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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.
Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can become socially isolated, and social isolation can be an important driver of morbidity and mortality in older adults. Despite the critical importance of communication, many older adults have hearing loss that interferes with their social interactions and enjoyment of life. People may turn up the volume on their televisions or stereos, miss words in a conversation, go to fewer public places where it is difficult to hear, or worry about missing an alarm or notification. In other cases, hearing loss is much more severe, and people may retreat into a hard-to-reach shell. Yet fewer than one in seven older Americans with hearing loss use hearing aids, despite rapidly advancing technologies and innovative approaches to hearing health care. In addition, there may not be an adequate number of professionals trained to address the growing need for hearing health care for older adults. Further, Medicare does not cover routine hearing exams, hearing aids, or exams for fitting hearing aids, which can be prohibitively expensive for many older adults. Hearing Loss and Healthy Aging is the summary of a workshop convened by the Forum on Aging, Disability, and Independence in January 2014 on age-related hearing loss. Researchers, advocates, policy makers, entrepreneurs, regulators, and others discussed this pressing social and public health issue. This report examines the ways in which age-related hearing loss affects healthy aging, and how the spectrum of public and private stakeholders can work together to address hearing loss in older adults as a public health issue.
CONTENTSHearing Loss in Older Adulthood. The Effects of Presbycusis on Hearing. The Effects of Hearing Impairment on Older Adults. Assessment of Auditory/Communicative Function in Aging. Hearing Aids. Improving Communication for Aging Adults Who are Hearing Impaired. Programs in the Health Care Facility. Evaluation in Aural Rehabilitation Treatment for Older Adults Who Are Hearing Impaired. References. Index.
This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles
Emerging and currently available technologies offer great promise for helping older adults, even those without serious disabilities, to live healthy, comfortable, and productive lives. What technologies offer the most potential benefit? What challenges must be overcome, what problems must be solved, for this promise to be fulfilled? How can federal agencies like the National Institute on Aging best use their resources to support the translation from laboratory findings to useful, marketable products and services? Technology for Adaptive Aging is the product of a workshop that brought together distinguished experts in aging research and in technology to discuss applications of technology to communication, education and learning, employment, health, living environments, and transportation for older adults. It includes all of the workshop papers and the report of the committee that organized the workshop. The committee report synthesizes and evaluates the points made in the workshop papers and recommends priorities for federal support of translational research in technology for older adults.
Introduction: The prevalence of hearing loss is high in older adults. Hearing aids are a common rehabilitative option for improving speech audibility and intelligibility. The evidence is emerging to show improved cognitive functioning in hearing-impaired older adults using hearing aids. Digital hearing aid signal processing strategies have shown variable benefits in individuals which can be attributed to individual differences in hearing loss and cognitive capacity. The interaction between hearing aids and cognition is, therefore, complex and research regarding the immediate effects of hearing aid amplification approaches on decreasing cognitive load have been limited. Objective: To investigate whether a cognitively-focussed hearing aid setting (CogniAid) will improve hearing and cognition more than current, standard practice in experienced elderly hearing aid users. Methods: Twenty experienced hearing aid users (aged 65 or over) participated in the repeated measures study over two sessions. All participants were bilaterally fitted with Phonak Audéo B90 receiver-in-the-ear hearing aids, which were programmed to either the CogniAid or standard hearing aid settings in a counterbalanced order. The CogniAid hearing aid setting received linear signal processing and output limiting compression, while the standard hearing aid setting received wide dynamic range compression signal processing. Objective measures of hearing and cognition were collected for the unaided and the two aided conditions, using the QuickSINTM test to measure speech intelligibility in noise and the NIH Toolbox® to measure speech intelligibility in quiet, working memory and episodic memory. For each aided condition, subjective rating scales were used to evaluate the perceptual aspects of sound quality. Results: Repeated measures ANOVA revealed significantly lower SNR loss scores in the QuickSINTM test, indicating better speech intelligibility in noise with the CogniAid hearing aid setting compared to both the standard hearing aid setting and the unaided condition. For the NIH Toolbox® picture vocabulary test, participants performed significantly better with the CogniAid hearing aid setting compared to the unaided condition, but there were no differences in performance when compared to the standard hearing aid setting. There were no statistically significant differences between the standard hearing aid setting and the unaided condition in any of the hearing or cognitive tests. There were no statistically significant differences between the two aided conditions on any of the subjective measures of sound quality for speech in quiet or speech in noise. Conclusion: The CogniAid improved speech intelligibility in noise but attempts to determine whether the CogniAid hearing aid setting relieved cognitive load and reduced listening effort compared to the standard hearing aid setting were inconclusive. Future research should investigate the use of alternative cognitive assessment tools and field trials to check if the findings differ.
Introducing "Hearing Aids and Your Quality of Life: A Guide for Seniors 60 and Above" by renowned audiologist, Dr. Henri Brooks. In this groundbreaking book, Dr. Brooks empowers seniors to regain control of their lives and rediscover the joy of sound through the transformative power of hearing aids. Are you tired of missing out on conversations, struggling to follow along in social gatherings, or feeling isolated due to hearing loss? Dr. Henri Brooks understands your challenges and provides a comprehensive roadmap to improve your hearing health and enhance your overall quality of life. With compassion and expertise, Dr. Brooks takes you on a journey of self-discovery, enlightening you about the latest advancements in hearing aid technology. Drawing on decades of experience, she unravels the mysteries surrounding hearing loss and dispels common myths, helping you make informed decisions about your hearing care. In "Hearing Aids and Your Quality of Life," you'll learn practical strategies to adapt to hearing aids seamlessly. Dr. Brooks reveals the secrets to effective communication, teaching you how to navigate noisy environments effortlessly. You'll discover tips and tricks for maintaining your hearing aids and maximizing their performance, ensuring they become an integral part of your daily routine. Don't let hearing loss hinder your happiness any longer. With "Hearing Aids and Your Quality of Life," you'll embark on a life-changing journey towards improved hearing, increased confidence, and enhanced connections with loved ones. Get ready to embark on a vibrant new chapter of your life, filled with the sweet symphony of sound.
This book aimed at understanding the benefit of using body worn hearing aids by elderly hearing aid users in India; to develop possible strategies for rise in benefit and promote functional assessment of successful hearing aid use at regular intervals. The body worn hearing aids are outdated and not used in many nations of the world. However, affordability is a bigger factor of all, especially in developing countries, where it over takes social stigma of appearance, in compared to ear-level hearing aids. Along with technological advancements to be utilized in producing low cost devices, there is need for orientation to hearing aid use and counselling to individual and family members.