Communication. Your NHS Hearing Aid with Earmould. Hints and tips for friends and family. Minimise background noise. Attract attention before speaking
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1 Communication Norfolk and Norwich University Hospitals NHS Foundation Trust Hints and tips for friends and family Minimise background noise Attract attention before speaking Your NHS Hearing Aid with Earmould Speak clearly and not too fast Face the person, be sure your mouth is visible Get to the point. Make sure the topic of conversation is clear Include people. Tell them what you are talking or laughing about Speak one at a time Be patient Repeat, rephrase, or write it down Remember, communication is a two way responsibility 24 Date of review:07/10/ Audiology Services
2 Contents Inserting the earmould Inserting the earmould... 2 Changing the batteries... 3 New batteries... 4 Cleaning... 5 Changing your tubing... 6 Troubleshooting... 7 Hearing aid repair clinics... 8 Other services... 9 Useful contacts Communication To insert the earmould, hold it with your thumb and forefinger on the outer side near the tubing. Gently insert the canal tip into your ear canal. At this point you may need to pull down your earlobe with your other hand. Then gently press the earmould into place with your finger. Ensure the top part of your mould is securely under the fold at the top of your ear. Our Vision To provide every patient with the care we want for those we love the most 2 Audiology Department Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY Tel: Fax: audiology audioadmin@nnuh.nhs.uk Carefully place the instrument over the top of the ear until it rests securely in place. To remove, take the instrument from behind your ear and gently pull the earmould outward. Pulling down on the earlobe may help loosen the earmould as it is removed. 3
3 Changing the battery New batteries You can obtain free batteries from any of these centres on presentation of your battery card or By Post: Send your battery card to the address on the back of the card and new batteries will be posted to you. Remove your old battery (these can be recycled). When inserted, the battery should be smooth side up. If the battery is inserted the wrong way up, the hearing aid will not work and may become damaged. The battery should last approximately 7-10 days Please store and dispose of batteries carefully. Keep out of the reach of children. If swallowed, seek medical attention immediately. Batteries can cause severe internal burns. 4 Norwich Adelaide Health Centre Bacon Road Surgery Bates Green Health Centre Bowthorpe Health Centre Drayton & St Faiths Medical Practice East Norwich Medical Partnership (Sprowston) Magdalen Medical Practice NNUH/ENT Reception Norwich Community Hospital Reception Oak Street Surgery Old Catton Medical Practice Roundwell Medical Centre Sprowston Medical Centre St Stephens Gate Medical Practice Thorpewood Medical Group Timber Hill Medical Centre West Earlham Health Centre 5
4 New batteries Outside Norwich Aldborough Surgery Attleborough Health Centre Aylsham Market Surgery Birchwood Surgery, North Walsham Brundall Medical Centre Churchill Surgery, Pulham Market Coltishall Medical Practice Cromer Hospital Dereham Hospital Diss Health Centre East Harling Surgery Fakenham Health Centre Harleston Medical Practice Humbleyard Practice Mulbarton Kelling Pharmacy, Holt Loddon Chet Valley Medical Practice Long Stratton, Swan Lane Millgate Surgery, Hempnall Mundesley Medical Centre Newton Flotman Surgery North Walsham Hospital Poringland Old Mill Surgery Reepham Surgery Sheringham Health Centre Stalham Staithe Centre Taverham Surgery Thetford Healthy Living Centre Watton Medical Practice Wells Surgery Wroxham & Hoveton Med Prac Wymondham Health Centre Batteries can also be obtained from the Listen Here Bus run by the Norfolk Deaf Association at towns and villages throughout Norfolk (see page 11 for NDA contact details to obtain a timetable) 6 7
5 Cleaning Changing your tubing Daily care Your earmould must be kept clean to avoid wax buildup. Wipe the earmould with a damp cloth or wet wipe. Check for any blockages in the tubing. Weekly care Separate your hearing aid from the earmould by pulling the flexible tube from the rigid hook (fig.1). Take care not to pull the tubing from the earmould. Place the hearing aid somewhere dry and safe. Wash the earmould in warm soapy water. You may use a small brush to help remove any wax. Rinse with fresh water. Shake or blow out excess water. Leave the earmould somewhere to dry, preferably overnight, before attaching to aid. 1.Cut one side of the tubing diagonally, so it tapers at the end. Avoid cutting too close to the bend. 2. Thread the tapered tube through the earmould to the bend. 3. Cut the tapered end of tubing flush to the tip of the earmould. 4. Using the old piece of tubing as a guide, cut the new tube at the same length.this can now be attached to your hearing aid. 8 (fig.1) New tubing can be obtained from the Audiology Department and the NDA Listen Here Bus. 9
6 Troubleshooting Problem No Sound Possible Cause Aid not turned on. Battery not inserted correctly. Dead Battery. Blocked earmould. Condensation in tube. Action Turn aid on. Insert battery correctly. Replace battery. Check and follow advice for cleaning. Check tubing and blow out. For any adjustments to the sound of your digital hearing aid or fine tuning, you must make an appointment with the Audiology Department. Please phone: Whistling or buzzing when in ear Mould not inserted correctly. Excess wax in your ears. Take mould out and insert carefully. Have your practice nurse check and remove any wax if necessary. Damaged tubing. Replace tubing. Aid is on the loop program. Turn aid off. Turn on to reset. Cracked/Loose earmould. Attend repair clinic. Unknown 10 Attend repair clinic 11
7 Hearing aid repair clinics Attend the clinic for: 6 monthly change of tubing 6 monthly change of filters (certain models of Phonak aids only) Cracked or loose mould Uncomfortable mould Cracked, loose or hard tubing Broken or damaged aid* Lost aid* Please bring your battery card or book The Norfolk and Norwich Repair Clinic No appointment necessary Monday Tuesday Wednesday Thursday Friday 8:45-12:15 8:45-12:15 8:45-12:15 8:45-12:15 8:45-12:15 Cromer Repair Clinic Attendance by appointment only. To book at Cromer Hospital please phone: :45-16:45 No Clinic 13:45-16:45 No Clinic 13:45 16:45 *There is a 55 + VAT charge for hearing aids lost or damaged through lack of care
8 Other services Hearing Therapy The Audiology department has a Hearing Therapy service. This offers help to patients with tinnitus and hyperacusis, which is a difficulty coping with certain sounds. The service can also help you and your family come to terms with your Hearing Loss. Lip-reading tuition and advice on communication tactics for home and the workplace are also offered. Please ask your Audiologist or GP about a referral. Assistive Listening Devices (ALD s): Advice can be given on ALD s. Please ask for an appointment if you require further help with: Hearing on the telephone Hearing the doorbell Hearing the alarm clock Listening to TV or radio Hearing in banks, theatres or churches Listening to music Wireless streamers Or contact the Norfolk Deaf Association Available to purchase from Audiology: Earmould puffers to clear condensation from earmould tubing C2Hear Hearing Aid DVD an educational DVD for new hearing aid users covering topics such as how to insert your earmould, using the phone, troubleshooting and retubing The Norfolk Deaf Association Our mission is to improve the lives of young people and adults with all degrees of hearing loss through information, support, awareness and communication
9 Other services Hearing Support Service For general advice and maintenance of your hearing aid through static clinics and the Listen Here mobile clinic. Static clinics: At locations throughout Norfolk Mobile clinics: The Listen Here bus at towns and villages throughout Norfolk Home Visits: For those who are housebound and unable to visit the static or mobile clinics Assistive Listening Devices Timetables and locations for both static and mobile clinics are available on the NDA website or from the Audiology Department Hearing aid user support group A group where new users can ask questions about their hearing aids and seek practical support. Befriending Service Provides companionship, reduces isolation and improves confidence. Tinnitus Support Group Regular support meetings Deaf Awareness Training Training is provided for public and private sectors, Charities and community organisations Hard of Hearing Club A self help group that offers support and facilitates social networks and activities 16 17
10 Useful contacts Our Vision To provide every patient with the care we want for those we love the most Audiology Department Norfolk & Norwich University Hospital,Colney Lane Norwich NR4 7UY Telephone: Fax: nnuh.nhs.uk Providing support to deaf people and their families. Deaf Connexions Unit 14, Capitol House, 4 Heigham Street, Norwich NR2 4TE Telephone: Textphone: mail@deafconnexions.org.uk The Norfolk Deaf Association 120 Thorpe Road, Norwich NR1 1RT Norfolk Fire & Rescue Service Whitegates, Hethersett, Norwich NR9 3DN Supporting the deaf and hard of hearing in Norfolk Tel/Textphone: Fax: nda@norfolkdeaf.org.uk Provide a free assessment and fitting service for smoke alarms with a strobe light and vibration pad. Telephone: Text: Minicom: home.safety@fire.norfolk.gov.uk
11 Useful contacts A charity providing support, care and training for those with hearing loss or tinnitus. Action On Hearing Loss Featherstone Street, London EC1Y 8SL Telephone: Textphone: webteam@hearingloss.org.uk This is a government department that can offer help with equipment and advice in the workplace. Job Centre Plus Operational Support Unit, Harrow Jobcentre Plus, Mail Handling Site A Wolverhampton WV98 1JE Telephone: Textphone: atwosu.london@jobcentreplus. gsi.gov.uk The British Deaf Association is the largest organisation of Deaf people in the UK that is run by Deaf people. British Deaf Association 18 Leather Lane, London EC1N 7SU Telephone: bda@bda.org.uk 20 21
12 Communication Things to think about for good communication. The Telephone The Environment Lighting Furnishings Position Help Yourself Make sure the speaker s face is well lit. Soft furnishings reduce echo, for example using table cloths and mats can reduce cutlery/crockery noise. Always try to minimise background noise. eg. sit with your back to a wall in a noisy restaurant. Position Type Instead of holding the phone against your ear canal, hold the earpiece of the phone to the top of your ear, against the microphone located towards the front of your hearing aid. If your hearing aid has the loop setting and your telephone includes an induction loop, use your phone in the following way: Hold the earpiece of the phone against the back of your hearing aid, try different places until the sound becomes clearer. Be Open Be Observant Be Positive 22 Tell people about your hearing loss. Ask them to get your attention before speaking. Watch for facial expressions, lip patterns and hand gestures. These all give clues to the conversation. Don t be afraid to ask the speaker to repeat themselves. Encourage people to start a conversation with the topic. Induction Loop Ask your Audiologist about the LOOP/ TELECOIL.This may be useful in many situations including: On the telephone At the bank The theatre At church Supermarkets Lecture theatres Anywhere this sign is displayed 23
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