successful management of hearing loss at c.c. young retirement community catherine koch alexandra...
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Successful Management of Hearing Loss at C.C. Young Retirement
Community
Catherine KochAlexandra HarrisCaryn McLellanLauren Mosley
Welcome!
What You Should Know About Hearing & Hearing Loss
How Hearing Works
Types of Hearing Loss: Conductive
Types of Hearing Loss: Sensory
Types of Hearing Loss: Mixed
How to Measure Hearing Loss
Severity of Hearing Loss
• Mild• Moderate• Severe• Profound
http://www.youtube.com/watch?v=TD5E88fFnxE&feature=player_popout
Who Has Hearing Loss?
• Over 28 million Americans
• As many as 40% of people over age 65
• As many as 66% of people over age 75
• More than 80% of people over age 85
Hearing Loss Due to Aging
• Called “presbyacusis”• Happens slowly• Speech sounds like
mumbling• Tinnitus [ringing/hissing in ears]• Caused by noise and the
general changes of aging
More About Hearing Loss due to Aging
• 3rd most common chronic health condition
• Most common communication disorder
What to DO About Hearing Loss
• Won’t get better on its own!• Recognize how it affects you• Learn communication strategies• See your audiologist
Hearing aids:
• Do not solve all communication problems• Do not return hearing to normal • Are most effective when the speaker is up to 3 - 5 feet
from the user• Do not eliminate all background noise
Hearing Aid
Myth Busters
Remember – use communication strategies even with hearing aid users!
Social and Emotional Impact of
Communication Breakdown
What is Communication?
A meaningful exchange of information between communication partners
Who are Communication Partners?
Your communication partners may include anyone you need to exchange information with such as:
• Friends and family members• Residents and staff
members of C.C. Young• Doctors, nurses, and other
professionals
Good communication benefits both members of the communication partnership• Needs are met
• Information is exchanged
• Relationships are more fulfilling
• Feelings of competency increase
• Self esteem rises
When communication breaks down theperson with hearing loss may feel:
• Frustration• Anxiety• Impatience• Anger• Loss of competence• Self-pity• Guilt•Withdrawal• Denial
When communication breaks down the listener may feel:
• Frustration• Anxiety• Impatience• Anger• Threat to competence• Pity• Guilt•Withdrawal• Denial
Common reactions to communication difficulties:
• Passive behavior – this person may withdraw and avoid conflict with communication partners
• Aggressive behavior – this person may be hostile and demanding of communication partners
Common reactions to communication difficulties:
Assertive behavior – this person respects their communication partner and also meets their own needs
Assertiveness results in good communication!
What can you do to improve yourcommunication partnerships?
• Acknowledge that there is a problem
• Understand your communication partner’s emotional reactions
• Be assertive in expressing what you need
• Respect what your partner needs
• Remember that communication partners share responsibility for
good communication
Communication Strategies
Things to Keep in Mind
• Communication takes TWO
• Bluffing is not allowed!
• A good sense of humor goes a long way
Clear Speech
Speak slowly, but naturally
Stress important words
Pause between words and important ideas
DO NOT shout
DO NOT drop the endings of words
Good Communication Habits: Speaker
1. Get the listener’s attention
2. Do not shout
3. Slow down
4. Get close
5. Speak clearly
More Strategies for Speakers
6. Rephrase
7. State the topic
8. Use gestures
9. Confirm details
10.Note background noise
Good Communication Habits: Listener
1. Pay attention
2. Develop good listening skills
3. Watch the speaker
4. Plan ahead
5. Take breaks
More Strategies for Listeners
6. Offer specific suggestions
7. Provide feedback
8. Double check details
9. Do not bluff!
10. Set realistic expectations
Consider Your Environment• Distance:
Are you close enough to your partner?
• Lighting: Is there enough light to see visual clues?
• Size of the room: Is the room too big?
• Background Noise: Are you in a quiet place?
Anticipating Trouble
• Plan ahead for Better Communication:
– Think about things that could make it hard to understand.
– Write them down as “Possible Problems”– Think about things you could do to minimize these
problems. – Write them down as “Possible Solutions”
Don’t be afraid, be assertive!
Inform others about your hearing loss:
• Ask—but don’t demand“It would be most helpful if you would…”
• Explain “Because of my hearing loss, I would appreciate if you would…”
• Remind“Is it okay with you if I give you a hand signal to slow down and to indicate when I’m understanding you?”
Remember
• A good sense of humor goes a long way
• Bluffing is not allowed!
• Communication takes TWO
Communication with Chronically or Terminally Ill Patients
Problems and Strategies
Problems Encountered
• Softer voice• Background noises may
be louder• Eye problems• Hearing loss
Medications
• Aminoglycosides• Loop diuretics• IV antibiotics• Quinine• Anti-inflammatory drugs• Chemotherapy drugs – Cisplatin, Nitrogen
Mustard, Carboplatin
Communication
• IT IS VERY IMPORTANT TO COMMUNICATE CLEARLY!
Universal Symbol for Hearing Loss
• Means they have trouble hearing
• Make sure this is visible• Request it for your
patients
How to help
• Make sure lights are on• Reduce other noise• Make sure they can see you• Have something ready to write on
Use Clear Speech
• Get patient’s attention• Look at them• Speak slowly• Speak clearly
Assistive Devices
Amplified Phone
PockeTalker
TV Devices
FM Systems
Assistive Devices Center
Callier Center- Dallas
1966 Inwood RdDallas, TX
(214) 905- 3037
Callier Center- Richardson
811 Synergy Park Blvd.Richardson, TX
(972) 883-b3637
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