Hearing Loss in Older Adults: What to Know, How to Treat It

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The Pineapple House at Sapphire Lakes

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Posted on

Jul 23, 2023

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Florida - Southwest

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Hearing loss in older adults is a common concern. Age-related hearing loss affects approximately one in three adults ages 65 to 74, according to the National Institutes of Health. Nearly half of those ages 75 and older have some hearing loss.

Age-related hearing loss can have serious consequences. Seniors with hearing loss can misunderstand or not hear a doctor’s advice, may not respond to warnings, or may fail to hear doorbells, phone calls and smoke alarms. Loss of hearing may also isolate seniors, making it hard to enjoy times with family and friends.

Find out what you should know about hearing loss in older adults, how it affects overall health, and how caregivers can help those who have trouble hearing.

Signs of Hearing Loss in Older Adults

Some people may have hearing loss without realizing it, instead thinking that people are not talking clearly enough or that the TV is too soft. 

Here are some signs that may indicate hearing loss:

  • Asking people to repeat what they’re saying 
  • Failing to hear when children or women are speaking to you
  • Feeling background noise is drowning out voices
  • Finding it hard to follow conversations when more than one person is speaking
  • Having trouble hearing a telephone conversation
  • Needing to turn up the volume on the TV, enough so that people complain
  • Thinking that other people are mumbling

For caregivers, they may think that their loved ones are confused, uncooperative or unresponsive, when in fact they don’t hear well.

How Hearing May Affect Senior Health

A study by the NIH shows that seniors with hearing loss have a greater chance of developing dementia, although not everybody will be diagnosed with it. However, hearing loss and cognitive decline in older adults are connected, causing problems with memory and concentration.

>> Read “Detecting Alzheimer’s Symptoms & Stages

Types of Hearing Loss

There are many levels and types of hearing loss. Hearing loss may range from mild, which can interfere with high-pitched sounds like the voices of children and women, to profound, when only very loud sounds can be heard.

Here are some specific types of hearing loss that affect seniors.

  • Age-related hearing loss – This loss is called presbycusis. This is a gradual loss of hearing, usually runs in families and can occur because of changes in the inner ear or auditory nerve. People with this type of loss may not realize they are losing their hearing.
  • Sudden hearing loss – Sudden deafness can happen all at once or over a period of a few days. This is a medical emergency, and seniors suffering such a sudden loss should visit a doctor immediately.
  • Tinnitus – This hearing loss is common in older people. It primarily is described as a ringing in the ears, but can also sound like buzzing, clicking, hissing or roaring. It can also come and go, in one or both ears, and can be loud or soft. Tinnitus can be a sign of other health problems, so a follow-up with a doctor is essential.

Causes of Hearing Loss

There are a number of ways someone may lose some hearing. Here is what causes hearing loss in older adults.

  • Health conditions – Diabetes or high blood pressure can contribute to hearing loss in seniors. Other causes, like infection, injury, heart condition or stroke, may be to blame. 
  • Heredity – Some causes show up at birth, but some become apparent later in life, such as structural defects.
  • Loud noises – This is one of the most common causes of hearing loss, from industrial equipment to loud music. 
  • Medications – Some drugs used to treat cancer or heart diseases are ototoxic, which means they may damage the inner ear, sometimes permanently.  
  • Physical causes – This can include earwax, fluid or a punctured eardrum.

Prevention of Hearing Loss

Age-related hearing loss is inevitable at some level, but there are things you can do to prevent the hearing loss from worsening. 

  • Avoid loud sounds
  • Maintain a healthy lifestyle
  • Use ear protection

You should also alert your health professional of any changes in hearing or if new medications cause hearing problems.

Treatment of Hearing Loss

It’s important to address hearing problems so the loss doesn’t get worse. You should see a doctor to assess any hearing loss. You should start with your primary care physician, who may be able to assess changes, will have a full record of your medications and can refer you to a specialist.

  • Audiologist – These health professionals identify and measure the degree and type of hearing loss. They may also fit hearing aids.
  • Otolaryngologist – This doctor specializes in diagnosing and treating diseases of the ear, nose, throat, and neck. They’re sometimes called an ENT.

If you have correctable hearing loss, your options may include:

  • Assisted listening devices – There are cellphone gadgets or apps that can help amplify sounds. Closed-circuit systems in theaters, auditoriums and other public spaces can help, too.
  • Bone-anchored hearing systems – These bypass the middle ear and convert sounds to vibrations that are sent through your skull bone to your inner ear.
  • Cochlear implants – These are small electronic devices surgically implanted in the inner ear. They’re meant for those with profound or severe hearing loss.
  • Hearing aids – Worn behind or in your ear, they can amplify sounds. Hearing aids may or may not be covered by insurance, but a new generation of over-the-counter hearing aids are on the way.

How To Cope With Hearing Loss

Hearing loss can be embarrassing, but it doesn’t have to be. People are usually all too eager to help if you let them know. Here are ways to ask for help, and how you can help somebody who has hearing loss.

What You Should Tell People About Your Hearing Loss

Let people know you have some difficulty hearing, and then:

  • Ask them to face you and speak slowly and clearly.
  • Have them talk to you in a quieter place.
  • Let the person know if you do not understand what they are saying.
  • Request that they reword a sentence if you’re having difficulty.
  • Tell them to speak up a bit but not yell.

How You Can Help Somebody With Hearing Loss

If you’re talking to someone who has hearing loss, this is what you can do to help them:

  • Be patient, stay positive and relax.
  • Don’t hide your mouth, chew gum or eat while speaking.
  • Face the person and maintain eye contact while you speak clearly.
  • Find a quiet place to talk to help reduce background noise.
  • Include people with hearing loss in your group conversations.
  • Speak more loudly than normal, but don’t shout. Speak slowly but naturally.

Hearing loss doesn’t have to be an end to gathering with other people and enjoying their company. 

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Keep reading to get to know your outreach coordinators!What are the responsibilities of your role as an outreach coordinator?Jenny: As an outreach coordinator, my main focus is educating Pennsylvania residents and businesses about the services provided by PA Relay and how those services work. Its my pleasure to travel throughout the state educating people about PA Relays services and how businesses and organizations can benefit from using PA Relay to connect with potential clients who use accessible telecommunications to conduct business. To do this, the outreach team exhibits at community events, gives educational presentations to local organizations, and provides training to businesses and organizations.   Thadeus: I educate people about PA Relay as well as assist people in gaining access to the free public service. As an outreach coordinator my role is to both assist our relay users as well as introduce people who could benefit from the service to PA Relay. I answer questions, help with equipment installations, provide a point of contact for our users, host presentations, or attend expos and health fairs to make sure everyone is aware of the services that are available to them.  How can PA Relays services help people stay connected, and how do you help people learn more about these specific services?Jenny: In presenting this information at public and private events, the outreach team can inform people on how these services work and why they are important for accessibility and facilitation of communication for people of all abilities.   Thadeus: PA Relays services help people stay connected by returning independence and autonomy to our users. It empowers people who are deaf, DeafBlind, hard of hearing, or who have speech differences to connect to standard telephone users directly through their adaptive equipment. I help people learn about these services through a variety of methods.  What kind of events do you attend as an outreach coordinator?Jenny: Some types of events the outreach team attends could be health fairs, senior expos, state and local fairs, church groups, chamber of commerce events, conferences, and virtual presentations.   Thadeus: I will attend any event that will have me and that will have a meaningful impact for my fellow Pennsylvania residents. I attend health fairs, senior expos, and host presentations at local organizations. I also work with community leaders to schedule town hall events or even host awareness nights at local sporting events. Ive met with PA Relay users in their homes to help them with their adaptive equipment on a more personal level.  What has been one of your favorite events that youve attended as an outreach coordinator? What made it so memorable?Jenny: I have been an outreach coordinator for six years and have experienced so many amazing events and interactions. Some of my favorite events involve educating seniors and their caregivers about PA Relay and how we can help maintain connections between those who use traditional telephone services and those who use relay services. Hearing loss is a common experience among those who are aging, and to be able to provide these folks with a solution like Voice Carry-Over or Captioned Telephone is incredibly rewarding, especially when they share their experiences with me. Thadeus: My first ever presentation will always be etched into my mind. It was a cold December morning just north of Philadelphia. I had just presented to a group of seniors about PA Relay. After the presentation I helped a few of them download and set up the Hamilton Mobile CapTel App on their phones. 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For example, a group may be interested in services for those who are living with hearing loss, so we can tailor our presentation to address those specific services.Thadeus: PA Relay offers a variety of training as well as educational preparations to any interested organization across the Commonwealth. We can also provide training to organizations on how to properly handle relay calls. The Relay Friendly Business Training helps organizations identify relay calls and trains staff on how to properly handle these types of calls.During these presentations we discuss everything from the history of relay services to the different types of services. We discuss PA Captioned Telephone Relay Service and how to acquire adaptive equipment either through the states equipment distribution program, TechOWL, or other means. The topics and timeframe can be customized to meet the needs of the organization.  Is there anything else about your role as an outreach coordinator that youd like people to know?Jenny: As an outreach coordinator, the most important thing I do is connect people to resources they can use to make life a bit easier. Often, I present information to people who do not need PA Relays services, but they know someone who does. When this happens, its so rewarding to hear how they will share what theyve learned from me with those who really need assistance making and receiving calls. This ensures that connections remain strong, and people are able to live life as independently as possible.   Thadeus: The biggest thing I would like people to know is just how life-changing these services are. Even if youre not someone who could use PA Relay, its likely that someone you know could greatly benefit from the service.  How can an interested individual or organization reach you?Jenny: To learn more about PA Relay, feel free to email me at Jenny.Pearson@HamiltonRelay.com or call 610-737-7205! Thadeus: The best way to get in touch would be by emailing Thadeus.Graham@HamiltonRelay.com, or I am available by phone at 412-944-7424.  FEDERAL LAW PROHIBITS ANYONE BUT REGISTERED USERS WITH HEARING LOSS FROM USING INTERNET PROTOCOL (IP) CAPTIONED TELEPHONES WITH THE CAPTIONS TURNED ON. Advanced speech recognition software is used to process calls, and, in certain circumstances, a live communications assistant may be included on the call. There is a cost for each minute of captions generated, paid from a federally administered fund. To learn more, visit fcc.gov. Third-party charges may apply: the Hamilton CapTel phone requires high-speed internet access (Wi-Fi capable) and in some cases, may require telephone service. When using Hamilton CapTel on a smartphone or tablet and not on Wi-Fi, a data plan is required. Hamilton CapTel may be used to make 911 calls but may not function the same as traditional 911 services. For more information about the benefits and limitations of Hamilton CapTel and Emergency 911 calling, visit HamiltonCapTel.com/911. Third-party trademarks mentioned are the property of their respective owners.

Listen Up! Better Hearing Leads to Better Health

Listen Up! Better Hearing Leads to Better HealthTAKE THIS AT-HOME HEARING TESTThink about the last time you were in a social or group setting. Maybe dinner with friends, your weekly card night, or a pickleball playoff. Now, think about this morning at home. Did you catch the local news on TV or take a surprise phone call from your grandkids? Now, ask yourself, in any of those instances did you: Have trouble hearing over the phone Find it hard to follow conversations Ask people to repeat themselves Need to turn up the TV volume so loud that others complained Think that others seem to mumble Have a problem understanding when women and children spoke to you In the United States, its estimated that one in eight people over the age of 12 has hearing loss in both ears. Despite the prevalence of hearing loss, studies show that only around 20% of those who could benefit from hearing aids actually use them. This can have a significant impact on your quality of life. Its been shown that hearing loss can lead to social isolation, depression, and cognitive decline.  Some people have a hearing problem and dont realize it, and the National Institutes of Health recommends seeing your doctor if you or a loved one experience any of these symptoms. Regular hearing tests are recommended for individuals of all ages, but especially if youre at a higher risk for hearing loss, this includes if youre older,you have a family history of hearing loss, and if you have a history of noise exposure. TEST YOUR HEARING AT HOMEIf youre not really sure if youre hearing has gotten worse lately, even before you make that appointment with your doctor, a hearing test is an easy first step. And you can even get the ball rolling by taking a simple one over the phone from the comfort of your own home. The National Hearing Test is easy and convenient, and your results are confidential. The test is $8 or AARP members can take a free test. The National Hearing Test is a screening test you can take over the telephone. Youll listen to three-digit sequences presented in a background of white noise and then enter the digits using your phone keypad. The first of its kind in the US, the test was developed with funding from the National Institutes of Health with the goal of giving you information to help you decide if you should seek a full-scale evaluation. MEDICARE MAY COVER YOUR HEARING EVALUATIONIf youre covered by Medicare, its important to note that Medicare Part B covers diagnostic hearing and balance exams when ordered by a physician or other qualified healthcare professional. Medicare may cover hearing aids in some cases, but coverage can be limited. Medicare Advantage plans may offer additional coverage for hearing aids and related services. Its important to review the specific details of your Medicare coverage to understand what is and isnt covered. Regardless of insurance coverage, its important for individuals to prioritize their hearing health and get regular hearing tests. By catching hearing loss early on, individuals can take steps to manage and treat it, reducing the impact it has on their daily lives. 

Exploring Over-the-Counter Hearing Aids: A Solution for Improved Hearing with RxHearing

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