What is the Oldest Medical Specialty in the US?

Dont Wait: Why End-of-Life Conversations Cant Be Put Off According to an article by Johns Hopkins Medicine, two-thirds of Americans dont have a living will or advance directive. Planning ahead can help reduce stress and uncertainty for both seniors and their loved ones. A lot of people dont know what an advance directive is, says Lectoria Byron, a social worker with our Mobile, Alabama program. So, its giving them that knowledgeinforming them of exactly what it is and how it can help them. That eases a lot of anxiety. We sat down with Lectoria and Registered Nurse & Case Manager Amanda Albright to find out why these decisions matter and how the PACE care model fosters them. What is an advance directive and why does it matter? An advance directive is a legal document that explains what kind of medical care you want if you cant speak for yourself. It usually has two main parts: A living will, which says what treatments you do or dont want.A durable power of attorney for healthcare, which names someone you trust to make medical choices for you. Imagine for yourself, Amanda says. Someone you love deeply is in crisis because somethings happened to youand they cant find your funeral plans, your bank statements, or your healthcare wishes. They wont have time to grieve because theyre forced to focus on the paperwork and decisions that could have already been made. How does PACE help with these difficult conversations? Both Lectoria and Amanda emphasized education and pre-planning as the biggest ways their team offers support. Lectoria and the other care team members talk about advance directives during check-ins that happen twice a year. We break it up into manageable steps so its not overwhelming, Lectoria says. In Alabama, we have a basic form that requires two signatures and two witnesses, and we help guide participants through it. If a participant requires legal guardianship or their request involves filing documentation in court, we help connect them with resources like free legal aid, Lectoria adds. She said the best way to approach the conversation is to keep it simple. When you dont work directly with death or dying, its hard to know how to begin, Lectoria explains. But it doesnt take special training. You start by asking: Do you know what an advance directive is? A living will? A power of attorney? Then we offer information and ask: What are your wishes? PACE also provides brochures and other educational materials to help participants review their options in their own time. Checking in every six months ensures these decisions remain a priority. What is the advantage of a participant having their PACE team facilitate the conversation? The PACE team consists of a primary care physician, skilled nurse, social worker, physical therapist, recreation therapist, occupational therapist, and a chaplain.   Amanda explains, The team approach keeps any one staff member from carrying all the emotional weight. And the participant hears a consistent message from different perspectiveseach member offering their own short summary or advice. That consistency builds trust and understanding. It gives a lot of credibility, Amanda says. PACEs structure also allows for something rare in modern healthcare: time. Were not seeing 16 patients an hour, Amanda says. We have the privilege to slow down and help people understand. That makes all the difference. Planning ahead for your care isnt just about filling out formsits about showing love, respect, and helping everyone feel more at peace. At PACE, were here to support you and your family through every part of aging, even the tough conversations.  To find out more about Mercy LIFE and their innovative care program for Seniors, contact them at 251-287-8427.

Because of the nature of their work, musicians of all genres are at risk for noise-induced hearing loss. Additionally, being able to hear properly is vital to the musicians livelihood, from being able to hear the right notes and words to playing in the correct pitch and key. Without proper hearing protection, the loud sounds most musicians experience on stage and while playing their instrument can cause permanent damage to their hearing. Additionally, musicians are also at risk for developing tinnitus, or a ringing-in-the-ears sensation. Tinnitus can be present with or without hearing loss, and while not life-threatening, can seriously deteriorate the quality of life for an individual.Hearing protection for musiciansBoth custom and non-custom products are available for musicians to help prevent hearing loss. Wearing the right ear protection not only helps combat hearing loss, but can also help to prevent   tinnitus. Musician earplugs: These earplugs for made for musicians playing a variety of different types of instruments. Theyre available in several types of materials, from foam to a softer plastic, and enable the musician to still hear the music being performed. These earplugs are also beneficial for concert-goers to protect their hearing while still enjoying the music. Electronic earplugs: These earplugs are electronic and can be programmed to adjust to different pitches and sounds depending on the loudness and environment the musician is in. These adaptive earplugs allow musicians to hear the sounds that are important, while filtering out damaging noise levels. In-ear monitors: These high-tech devices are used by musicians or audio-engineer professionals and deliver sound to the ear while creating a barrier to background and damaging noise levels. In-ear monitors are available in custom or universal options. Who Can Benefit from Musician Earplugs?Musician earplugs and protection arent simply designed for individuals in a band, they can actually be beneficial to a number of different people, including: Students in the school band or orchestra Music teachers or conductors Concert or festival attendees Nightclub workers or patrons Entertainment industry staff Finding the right ear protectionFinding the right ear protection is vital for musicians to not only perform their jobs, but also prevent hearing loss. If you need additional information or assistance in purchasing musicians earplugs consider visiting a hearing professional near you. A hearing specialist will be able to evaluate your wants and ensure you find the right product for your specific needs.

Hearing loss looks different on everyone. It can come on suddenly and cause permanent damage and it can gradually occur and make it difficult to identify. It even ranges from mild to profound and may vary across different pitches and frequencies. This is why Beltone Sound conducts a series of hearing tests before prescribing a solution. Our hearing aid specialists need to understand the unique nature of your hearing loss in order to match you with the best products possible.One of the most significant answers hearing tests can provide is whether your hearing loss can be categorized as conductive, sensorineural or mixed. This helps establish a foundation for the symptoms you are experiencing and helps determine the ideal solution. Conductive Hearing LossConductive hearing loss may be characterized by sounds that are muffled or far too quiet. It occurs when theres an issue with the way that sound is taken to the inner ear and a structure called the cochlea. This type of problem can be indicative of an issue with your ear canal, middle ear or eardrum.There are several potential causes of conductive hearing loss, including: Ear infections in the outer or middle ear Severe earwax blockage Deterioration of the middle ear bones Other problems with inner ear components If you have conductive hearing loss, it may be temporary or permanent. Conducting a full hearing test with a professional is the only way to make that determination.Sensorineural Hearing LossPeople with sensorineural hearing loss may struggle to discern speech from background noises and suffer from tinnitus. This type of hearing loss is caused by a problem with the sensory receptors in the hearing system. Its often the result of an abnormality or damage to the hair cells in the cochlea, which can prevent sounds from being transmitted to the brain properly. This type of hearing loss is typically permanent.Sensorineural hearing loss can be a congenital condition in that its existed since birth. But it can also be caused by age or damage to the hair cells in the cochlea through infection, drugs, trauma or over-exposure to noise.Mixed Hearing LossFinally, its also possible for you to be experiencing mixed hearing loss. This means that you have an issue with both your inner and outer ear components. Its a diagnosis of co-occurring sensorineural and conductive hearing loss.The best way to find out what type of hearing loss you have is to schedule an appointment. Our hearing aid specialists will evaluate your hearing system through tests and let you know what your best path forward is based on the results.