2/14/2017 ASU Retirees Association Seminar 02/09/2017 1 LIVING WELL WITH HEARING LOSS Kathryn Wexler, AuD Clinical Associate Professor Presentation to ASU Retirees Association February 9, 2017 Department of Speech and Hearing Science Living Well with Hearing Loss Group Outline for Today • Types of hearing loss • Understanding the audiogram • Features of hearing aids • Obtaining a good fit • Strategies for Communication • Cochlear Implants 2 Department of Speech and Hearing Science Living Well with Hearing Loss Group Statistics • Hearing loss is the third most common physical condition in America (behind arthritis and heart disease) • Nearly two-thirds of people age 70 and older have experienced mild to severe hearing loss –Yet only 1/5 use hearing aids 3 Department of Speech and Hearing Science Living Well with Hearing Loss Group Signs of Hearing Loss • Require frequent repetition • Trouble hearing speech when the speaker is at a distance or you can’t see speaker’s face • Difficulty understanding speech in noisy situations like crowded meeting rooms and restaurants • Have your TV or radio turned up to a high volume • Withdrawing from social situations because of difficulty hearing 4
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2/14/2017
ASU Retirees Association Seminar
02/09/2017 1
LIVING WELL WITH HEARING LOSS
Kathryn Wexler, AuD
Clinical Associate Professor
Presentation to ASU Retirees Association
February 9, 2017
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Outline for Today
• Types of hearing loss
• Understanding the audiogram
• Features of hearing aids
• Obtaining a good fit
• Strategies for Communication
• Cochlear Implants
2
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Statistics
• Hearing loss is the third most common physical condition
in America (behind arthritis and heart disease)
• Nearly two-thirds of people age 70 and older have
experienced mild to severe hearing loss
–Yet only 1/5 use hearing aids
3
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Signs of Hearing Loss
• Require frequent repetition
• Trouble hearing speech when the speaker is at a
distance or you can’t see speaker’s face
• Difficulty understanding speech in noisy situations like
crowded meeting rooms and restaurants
• Have your TV or radio turned up to a high volume
• Withdrawing from social situations because of difficulty
hearing
4
2/14/2017
ASU Retirees Association Seminar
02/09/2017 2
TYPES OF HEARING LOSS
5 Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Types of Hearing Loss
• Four main types of hearing loss
1) Conductive Hearing Loss
– Causes a hearing loss of up to 60-70
decibels
– Can be temporary or permanent
2) Sensorineural Hearing Loss
– Usually permanent or not medically
treatable
– Degree of loss can be mild, moderate,
severe or profound
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Types of Hearing Loss
3) Central Hearing Loss
– The hearing loss is usually
profound and permanent
4) Mixed Hearing loss
–combination of 2 or more of the
losses we just discussed.
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
The Most Common Type of Hearing Loss
• Sensorineural hearing loss due to:
– Aging (presbycusis)
– Noise exposure
– Heredity
– Health factors
– Head Trauma
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ASU Retirees Association Seminar
02/09/2017 3
9
The Audiogram
Understanding Your Hearing Loss
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Hearing Test = Audiogram
Measures ability
to hear sounds
of varying pitch
and loudness
Pitch
Loudness
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
O = the right earX= the left ear
Audiograms record the threshold for each of the frequencies (pitch) tested
Threshold= the softest level in which you hear the sound
The Audiogram
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2/14/2017
ASU Retirees Association Seminar
02/09/2017 4
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Hearing Loss - Mild
Thresholds
Uncomfortable
Level
Vowels
Consonants
Missing
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Hearing Loss - Moderate
Threshold
Uncomfortable
Level
Vowels
Consonants
Missing
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Frequency (Hz)
Hearing Loss - Profound
Uncomfortable Level
Vowels
Consonants
250 500 1000 2000 4000 8000
0
20
40
60
80
100
120
Missing
Thresholds
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Importance of Consonants and Vowels
in Terms of Speech Understanding
_ _E _A_ i_ _ _E _A_THE CAT IN THE HAT
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2/14/2017
ASU Retirees Association Seminar
02/09/2017 5
Vowels and Consonants
•Example:
•Look at this sentence with
the consonants removed:
•“_ _e _a_ _a_ o_ _ _e
_a_”
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Vowels and Consonants
•Example:
•Now with the consonants
left in
•“th_ c_t s_t _n th_
m_t”
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HEARING AIDS
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2/14/2017
ASU Retirees Association Seminar
02/09/2017 6
Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Six (little-known) Facts about Modern Hearing Aids*
• Virtually invisible– Discreet and easy to use
• Automatically adjust to different soundscapes (due to a transition from analog to digital processing)
• Many options for design and features
*courtesy of Better Hearing Institute
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Department of Speech and Hearing Science
Living Well with Hearing Loss Group
Six (little-known) Facts about Modern Hearing Aids*
• Water, sweat and dust resistant
• They love smartphones, computers, televisions, MP3