting tests that can be conducted along with step-by-step protocols for their administration and scoring. They also review the selection of hearing aid styles and fitting arrangements, explain the process of obtaining an ear impression, and making critical decisions regarding earmolds and hearing aid plumbing. Essentials of Modern Hearing Aidsprovides guidance for selecting prescriptive fitting approaches and detailed protocols for the use of behavioral measures and real-ear speech mapping to both verify the fitting and assess special hearing aid features. Follow-up care and validation options also are reviewed, with detailed guidelines for using a wide range of outcome measures. Key Features Included throughout the text are short paragraphs identified as "Technical Tips," "Key Concepts," "Things to Remember," "Points to Ponder," and "Soapbox" for quick reference.The text covers both foundation and direct clinical application.The veteran authors have over 100 years of combined experience in day-to-day patient care and clinical research.The book is infused with humor throughout! Written in an accessible and easy-to-read style, this text includes not only reference information, but also tools supported by research and clinical experience. The information is presented in a way that is both accessible to clinical students with little experience in the field and with enough depth for even the serious hearing aid researcher. The text is also appropriate as a handy companion for busy clinicians - a friendly resource where they can quickly find critical information needed for the next patient. *Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.