Products. to help with hearing loss and tinnitus

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1 Products to help with hearing loss and tinnitus

2 I have some excellent products that make life with hearing loss a lot easier. I bought a vibrating travel alarm clock after I stayed in a B&B and was woken by the red-faced owner my traditional alarm clock had failed to wake me for an early ferry but had woken up other guests! My new alarm clock wakes me with earthquake-like tremors, while other guests sleep on peacefully. Another asset is an amplified smartphone, which allows me to hear the caller s voice clearly. I also bought an amplified home telephone for my mother. My father used to deal with phone calls, but after he passed away, she struggled. She can now make calls, and feels independent and confident. For the first time in years, we re able to catch up over the phone it s wonderful. Sheena Lee, Oxfordshire, pictured with her mother, Jane Lee

3 You ll find this leaflet useful if you have hearing loss or tinnitus (or both) and want to find out what products can help at home, at work and when out and about. Contents What products can help with my hearing loss?...4 What are assistive listening devices? What can alert me to sounds at home? What can help me use my home phone? Which mobile phones are compatible with hearing aids?...13 How can a smartphone help? How can Bluetooth technology help? How can a textphone help?...16 What products can help with tinnitus?...16 Can I get help with paying for equipment?...17 Where can I get more information and support?....18

4 4 Products to help with hearing loss and tinnitus What products can help with my hearing loss? There are lots of great products that can help you to manage your hearing loss, whatever its level. Your level of hearing loss is determined by the quietest sounds that you can hear (see table below), measured in decibels Hearing Level (dbhl). Ask your audiologist (hearing specialist) if you re not sure what it is. Level of hearing loss Mild Moderate Severe Profound Quietest sounds you can hear, measured in dbhl (quiet background noise) (average speech levels) (car engine, train, doorbell, alarm clock and other alerting devices) 95+ (heavy machinery, music concerts) What this means for communication You may miss quieter speech, and speech when there s noise. You are likely to mishear words and struggle in background noise and group conversations. Hearing speech in most situations is difficult, even with hearing aids. You re more likely to lipread and need assistive devices to help you communicate. It s likely that hearing aids won t help you to hear speech (they ll only help you to identify which direction sounds come from). You ll need to use assistive devices and communication tactics such as lipreading, and you may prefer to use sign language to communicate.

5 actiononhearingloss.org.uk 5 It s important to check that a product is suitable for your level of hearing loss before you buy it. If you are looking for a product to help you hear speech, also check that it can help with the particular difficulties you are having hearing loss can affect people s ability to hear speech in different ways, regardless of their level of hearing loss. To make sure a product can help you, always ask to try it before you buy it, and make sure the product has a 28-day money-back guarantee, so you can return it if you find it s not suitable for you. What are assistive listening devices? Assistive listening devices can help you to hear speech, TV and other sounds more clearly. There are many different types. Conversation listeners Conversation listeners improve the volume and clarity of speech and other sounds, reduce background noise, and allow you to adjust the high and low tones (treble and bass) to suit your particular type of hearing loss. Standard conversation listeners These usually let you listen to sounds that are up to 1m away. You simply point the listener in the direction you want to listen and it will amplify the sound (make it louder) for you. If you use hearing aids, you can use the listener with either: ear hooks, which fit over your ears, next to your hearing aids a neckloop, which you wear around your neck, like a necklace.

6 6 Products to help with hearing loss and tinnitus You plug the ear hooks or neckloop into the listener and the sound is transferred directly to your hearing aids when they are switched to the hearing loop setting (the T setting). If you don t use hearing aids, you can connect headphones, earphones or a stethoset to the conversation listener. Advanced conversation listeners These are more expensive, but the main advantage is that they are better at picking up sound clearly over greater distances for example, across a room. All advanced listeners consist of a transmitter and a receiver. The transmitter contains a microphone and you give this to, or place it near, the person or people speaking. You wear the small receiver, which wirelessly receives sound from the transmitter and amplifies it. Some receivers also contain a microphone, which lets you pick up sounds near you (when you want to). If you use hearing aids, a neckloop will transfer the sound from the receiver to your hearing aids (sometimes the receiver itself is a neckloop). If you don t use hearing aids, you can connect headphones, earphones or a stethoset to the receiver. The features of advanced conversation listeners vary, according to the cost of the device, but you can usually: switch between picking up sound from a distance (of up to 20m) or nearby (through a microphone in the receiver) focus on one voice at a time pick up sounds from all directions for example, you can place the listener on a table and hear everyone around it clearly.

7 actiononhearingloss.org.uk 7 Advanced listeners are ideal when you re out and about and need to hear conversations at a distance for example, at dinner parties, meetings, presentations and lectures. You can also use them at home for listening to the TV. Some venues provide advanced conversation listeners for example, for use on guided tours; the guide wears the transmitter and you wear the receiver. TV listeners TV listeners let you listen to the TV at a volume you are comfortable with, without disturbing anyone else. They also have many features to make the sound much clearer. They consist of: a transmitter, which you place near your TV a wireless listening aid this is a neckloop if you use hearing aids, and a stethoset if you don t. Some TV listeners may stop the sound from coming out of your TV s speakers. Ask the retailer for more information. Neckloops and ear hooks Neckloops and ear hooks are designed for people who use hearing aids that have a hearing loop setting (speak to your audiologist if you don t have this). You plug them in to the headphone socket on music players and mobile phones, and they send the sound directly to your hearing aids, helping you to hear the sound more clearly over background noise. Another benefit of using a neckloop or ear hooks is that you can listen hands-free, and hear sound for example, a caller s voice through

8 8 Products to help with hearing loss and tinnitus both of your hearing aids at the same time. To use a neckloop or ear hooks, you will need to switch your hearing aids to the loop setting. You wear a neckloop around your neck, like a necklace, and ear hooks fit over your ears, next to your hearing aids. Both products do the same job just choose which one you prefer. You can also get Bluetooth-compatible neckloops and ear hooks that connect wirelessly with Bluetooth-compatible mobile phones and other devices (see How can Bluetooth technology help?, page 15). Headphones Headphones may be useful if you have a mild to moderate hearing loss. They allow you to listen to music or watch TV at a louder volume without disturbing others. Most TVs, radios and music players have a headphone socket. On some TVs, plugging in your headphones will cut out the sound from the TV s speakers, which means others won t be able to watch at the same time. Some TVs even have this problem with cordless headphones check with the retailer before you buy. Cordless headphones There are two types of cordless headphone: infrared and radio. Both types receive signals from a transmitter connected to a sound source, such as a TV set or music player. Walls block infrared signals, so infrared headphones can only receive signals in the same room as the transmitter. Radio signals are not blocked by walls, so radio cordless headphones can receive the signal anywhere in your home.

9 actiononhearingloss.org.uk 9 Hearing loop systems A hearing loop system (often just called a loop) can help you to hear sound more clearly over background noise if you use hearing aids switched to the loop setting or have a loop listener. Ask your audiologist about the loop setting if your hearing aids don t already have it. You ll find loops in public places such as theatres and cinemas. Banks and post offices often have small loop systems at their counters. You can also get loop systems for use at home and in the car. You can fit a loop system at home yourself, following the manufacturer s instructions. If you think you could benefit from a loop in your car, speak to your car dealer or garage about having one fitted. Some loops can be powered from the vehicle s cigarette-lighter socket, which makes installation easy. How do loop systems work? Loop systems have an amplifier that plugs into a sound source such as a TV or a microphone, and a wire cable (loop) that runs around the edge of the room (or other listening area) and plugs into the amplifier. The electric current in the loop produces a magnetic field that sends sound from the source directly to your hearing aids (or loop-listening device). The loop Sound source Hearing loop amplifier Hearing aid

10 10 Products to help with hearing loss and tinnitus Infrared systems Some venues, such as theatres, cinemas and lecture halls, have an infrared system instead of a hearing loop. These work in a similar way to TV listeners (see page 7). You can collect either a neckloop or stethoset receiver from the venue s reception desk. To find out more, see our Products and technology range of factsheets. What can alert me to sounds at home? There s a wide range of equipment that is extra loud, uses flashing strobe lights and/or vibrates to alert you to sounds at home. You can buy equipment to alert you to a particular sound, such as your doorbell, or a multi-alerting system that can alert you to different sounds around your home, such as your doorbell, telephone and smoke alarm. Please note: a flashing light is unlikely to wake you. Alarm clocks An extra-loud alarm clock may wake you if you have mild to moderate hearing loss. An alarm clock with a vibrating pad that goes under your pillow or mattress will be more likely to wake you if you have moderate, severe or profound hearing loss. It may also be worth considering a vibrating alarm if you share a room with a person with normal hearing, as an extra-loud alarm may be too loud for them. There are also vibrating wristwatches and travel alarm clocks.

11 actiononhearingloss.org.uk 11 Baby monitors Baby monitors for people with hearing loss use a vibrating pad and/or flashing light to let you know your baby is crying. You can also get baby monitors that let you see your baby on your TV screen. Smoke alarms Ordinary smoke alarms make a piercing, high-pitched sound. If you have moderate, severe or profound hearing loss (especially in the high pitches), or take your hearing aids out before you sleep, an ordinary smoke alarm may not be loud enough to alert you. To make sure you are alerted if there is a fire, choose a smoke alarm designed for people who are deaf or have hearing loss. These have a vibrating pad that goes under your pillow or mattress and vibrates if the smoke alarm goes off. They also have flashing lights to alert you when you are awake. Your local fire service can carry out a free home-safety check and may be able to install a smoke alarm for you. Contact your local fire service to find out more. Please note: If you have mild to moderate hearing loss, or use hearing aids, you may be able to hear a smoke alarm when you re awake, but you may not hear it when you re asleep or when you take out your hearing aids.

12 12 Products to help with hearing loss and tinnitus Doorbells If you have mild hearing loss, you may only need a louder doorbell or one with a different sound that s more suitable for your hearing loss. You may also be able to add an extension bell in one or more rooms, if you have a problem hearing the doorbell chime because it s too far away. If you have moderate, severe or profound hearing loss, a flashing light wireless doorbell or pager system may be more suitable. You can find more information about these products in our Products and Technology range of factsheets. What can help me use my home phone? Help to hear the phone ring If you can t hear the phone ring, first check to see if you can turn up the volume of the ringer or change its pitch. Try placing your phone on a hard surface, as this may make the ring sound louder. If you still can t hear your phone ring, you could use a telephone alerter, which uses a loud ringer and flashing light to let you know your phone is ringing. Some also come with a vibrating pad. Help to hear the caller s voice If you have trouble hearing the caller s voice, an amplified phone can make the sound louder. These phones also have an extra-loud ringer. Some have a built-in flashing light to attract your attention when the phone rings.

13 actiononhearingloss.org.uk 13 Alternatively, if your existing phone is corded, you could try an amplifier, which either fits over the earpiece of the handset, or is connected between the base and handset of the phone. Hearing aid-compatible phones Some phones are hearing-aid compatible, which means you should be able to hear more clearly if you switch your hearing aids to the hearing loop setting. Ask your audiologist about this setting if you don t already have it. If you can, always try a phone before you buy it. Find out more in our factsheet Home telephones. Which mobile phones are compatible with hearing aids? Most mobile phones and smartphones (see page 14) interfere with hearing aids, causing an annoying buzzing sound. However, you can buy phones that are specifically designed for use with hearing aids on the loop setting these create less interference and, therefore, no buzzing. You can identify these mobiles and smartphones through the M and T ratings given by the manufacturer. M refers to how well the mobile works with hearing aids on the microphone setting and T refers to how well it works with hearing aids on the hearing loop setting. Only phones with both M and T ratings of 3 or 4 are likely to work well with hearing aids and have less buzz or no buzz at all. Any combination is acceptable: M3/T3, M3/T4, M4/T3 and, best of all, M4/T4.

14 14 Products to help with hearing loss and tinnitus Some manufacturers use the hearing loop symbol (right) to show that a mobile can be used with hearing aids on the loop setting. Always try out any mobile you re thinking of buying. If your existing mobile phone, or one you d like to buy, interferes with your hearing aids, then a neckloop or ear hooks (see page 7) can help you to hear the caller s voice more clearly. emergencysms service If you can t make voice calls, you can contact the 999 emergency services by SMS text from your mobile phone using the emergencysms service. You ll have to register your mobile phone with the service before an emergency happens. Visit emergencysms.org.uk to find out more. How can a smartphone help? A smartphone is a mobile that typically has a touchscreen and internet access, and is capable of running downloaded software applications (apps). You can buy smartphones that are specifically designed for use with hearing aids, in the same way that other mobile phones are (see page 13). There are thousands of apps available to download onto your smartphone, including free instant-messaging apps that let you send text, picture and video messages, for free, to other app users, when connected to the internet. Some apps, such as NGT Lite (see page 16), are specifically designed to help people who are deaf or have hearing loss communicate.

15 actiononhearingloss.org.uk 15 You can also download apps to help with tinnitus (noise in the ears or head) they play soothing sounds to relax you and distract you from paying attention to your tinnitus. Make your smartphone easier to use You can make your smartphone easier to use by making the most of the accessibility features that you ll find in the phone s settings. There are different features, which include options for making text easier to read, having text read as speech, making the touchscreen easier to use, and adjusting the audio settings to suit your particular hearing loss and/or hearing aids. Always try a smartphone before you buy it, to make sure it s suitable for you. See our factsheet Communicating online to find out about other apps that can help with deafness, hearing loss and tinnitus. How can Bluetooth technology help? Bluetooth technology connects Bluetooth-compatible electronic devices, wirelessly, when they are within 20m of each other. Wireless hearing aids can be linked to a Bluetooth streaming device, neckloop or ear hooks to link them with Bluetooth-compatible mobile phones and smartphones, personal music players, computers, tablets, TVs and other devices. This means you can turn your hearing aids into wireless headsets and listen hands-free, through both hearing aids at the same time. There are also a few types of Bluetooth-compatible hearing aid that don t require a streaming device, neckloop or ear hooks. These are referred to as Made for iphone (MFi) hearing aids. Ask your audiologist about your options.

16 16 Products to help with hearing loss and tinnitus How can a textphone help? A textphone has a keyboard and display screen. You type what you want to say rather than speaking into a mouthpiece. You can use a textphone to contact another textphone user, or use the Next Generation Text service (see below) to contact a telephone user. For more information, see our factsheet Textphones. Next Generation Text (NGT) service The NGT service has replaced Text Relay as the service that provides relay assistants to translate calls between textphone users and telephone users. During a call, a relay assistant speaks the words typed on a textphone and types the words that are spoken, so they appear on the textphone user s screen. You no longer need a textphone to use a relay assistant, thanks to the free Next Generation Text (NGT) Lite app, which you can download onto your smartphone, tablet or computer. The app lets you connect to a relay assistant from your device, and you can have text-message conversations with others who have the app. To find out more, visit the NGT website: ngts.org.uk What products can help with tinnitus? If you have tinnitus (noise in your ear(s) or head that doesn t have an external source), your tinnitus specialist may recommend that you use a sound generator as part of a tinnitus management programme. These devices produce a range of soothing sounds, normally including the shhh sound known as white noise. Some sound generators look like hearing aids and fit behind, and in, the ear only professionals can provide them. Other types are known as tinnitus relaxers about the size of an alarm clock, they play

17 actiononhearingloss.org.uk 17 recordings of sounds such as the sea, birdsong or rain. You may be able to get one on loan from your tinnitus clinic, or you can buy one. You can also get sound pillows or under-the-pillow speakers, which you can plug into your radio, music system or tinnitus relaxer to help you sleep at night. See our leaflet Understanding tinnitus and contact our Information Line (see back page) to find out more. Can I get help with paying for equipment? Your local council s sensory services team may be able to provide equipment or help to pay for it. You ll need a referral from your audiologist, which should specify the type of equipment you may require, as well as a copy of your latest hearing test. To find out more, ask your audiologist or contact your local sensory services team. The government s Access to Work scheme may help to pay for equipment you need at work or for job interviews. Visit (nidirect.gov.uk/articles/access-work-practical-help-work in Northern Ireland). The Equality Act 2010 (Disability Discrimination Act 1995 in Northern Ireland) may require service providers such as hospitals, GP surgeries and education providers to provide equipment for people who are deaf or have hearing loss. See our Your rights range of factsheets to find out more. If you re in post-18 education, you may be eligible for Disabled Students Allowances (DSAs) to help pay for any equipment and/or communication support you need. See our leaflet Understanding benefits for more information.

18 18 Products to help with hearing loss and tinnitus Where can I get more information and support? Action on Hearing Loss has a wide range of expert information on deafness, tinnitus and hearing loss, and what can help you take control: choosing hearing aids, learning to lipread, using communication support, understanding your rights, and getting the right support. You can find our leaflets and factsheets on our website at actiononhearingloss.org.uk/factsheets or order copies from our Information Line (see back page for contact details). Please let us know if you d like our information in large print, Braille or audio. You can also contact our Information Line or visit actiononhearingloss.org.uk for free, reliable information, and to find out about: services in your area, becoming a member and receiving our magazine, the latest research developments, choosing the right products, and getting involved as a volunteer or supporter. Information you can trust The Information Standard certifies us as producers of high-quality, evidence-based information. For a list of references for this leaflet, please references@hearingloss.org.uk Did you find this information helpful? We d love to have your feedback please us at reviewpanel@hearingloss.org.uk If you d like to join our Readers Panel, to help us create new publications and improve our existing ones, please let us know.

19 Visit the Action on Hearing Loss shop TODAY Our shop features the latest products and technology to help with hearing loss and tinnitus, and our experienced Customer Services team is here to support you to choose the product that s right for you. All proceeds from product sales go back into supporting Action on Hearing Loss. Get 5% off your order!* Shop online at actiononhearingloss.org.uk/shop Use the code Shop1 To order your free Product Catalogue, or to find out which products could help you, look online or contact our Customer Services team: Telephone Textphone solutions@hearingloss.org.uk * Excluding postage and packaging and VAT. Discount code expires 31/03/2018.

20 Action on Hearing Loss (formerly RNID) is the largest UK charity helping people who are confronting deafness, tinnitus and hearing loss. We give support and care, develop technology and treatments, and campaign for equality. We rely on donations to continue our vital work. To find out more, visit actiononhearingloss.org.uk Questions about deafness, tinnitus or hearing loss? Contact our free, confidential Information Line: Telephone Textphone SMS (standard text message rates apply) Join us Action on Hearing First published: January Updated: January Next review date: January Action on Hearing Loss is the trading name of The Royal National Institute for Deaf People. A registered charity in England and Wales (207720) and Scotland (SC038926). A1230/0217

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