Hearing Loss. Even if you don t have a hearing loss:
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- Shannon Cummings
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1 Hearing Loss Why You re Here 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.
2 An Introduction Hearing Loss How We Hear Understanding Hearing Loss Getting Help Getting Good Technical Solutions Hearing Loss Association of America
3 It s a Miracle How We Hear Semi Circular Canals Ossicles Nerve Ear Drum Cochlea
4 Amazing Capability (when it works) How We Hear 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
5 Serious Impact (when it fails) How We Hear 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
6 You Are Not Alone Understanding Hearing Loss 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
7 Untreated Hearing Loss Understanding Hearing Loss Sadness and depression Worry and anxiety Paranoia Less social activity Emotional turmoil and insecurity Source: National Council on the Aging, May 1999
8 Treated Hearing Loss Understanding 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
9 Types of Hearing Loss Understanding 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 Source: National Council on the Aging, May 1999
10 Normal Hearing Understanding Hearing Loss No Loss Consonants Vowels No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
11 Mild High Frequency Loss Understanding Hearing Loss No Loss Note: These are illustrations only they are not meant to be precise. No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
12 Moderate High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
13 Moderate/Severe High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
14 Severe/Profound High Frequency Loss Understanding Hearing Loss No Loss No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
15 Reverse Ski Slope Understanding Hearing Loss No Loss No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
16 Cookie Bite Hearing Loss Understanding Hearing Loss No Loss No Hearing 0 Hz Hz Source: National Council on the Aging, May 1999
17 Common Causes of Hearing Loss Understanding Hearing loss Acoustic Trauma (Noise) Age related Genetic Ototoxic Drugs Illness (examples) Autoimmune Disease Meniere s Syndrome Acoustic Neuromas
18 Start With Professionals Getting Help: First Steps Audiologist CCCA AuD Ear Doctor ENT Otologist Otolaryngologist Otorhynolaryngologist It s important to have a thorough audiological workup; not just a hearing screening. It s important to have a doctor determine whether there are any treatable medical conditions; some are life threatening.
19 Learn From Others Getting Help: Next Step HLAA ( 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
20 Do Something Getting Help: Help Yourself 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
21 Coping Skills Getting Good 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)
22 Hearing Aids Technical Solutions 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 Both of these can be overcome with ALDs
23 Hearing Aids (How to Buy) Technical Solutions 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
24 Hearing Aid Types Technical Solutions Basic Styles BTE ITE ITC CIC Middle Ear Implantable Bone Conduction/BAHA CROS/BiCROS Disposable
25 Hearing Aid Features (Quick Tour) Technical Solutions Volume Control Telecoil Multiple Microphones (Noise Control) Programmable Feedback Control Compression/Clipping Digital vs. Analog Direct Audio Input Remote Controls FM
26 Cochlear Implants Technical Solutions 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
27 Assistive Listening (ALDs) Technical Solutions Transmission Hard Wired Magnetic (loop) FM IR User Interface Headphones NeckLoop and Silhouette Direct Audio Input (DAI) Hear Better: Meetings/Classroom In the car Noisy Restaurants Telephone TV/Stereo Movies Computer Solves Distance Noise
28 Telephones Technical Solutions Hearing Aid Compatible (HAC) CallerID Volume Control Ringer Volume Control High Frequency Boost Flashing Lights Jack (for ALDs) FM and Bluetooth HAC effectiveness varies greatly on mainstream phone. Special phones exist for Hard of Hearing people for serious features.
29 Beyond Telephones Technical Solutions Relay IP Relay CapTel You CA Other Party And, don t forget, there s FAX, Instant Messaging, and SMS now. These are often more convenient than telephones or Relay.
30 More Assistive Solutions Technical 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
31 What is HLAA? 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.
32 Non-Profit Organization HLAA HLAA (the National Organization) Education and Advocacy $25 Membership (Join at 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
33 HLAA Helps You Learn About HLAA 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
34 HLA-Wake County Chapter HLAA Formed in early 80 s Averages about 40 members All volunteer No dues; everyone welcome You may have to DRAG someone you care about! My Wife Dragged Me! Funded by Donations (including SAS) Meets monthly Third Thursday every month Cary Senior Center
35 It s Up To You HLAA 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
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