developed by hla-wake county, raleigh, nc hearing loss even if you don’t have a hearing loss: you...
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Developed by HLA-Wake County, Raleigh, NC
Hearing Loss
Even if you don’t have a hearing loss:
You probably care about someone who does
Your odds of having a hearing loss in the future are pretty good.
Why You’re Here
Developed by HLA-Wake County, Raleigh, NC
Hearing Loss
How We Hear Understanding Hearing Loss Getting Help Getting Good Technical Solutions Hearing Loss Association of America
An Introduction
Developed by HLA-Wake County, Raleigh, NC
It’s a MiracleHow We Hear
Nerve
Ossicles
Ear Drum
Semi Circular Canals
Cochlea
Developed by HLA-Wake County, Raleigh, NC
Amazing Capability (when it works)
Whisper to Jet Plane (1 : 1,000,000)
Rumble to a Sizzle (20 to 20,000 Hz)
Localization Know Where Sound is Coming From Automatically Suppress Unwanted
Sound
How We Hear
Developed by HLA-Wake County, Raleigh, NC
Serious Impact (when it fails)
Lose some sounds (usually consonants)
Tinnitus (ringing in the ears) Can’t Hear in Noise Loss of Localization
Don’t Know Where Sound is Coming From Can’t Suppress Unwanted Sounds
Can Affect Your Life Can Affect Those Around You
How We Hear
Developed by HLA-Wake County, Raleigh, NC
You Are Not Alone
U.S. population 270+ million 2 million Deaf 26 million Hard of Hearing
1 of every 10 people has a hearing loss
Over age 65, 1 in every 3 persons has some degree of hearing loss
80% of hard of hearing people are in denial
Understanding Hearing Loss
Developed by HLA-Wake County, Raleigh, NC
Untreated Hearing Loss
Sadness and depression Worry and anxiety Paranoia Less social activity Emotional turmoil and insecurity
Source: National Council on the Aging, May 1999
Understanding Hearing Loss
Developed by HLA-Wake County, Raleigh, NC
Treated Hearing Loss
Better relationships with their families
Better feelings about themselves Improved mental health Greater independence and security
Source: National Council on the Aging, May 1999
Understanding Hearing Loss
Developed by HLA-Wake County, Raleigh, NC
Types of Hearing Loss
Common Audiogram Curves High Frequency Loss (Ski Slope) Low Frequency Loss (Reverse Ski
Slope) Mid-range Loss (Cookie Bite) Flat Loss
Sensorineural, Conductive, Mixed Timing Gradual/Sudden/Fluctuating
Understanding Hearing Loss
Source: National Council on the Aging, May 1999
Developed by HLA-Wake County, Raleigh, NC
“Normal” HearingUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Vowels
Consonants
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Mild High Frequency LossUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Note: These are illustrations only they are not meant to be precise.
Developed by HLA-Wake County, Raleigh, NC
Moderate High Frequency LossUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Developed by HLA-Wake County, Raleigh, NC
Moderate/Severe High Frequency LossUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Developed by HLA-Wake County, Raleigh, NC
Severe/Profound High Frequency LossUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Developed by HLA-Wake County, Raleigh, NC
Reverse Ski SlopeUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Developed by HLA-Wake County, Raleigh, NC
Cookie Bite Hearing LossUnderstanding Hearing Loss
Source: National Council on the Aging, May 1999
0 Hz 20000 Hz
No Loss
No Hearing
Developed by HLA-Wake County, Raleigh, NC
Common Causes of Hearing Loss
Acoustic Trauma (Noise) Age related Genetic Ototoxic Drugs Illness (examples)
Autoimmune Disease Meniere’s Syndrome Acoustic Neuromas
Understanding Hearing loss
Developed by HLA-Wake County, Raleigh, NC
Start With Professionals
Audiologist CCCA AuD
Ear Doctor ENT Otologist Otolaryngologist Otorhynolaryngologist
Getting Help: First Steps
It’s important to have a thoroughaudiological workup; not just a hearing screening.
It’s important to have a doctordetermine whether there are anytreatable medical conditions; some are life threatening.
Developed by HLA-Wake County, Raleigh, NC
Learn From Others
HLAA (www.hearingloss.org)
Internet (handout) Web Pages Listserves/Groups/Bulletin Boards/Chat Sessions
DSDHH (most states have programs for Deaf and Hard of Hearing) Regional Resource Centers Equipment Distribution
Assistive Technology Program (all states have)
Equipment Demonstration Free Consultations
Getting Help: Next Step
Developed by HLA-Wake County, Raleigh, NC
Do Something
You have a hearing loss: Get Over It! Polish Your Coping Skills Help Your Friends and Family Buy and Learn How to Use Hearing Aids Take Advantage of Assistive
Technology Pass on What You Learn Advocate
Getting Help: Help Yourself
Developed by HLA-Wake County, Raleigh, NC
Coping Skills
Don’t Bluff Explain, Don’t Just Say “Huh” Choose Your Situation
(noise/position/lighting)
Plan Ahead Confirm Understanding Keep Your Sense of Humor (See Detailed Tips on Handout)
Getting Good
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Hearing Aids
Microphone/Amplifier/Speaker Selectively Make Things Louder Can Make a Huge Difference Won’t Completely Correct Your
Hearing You’ll Likely Still Have Trouble
In Noise At a Distance
Technical Solutions
Both of these can be overcome with ALDs
Developed by HLA-Wake County, Raleigh, NC
Hearing Aids (How to Buy)
Audiologists/Hearing Aid Dealers Facilities
Joint with Dr’s Office vs. Private Practices “House Brands” vs. Multi-Brand Big Box Stores Web
Fitting is an art … not like glasses At least 30 day trial period Your #1 PRIORITY is Better Hearing
Technical Solutions
Developed by HLA-Wake County, Raleigh, NC
Hearing Aid Types
Basic Styles BTE ITE ITC CIC
Middle Ear Implantable Bone Conduction/BAHA CROS/BiCROS Disposable
Technical Solutions
Developed by HLA-Wake County, Raleigh, NC
Hearing Aid Features (Quick Tour)
Volume Control Telecoil Multiple Microphones (Noise Control) Programmable Feedback Control Compression/Clipping Digital vs. Analog Direct Audio Input Remote Controls FM
Technical Solutions
Developed by HLA-Wake County, Raleigh, NC
Cochlear Implants
Surgically Placed Electrode Directly Stimulates Cochlea External Processor with Microphone Only for VERY Serious Losses Amazing Successes Some Moderate Successes Very Few Complete Failures Most Likely Destroys Residual
Hearing
Technical Solutions
Developed by HLA-Wake County, Raleigh, NC
Assistive Listening (ALDs)
Transmission Hard Wired Magnetic (loop) FM IR
User Interface Headphones NeckLoop and Silhouette Direct Audio Input (DAI)
Technical Solutions
Hear Better:Meetings/Classroom
In the car
Noisy Restaurants
Telephone
TV/Stereo
Movies
Computer
Solves• Distance• Noise
Developed by HLA-Wake County, Raleigh, NC
Telephones
Hearing Aid Compatible (HAC) CallerID Volume Control Ringer Volume Control High Frequency Boost Flashing Lights Jack (for ALDs) FM and Bluetooth
Technical Solutions
HAC effectiveness varies greatly on mainstream phone.
Special phones exist for Hard of Hearing people for serious features.
Developed by HLA-Wake County, Raleigh, NC
Beyond Telephones
Relay IP Relay CapTel
Technical Solutions
And, don’t forget, there’s FAX, Email Instant Messaging, and SMS now. These are often more convenient than telephones or Relay.
You Other Party
CA
Developed by HLA-Wake County, Raleigh, NC
More Assistive Solutions
Flashers for Doorbell and Phone Baby Criers Vibrating Alerters and Bed Shakers Alarm Clocks (Loud, Vibrating, Light
Flashing) Fire Alarms with Strobe Lights Captions
Closed Open Subtitles
Technical Solutions
Developed by HLA-Wake County, Raleigh, NC
What is HLAA?
Hearing Loss Association of America (HLAA), formerly Self Help for Hard of Hearing People (SHHH)
A new organization (started 1979). A new name (starting in 2006) Mission: to open the world of
communication to hard of hearing people by providing education, information, support, and advocacy.
Grassroots network of over 250 chapters/groups across U.S.
HLAA
Developed by HLA-Wake County, Raleigh, NC
Non-Profit Organization
HLAA (the National Organization) Education and Advocacy $25 Membership (Join at www.hearingloss.org) Great Magazine and National Convention Discounts
HLA-xx (where xx = State Abbreviation) State-Level Associations of HLAA Coordination and Advocacy at the State Level Established in many states, now
Local Chapters In many cities across the country Real “End-User” Support through volunteers
HLAA
Developed by HLA-Wake County, Raleigh, NC
HLAA Helps You Learn About
Hearing loss in general Latest developments in hearing
aids, Cochlear Implants and assistive technologies
Latest advances in medical research Relevant legislative issues Getting your life back Helping yourself … and others
HLAA
Developed by HLA-Wake County, Raleigh, NC
HLA-Wake County Chapter
Formed in early 80’s Averages about 40 members All volunteer No dues; everyone welcome Funded by Donations (including
SAS) Meets monthly Third Thursday every month Cary Senior Center
HLAA
You may have toDRAG someone you care about!
My Wife Dragged Me!
Developed by HLA-Wake County, Raleigh, NC
It’s Up To You
Never Been a Better Time to be HoH! There’s plenty of help; you’re not
alone. Only you can accept that help It can improve your life It can put you back in control Isn’t it time? Questions and
Answers
HLAA