Materiały źródłowe

• #1 Nurses with Undiagnosed Hearing Loss: Implications for Practice | OJIN: The Online Journal of Issues in Nursing

  https://ojin.nursingworld.org/table-of-contents/volume-20-2015/number-1-january-2015/articles-on-previously-published-topics/nurses-with-undiagnosed-hearing-loss-implications-for-practice/

  Hearing loss affects 36 million people in the United States of America, including 17% of the adult population. This suggests some nurses will have hearing losses that affect their communication skills and their ability to perform auscultation assessments, potentially compromising patient care and safety. […] The purposes of this article are to discuss how hearing loss can influence both patient assessments and effective nurse-patient communication and to explore accommodations available to the practicing nurse who has hearing loss. […] Nurses view communication as a vital part of their role. Interpersonal communication, multidisciplinary communication, and patient education are basic nursing responsibilities. When communication challenges occur, 82% of nurses report a high to very high impact on their ability to work efficiently, and 92% of nurses report lapses in communication that affect patient safety.

• #2

  https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

  By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] Disabling hearing loss refers to hearing loss greater than 35 decibels (dB) in the better hearing ear. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] Deaf people mostly have profound hearing loss, which implies very little or no hearing. […] Early identification of hearing loss and ear diseases is key to effective management. […] Once hearing loss is identified, it is essential that it is addressed as early as possible and in an appropriate manner, to mitigate any adverse impact.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7927

  Hearing loss is a sudden or, more often, a slow decrease in how well you hear. It can range from mild to profound. Hearing loss can be temporary and treatable or permanent. Hearing loss can affect your work, home life, and relationships. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Manage your health conditions and check your hearing more often if you have diabetes, high blood pressure, cardiovascular disease, dementia, depression, or sleep apnea, or if you have accidental falls. […] Always wear hearing protection around loud noises. […] See an audiologist (hearing specialist) who can help you pick hearing technology that works for you. Use your hearing technology (like wearing a hearing aid) as advised.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7927

  Check in with your audiologist at least once a year, or whenever you notice a change in your hearing, to make sure your hearing technology is working optimally for you. […] Have hearing tests as your audiologist suggests. They can show whether your hearing has changed. Your hearing aid may need to be adjusted. […] Think about counselling if you need help to adjust to your hearing loss. […] Contact your doctor right away if you have a sudden loss of hearing in one ear. […] You think your hearing is getting worse. […] You have new symptoms, such as dizziness or nausea.

• #4 Hearing Loss Signs & Symptoms | Rush

  https://www.rush.edu/conditions/hearing-loss

  Hearing specialists at Rush provide individualized hearing loss treatment for all ages. […] Hearing loss affects all facets of your life, including your ability to connect easily with others. […] For children, even a minimal hearing loss can negatively affect their speech development, behavior and education. […] For older adults, untreated hearing loss is known to be related to a decline in social, mental and cognitive function. […] Depending on the type and extent of your hearing loss, your doctor may recommend one or more of the following treatments: […] If your hearing loss is permanent, you may benefit from hearing aids to make sounds louder and more distinct. […] If your hearing loss or your child’s hearing loss is permanent, and hearing aids are found not to be helpful, your team may recommend a cochlear implant.

• #5

  https://www.who.int/health-topics/hearing-loss

  A person is said to have hearing loss if they are not able to hear as well as someone with normal hearing, meaning hearing thresholds of 20 dB or better in both ears. […] Many of the impacts of hearing loss can be mitigated through early detection and interventions. These include specialized education programs and sign language instruction for young children and their families. Assistive technologies, including hearing aids, cochlear implants, closed captioning and other devices can help people with hearing loss at any age. People may also benefit from speech therapy, aural rehabilitation and other related services. […] WHO estimates that 50% of hearing loss can be prevented through public health measures. Some prevention strategies target individual lifestyle choices such as exposure to loud sounds and music or wearing protective equipment such as earplugs. This can be assisted through implementing audio standards for personal audio systems and devices.

• #5

  https://www.who.int/health-topics/hearing-loss

  Further reductions in hearing loss can be gained through screening and early interventions in childhood, including application of assistive technologies or surgical options. Screenings can also prevent the use of damaging pharmaceuticals in high-risk cases. […] Hearing loss and deafness can also occur as a complication of other diseases such as measles, meningitis, rubella and mumps. Work to prevent these diseases through vaccination and hygiene programs can have a beneficial impact on rates of hearing loss and deafness.

• #6 Conductive Hearing Loss – ENT Health

  https://www.enthealth.org/conditions/conductive-hearing-loss/

  Hearing loss can be broadly separated into two categories: conductive and sensorineural (damage to tiny hair cells in the inner ear). […] Conductive hearing loss results when there is any problem in delivering sound energy to your cochlea, the hearing part in the inner ear. Common reasons for conductive hearing loss include blockage of your ear canal, a hole in your ear drum, problems with three small bones in your ear, or fluid in the space between your ear drum and cochlea. Fortunately, most cases of conductive hearing loss can be improved. […] If you are experiencing hearing loss, you should see an ENT (ear, nose, and throat) specialist, or otolaryngologist, who can make a specific diagnosis for you, and talk to you about treatment options, including surgical procedures. A critical part of the evaluation will be a hearing test (audiogram) performed by an audiologist (a professional who tests hearing function) to determine the severity of your loss as well as determine if the hearing loss is conductive, sensorineural, or a mix of both.

• #7 Hearing Loss | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/hearing-loss

  Hearing loss in children is classified as mild, moderate, severe, or profound. […] Conductive hearing loss is the most common cause of hearing loss in infants and young children. It happens when something is blocking the outer or middle ear and preventing sound waves from reaching the inner ear. […] Sensorineural hearing loss is a problem with the inner ear or transmission of sound signals to the brain. Some children are born with this type of hearing loss but for many children, sensorineural hearing loss develops over time. Sensorineural hearing loss is almost always permanent. A hearing aid or cochlear implant can help children with sensorineural hearing loss detect sound. […] Some hearing problems are medically or surgically correctable. Other hearing problems are treated with hearing aids and speech and language therapy.

• #8 Hearing Loss in Adults: Differential Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0715/p98.html

  Hearing loss is associated with adverse effects, even after adjusting for confounding factors. Difficulty hearing speech adversely affects social engagement and partner relationships. Hearing loss is also associated with decreased quality of life, dementia, depression, debility, delirium, falls, and mortality. […] Hearing loss is grouped into conductive, sensorineural, or mixed types. Conductive problems involve the tympanic membrane and middle ear, and interfere with transmitting sound and converting it to mechanical vibrations. Sensorineural problems affect the conversion of mechanical sound to neuroelectric signals in the inner ear or auditory nerve. […] Presbycusis, or age-related hearing loss, is the most common type of sensorineural loss. The cause of presbycusis is multifactorial, with contributions from genetic factors, aging, oxidative stress, cochlear vascular changes, and environmental factors (e.g., noise, tobacco, alcohol, ototoxins).

• #8 Hearing Loss in Adults: Differential Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0715/p98.html

  Clinicians should provide information about the nature and causes of hearing loss, hearing aids (if applicable), and hearing protection. There is poor adherence to hearing conservation programs and personal hearing protection. […] Hundreds of medications are associated with ototoxicity. Physicians should ask about current and past use of these medications, and when current use is necessary, assure that protocols are in place to minimize risk.

• #8 Hearing Loss in Adults: Differential Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0715/p98.html

  An audiologist will typically assume responsibility for treating patients in whom hearing aids are indicated. However, family physicians still have an essential role in caring for these patients. Important considerations for primary care clinicians are summarized by the SCREAM mnemonic: sudden hearing loss, cerumen impaction, auditory rehabilitation, education, assistive devices, and medications. […] Occlusion of the external auditory canal by cerumen results in conductive hearing loss, and removal is curative. Cerumen can be removed by irrigation, manual extraction, cerumenolytic agents, or a combination of these methods. […] Auditory rehabilitation has been variably defined, but it generally refers to services that focus on adjusting patients and their families to hearing deficits and providing listening and speaking strategies to improve communication.

• #9 Sensorineural Hearing Loss | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/sensorineural-hearing-loss.html

  Sensorineural hearing loss is a type of hearing loss affecting the inner ear or hearing nerve. It is different from conductive hearing loss, which affects the mechanical parts of hearing, such as the ear canal, ear drum, or middle ear. […] At Stanford Health Care, we provide world-class sensorineural hearing loss treatment. Our multispecialty team helps you reconnect with your surroundings and your loved ones as much as possible. […] You can rely on our highly skilled providers for comprehensive hearing loss care and advanced treatment options. […] Sensorineural hearing loss is typically permanent. However, many treatment options exist to enhance your hearing or replace the parts of your ear that don’t work. Not all causes of sensorineural hearing loss are reversible, but researchers at Stanford Health Care are actively pursuing new therapies.

• #10 Common Questions about Hearing Loss – UChicago Medicine

  https://www.uchicagomedicine.org/conditions-services/ear-nose-throat/ear-hearing-care/common-questions-hearing-loss

  Hearing loss can happen gradually as you age, or can be the cause of an injury, illness or infection that impacts your ears. […] Our audiologists perform comprehensive hearing evaluations (audiograms) to characterize the type and severity of hearing loss. […] Treating conductive hearing loss can range from taking antibiotics to surgical intervention depending on the type and severity of the condition. […] Sensorineural hearing loss is typically addressed with hearing aids, but depending on the severity, may treated through surgical or implantable devices, such as a cochlear implant. […] With mixed hearing loss, there is typically a combination of issues that impact the outer, middle and/or inner ears. […] Understanding the risks and causes of hearing loss can help you identify when you may need treatment and/or prevention.

• #11 Hearing Health Foundation | Funding Groundbreaking Research for Hearing Loss and Tinnitus

  https://hearinghealthfoundation.org/

  The mission of Hearing Health Foundation (HHF) is to prevent and cure hearing loss and tinnitus through groundbreaking research and to promote hearing health. […] HHF is the largest nonprofit funder of hearing and balance research in the U.S. and a leader in driving new innovations and treatments for people with hearing loss, tinnitus, and other hearing and balance disorders. […] For 65 years and counting, HHF has funded groundbreaking hearing and balance science to find better treatments and cures for hearing loss, tinnitus, and related conditions. […] Hearing loss from too much noise is the only fully preventable cause of hearing loss. We are creating a major culture shift around how we think about hearing health and hearing protection. […] We can now treat otoferlin-related hearing loss. In the next 10 years, we will continue to reach more groups with specific causes of hearing loss momentum that will help accelerate the process for everyone.

• #12 Hearing loss Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/hearing-loss

  Hearing loss is being partly or totally unable to hear sound in one or both ears. […] You can often flush wax buildup out of the ear (gently) with ear syringes (available in drug stores) and warm water. Wax softeners (like Cerumenex) may be needed if the wax is hard and stuck in the ear. […] See your provider for any other hearing loss. […] Contact your provider if: Hearing problems interfere with your lifestyle. […] The following surgeries may help some types of hearing loss: Eardrum repair, Placing tubes in the eardrums to remove fluid, Repair of the small bones in the middle ear (ossiculoplasty). […] The following may help with long-term hearing loss: Assistive listening devices, Safety and alert systems for your home, Hearing aids, Cochlear implant, Learning techniques to help you communicate, Sign language (for those with severe hearing loss). […] Cochlear implants are only used in people who have lost too much hearing to benefit from a hearing aid.

• #13 Hearing loss: common causes in adults and how nurses can help

  https://www.myamericannurse.com/common-causes-of-hearing-loss-in-adults/

  Nurses can help reduce potential loss of quality of life. […] Approximately 16% of U.S. adults age 18 years and older report hearing loss, according to the Centers for Disease Control and Prevention. […] Patients wait an average of 10 years before actively seeking treatment for hearing loss, according to a report from the National Institute on Deafness and Other Communication Disorders (NIDCD). […] Nurses may be the first to recognize hearing loss and have an opportunity to start a conversation with the patient. […] To decrease the risk of infection, TM perforation, and cerumen impaction, discourage patients from cleaning their ears with cotton tipped swabs, candling, or daily olive oil drops. […] Persistent hearing loss that lasts more than 1 to 2 weeks after treatment of the underlying condition, including hearing loss after head trauma, should be re-evaluated for complications.

• #13 Hearing loss: common causes in adults and how nurses can help

  https://www.myamericannurse.com/common-causes-of-hearing-loss-in-adults/

  Assess patients for a family history of hearing loss and refer those with gradual, progressive conductive hearing loss to an otolaryngologist to rule out serious causes such as otosclerosis and cholesteatoma. […] Nurses have an opportunity to identify and screen patients, educate them about hearing conservation, offer treatment as ordered by a provider, coordinate referrals, and support long-term management, including hearing aid use when appropriate.

• #14 Nursing Diagnosis for Hearing Loss

  https://www.softhear.com/blog/nursing-diagnosis-for-hearing-loss/

  Hearing loss is a partial or complete inability to hear sounds. It can occur in one or both ears and may range from mild to profound. Millions worldwide face hearing challenges, impacting their quality of life significantly. […] A nursing diagnosis is a clinical judgment made by nurses about a patients health condition or response to a health problem. It focuses on identifying actual or potential health issues that nurses are qualified to address and manage. Nursing diagnoses are an essential part of the nursing process and serve as the foundation for creating a personalized care plan. […] Common Nursing Diagnoses for Hearing Loss include Impaired Sensory Perception, Social Isolation, Risk for Injury, and Anxiety Related to Communication Barriers. […] Nursing Interventions for Hearing Loss include enhancing communication through the use of assistive devices and alternative communication techniques, promoting social interaction, and ensuring safety in daily activities. […] By understanding nursing diagnoses for hearing loss and taking proactive steps to support communication and well-being, caregivers can significantly improve the quality of life for those experiencing hearing loss.

• #15 Hearing Loss: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/hearing-loss-nursing-diagnosis-care-plan/

  Hearing loss is a common medical condition affecting people of all ages with numerous causes. […] Nursing care for patients with hearing loss focuses more on cerumen management to reduce hearing impairment and the use of hearing aids and patient education to help prevent complications, promote recovery, and enable effective communication. […] Patients with hearing loss may have significantly low self-esteem due to their impaired ability to communicate with others. […] Lack of accurate information about hearing loss and its management can cause psychosocial and physiological complications. […] Hearing loss can affect a patient’s verbal communication as they have difficulty understanding spoken words, especially when there is background noise. Hearing loss affects mainly speech perception rather than speech production in adults. In children, it can affect the child’s speech development and language skills. […] Hearing aids are a common device used to overcome hearing loss. The nurse can assist the patient in charging, cleaning, and inserting hearing aids.

• #16 Caring for Clients With Hearing Loss | Ausmed

  https://www.ausmed.com/learn/articles/hearing-loss

  Hearing loss has been associated with impaired ability to communicate with others, loneliness, isolation, frustration, depression, anxiety, cardiovascular disease, stroke and obesity, cognitive impairment and decline, and an overall decrease in quality of life. […] Hearing aids are electronic devices that increase the volume of sounds, allowing people with hearing loss to hear more easily. […] Some clients may need assistance with inserting, removing, cleaning and troubleshooting their hearing aids. […] It is also crucial that you can correctly identify the signs of hearing loss and refer clients as soon as possible so that any issues are addressed early.

• #16 Caring for Clients With Hearing Loss | Ausmed

  https://www.ausmed.com/learn/articles/hearing-loss

  Hearing loss is highly prevalent in older adults, especially those who are living in residential aged care (Deafness Forum of Australia 2018). […] In Australia, 3.6 million people in total and more than 70% of people over the age of 70 have hearing loss (DoHaAC 2022). […] Given these statistics, you are likely to encounter clients who have a hearing impairment and use hearing aids, especially when caring for older adults. […] It is important to know how to care for these clients and ensure that hearing aids are being used appropriately. […] Being able to correctly identify the signs of hearing loss is essential, as early detection is crucial for better client outcomes and the fitting of hearing aids (Action on Hearing Loss 2020). […] Older adults should undergo a hearing test every 12 months and be referred to a specialist immediately if hearing loss is identified (Hearing Australia 2019b).

• #17 Hearing Loss Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/hearing-loss-nursing-diagnosis/

  Hearing loss affects millions of individuals across all age groups, impacting their quality of life and daily interactions. As healthcare providers, understanding the proper nursing diagnosis and care strategies is crucial for providing optimal patient care. […] The nursing process for hearing loss patients encompasses: […] Nursing Diagnosis Statement: Impaired social interaction related to communication barriers and hearing deficit. […] Nursing Interventions and Rationales: Establish effective communication methods to build trust. […] The patient will demonstrate improved social engagement. […] Nursing Diagnosis Statement: Risk for falls related to altered environmental perception secondary to hearing loss. […] Nursing Interventions and Rationales: Conduct environmental safety assessments.

• #17 Hearing Loss Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/hearing-loss-nursing-diagnosis/

  The patient will maintain safety in their environment. […] Nursing Diagnosis Statement: Disturbed sleep pattern related to anxiety about missing important sounds or alerts. […] Nursing Interventions and Rationales: Install visual alarm systems. […] The patient will report improved sleep quality. […] Nursing Diagnosis Statement: Knowledge deficit regarding hearing loss management and adaptive strategies. […] Nursing Interventions and Rationales: Provide comprehensive education about hearing loss. […] The patient will demonstrate an understanding of hearing loss management. […] Nursing Diagnosis Statement: Ineffective coping related to challenges in adapting to hearing loss. […] Nursing Interventions and Rationales: Provide emotional support. […] The patient will demonstrate effective coping strategies.

• #18 Tinnitus: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/tinnitus/?srsltid=AfmBOoqOv_uHf88iIqJ8NV1STYX5dWBNaHVwHWSghRJxz65g-bETbo6C

  Tinnitus is most commonly found in: […] People with impaired hearing […] Tinnitus is diagnosed primarily based on the persons report of sound without an external source. It is sometimes accompanied by complaints of hearing loss. […] The primary treatment is to manage the cause by managing symptoms and reducing the impact on the persons life. […] There are no medications that can treat tinnitus. […] Assist the person with setting up or attending an appointment for audiology testing […] Complaints of hearing loss […] Impaired verbal communication related to hearing loss as evidenced by: Decreased hearing capacity […] Maintain hearing or regains loss of hearing by receiving a hearing aid.

• #19 Nursing Management of Hearing Impairment in Nursing Facility Residents – PubMed

  https://pubmed.ncbi.nlm.nih.gov/32597997/

  Hearing impairment (also known as hearing loss) is highly prevalent in residents of nursing facilities and its impacts are far-reaching. Hearing impairment has negative consequences for an individual’s quality of life, psychosocial health, physical health, and mortality; these impacts are also exacerbated when hearing impairment cooccurs with other conditions, such as visual or cognitive impairment. […] Nursing interventions should focus on (a) cerumen management to reduce hearing impairment and allow for the use of hearing devices; (b) hearing device support so that residents can use hearing aids and/or other assistive listening devices; and (c) communication strategies so that conversations with residents can be facilitated.

• #20 DEAFNESS/HEARING LOSS | PPT

  https://www.slideshare.net/slideshow/deafnesshearing-loss/70389677

  Nursing Intervention 1. Asses the level of hearing impaired of the patient (mild, moderate, severe) As a baseline data for further intervention 2. Provide conducive environment (calm and quiet) To encourage effective communication between the patient and the nurses and patients relatives 3. Communicate using clear and simple word To ensure patient can understand and interprete the message. Long sentences may cause the patient to misinterprete the message. 4. Phrase questions to be answered simply by yes or no To reduce the confusion in patient to process a lot of information 5. Speak in normal tones and avoid talking too fast. Avoid pressing for response. Pressing for response may result in frustration in patient 6. Provide alternative methods of communication: pen, paper, pictures. To assist patient in communication 7. Assist patient to choose the best hearing aids according to the severity of the condition To help the patient to have a better life style in communicating with the people around 8. Encourage family members to use the alternative methods in communication with the patient and take part in the activities To give the patient moral support and to help the patient to be assertive 9. Inform doctor For further intervention 10. Documentation To record all the nursing interventions

• #20 DEAFNESS/HEARING LOSS | PPT

  https://www.slideshare.net/slideshow/deafnesshearing-loss/70389677

  Nursing Intervention 1. Asses patients ability to hear to determine the severity of the hearing impairment As a baseline data for further intervention 2. Minimize environmental noise when giving the information to the patient To encourage effective communication between the nurse and the patient 3.Teach patient or caregiver to administer ear medications by showing the position of the head to allow the medication flow into the ear canal (in case of hard cerumen or infection) To ensure the effectiveness of the medication taken 4. Instruct patient or caregiver in safe techniques for cleaning ears.Thin wahclothes and fingers are best for cleaning ears. Cotton-tipped applicators should be avoided to prevent inadvertent injury to eardrum. To minimize the injury to the ear which may worsen the condition of the patient 5.Teach patient or caregiver to use and care of the hearing aid or other assistive hearing devices. To promote hygiene and effectiveness of using the hearing aid 6. Explore technology such as amplifiers, modifiers for telephones, and services for the hearing impaired such as telephone hearing-impaired assitance) To help the patient function and participate in meaningful activities 7. Emphasize to patient the importance of routine examination by an audiologist. Frequent examinations detect changes in hearing or need for change in hearing aid. 8. Encourage family members to take part in the activities To provide moral support 9. Inform doctor For further intervention 10. Documentation To record all the nursing interventions

• #21 Nursing Care Plan | PDF | Hearing Loss | Medical Specialties

  https://www.scribd.com/document/364454799/nursing-care-plan

  The nursing diagnoses, expected outcomes, assessments, actions, and teaching interventions are outlined for a patient with hearing loss and impaired walking. Key points include assessing the patient’s ability to hear and understand communication, ensuring noise is minimized and hearing aids are used. The patient will be monitored for imbalance when walking and taught exercises to continue at home with a rolling walker to improve mobility over measurable distances within time limits.

• #22 Hearing Loss: Types, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17673-hearing-loss

  Hearing loss can affect your ability to work, communicate with others and generally enjoy life. […] But audiologists healthcare providers who specialize in diagnosing and treating hearing loss can help. They can recommend treatments like hearing aids or cochlear implants that reduce hearing loss. […] Treatments are different depending on the type of hearing loss you have. […] Medications, like corticosteroids, to reduce swelling in your cochlea hair cells. (You can damage your cochlea hair cells if you’re exposed to loud noise.) […] Management like hearing aids and cochlear implants. […] Contact your healthcare provider if you think your hearing loss is getting worse. You may need a different kind of hearing support. […] If you think you have hearing loss, talk to a healthcare provider or audiologist. They’ll determine the best way to improve your hearing.

• #23 Guidance for nurses supporting patients with hearing loss – RNID

  https://rnid.org.uk/information-and-support/support-for-health-and-social-care-professionals/guidance-for-nurses/supporting-patients-with-hearing-loss/

  There are simple steps you can take to help you to identify hearing loss, communicate with your patients better, and maintain their hearing aids so that they get the best out of them. […] If a hearing loss support kit is available on the ward, it can help you to recognise when a patient has hearing loss and to support them so that their care isn’t affected by communication difficulties. […] When you’re caring for a person with hearing loss, it’s important to record their hearing difficulties in their handwritten or electronic patient notes, and in their communication care plan, if available. […] Hearing aids can easily be lost on busy hospital wards. If your Trust provides hearing aid storage boxes to help keep hearing aids safe, you should use the following standard operating procedure for cleaning them: […] Some Trusts have a policy of having staff who are ‘champions’ in different disciplines – for example, dementia, dignity, diversity. Find out if your Trust has a hearing loss champion (sometimes called a ‘link worker’) and seek them out if you feel you need guidance or support around hearing loss.

• #24 Caring for someone with hearing, vision, oral health difficulties | My Aged Care

  https://www.myagedcare.gov.au/caring-someone-hearing-vision-oral-health-difficulties

  As you grow older, the chances of experiencing difficulties with hearing, vision or oral health may increase. […] If someone you are caring for is experiencing hearing, vision or oral health difficulties, there are services that can help. […] While some hearing loss is considered normal as you get older, people are more likely to have hearing problems if they are over 55 years of age. […] If the person you care for is over 65 years of age, it is recommended that they have their hearing tested every year. You can talk to their doctor about getting a test. […] When caring for someone with poor hearing, it’s important to: make sure you have their attention and stand in front of them when speaking […] make sure that hearing aids are functioning, being used properly and checked regularly.

• #24 Caring for someone with hearing, vision, oral health difficulties | My Aged Care

  https://www.myagedcare.gov.au/caring-someone-hearing-vision-oral-health-difficulties

  If someone you are caring for is having difficulties with their hearing, the first step is to see a doctor. […] They may also be eligible to access subsidised hearing services through the Australian Government Hearing Services Program. […] The National Sign Language Program (NSLP) provides free sign language interpreting and captioning services through Deaf Connect. […] If the person you care for is over 65 years of age, they can access the NSLP to engage with aged care services and take part in professional and social activities. […] From 1 July 2024, the program will also allow them to access free sign language interpreting and captioning services for health and medical appointments that have a Medicare rebate.

• #25 Practice Nursing – Assessing and treating adults with hearing loss in primary care

  https://www.practicenursing.com/content/clinical-focus/assessing-and-treating-adults-with-hearing-loss-in-primary-care/

  Nurse-led clinics are also an opportunity to offer ear care advice; for instance, advising against using cotton buds as the ear is self-cleaning and cotton buds adversely affect this process. […] Gaining a detailed history of patients’ medication use is fundamental, as various ototoxic drugs, such as aspirin and furosemide, can adversely affect the auditory system. […] Upon timely detection of hearing loss symptoms, the patient may be referred to audiologists, ear, nose and throat (ENT) specialists or to the accident and emergency department if urgent. […] As a fundamental part of the frontline healthcare team, practice nurses play a key role in identification, assessment and management of adults with hearing loss. […] Practice nurses play a key role in identification, assessment and management of adults with hearing loss. […] Nurse led ear care clinics reduce waiting times and permit early detection.

• #25 Practice Nursing – Assessing and treating adults with hearing loss in primary care

  https://www.practicenursing.com/content/clinical-focus/assessing-and-treating-adults-with-hearing-loss-in-primary-care/

  Practice nurses have an important role in the recognition and treatment of individuals with hearing loss. […] Nurses, as frontline providers, have an important role in the recognition and treatment of individuals with hearing loss. […] Practice nurses who support individuals with hearing loss carry a vital role in overseeing their care. […] It is vital that practice nurses have the training and skill set to provide timely review and effective interventions, as they are an invaluable asset in coordinating a multidisciplinary team approach to hearing loss. […] There are several strategies that can be used to help manage hearing loss, including communication strategies, patient education, nurse-led clinics, social support, reviewing medication and timely referrals. […] Nurse-led ear care clinics are increasingly in demand in both primary and secondary care settings.

• #26 Hearing loss: essential knowledge and tips for nursing practice | Nursing Times

  https://www.nursingtimes.net/assessment-skills/hearing-loss-essential-knowledge-and-tips-for-nursing-practice-21-10-2019/

  Patients with hearing loss have specific needs that nurses need to be aware of and know how to respond to. […] This article provides nurses with clear advice and handy tips to guide their management of, and improve communication with, patients who have hearing loss. […] When it comes to hearing loss, there are several categories of patients to consider: those who identify as deaf, those who identify as hard of hearing, those who use hearing aids, those who choose not to, those who do not realise they have a hearing problem and many other categories. […] It is important to ensure your patient is able to hear you as well as possible. […] If a patient has a hearing aid, make sure they are wearing it and it is working. […] You can also use a conversation amplifier to improve communication.

• #27 How to Support a Loved One with Hearing Loss Who’s in a Nursing Home | Oregon Ear, Nose & Throat Center | Blog

  https://oregonent.com/how-to-support-a-loved-one-with-hearing-loss-whos-in-a-nursing-home/

  In addition, they should be stored in their case in a convenient location overnight. […] Hearing aid lanyards clip your loved ones hearing aids to their clothes. […] You should take your loved ones hearing aids to their audiologist at Oregon Ear, Nose Throat Center every six months for a clean and check. […] Be sure to communicate with staff at Northridge Senior Living about their needs so that someone there known what needs to be done to ensure the devices are in good working order.

• #27 How to Support a Loved One with Hearing Loss Who’s in a Nursing Home | Oregon Ear, Nose & Throat Center | Blog

  https://oregonent.com/how-to-support-a-loved-one-with-hearing-loss-whos-in-a-nursing-home/

  The number one cause of hearing loss is old age. In fact, according to one study, It is estimated that 70% to 90% of elderly residents in long-term care facilities have some degree of hearing impairment. […] Many people with hearing loss, including those living in long-term care facilities, wear hearing aids to communicate with family, friends and staff. Unfortunately, another study reveals, 73% of informants found that many residents need help with their hearing aids. Only one-tenth report that they know enough about the residents hearing aids. […] If you have a loved one who lives in a long-term care home and wears hearing aids, we provide tips to help you support them below. […] Its important for your loved one and their caretakers to keep track of their hearing aids. […] At the end of each day, your loved ones hearing aids should be cleaned.

• #28 4 Otitis Media & Myringotomy Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/otitis-media-nursing-care-plans/

  Otitis media is a common ear infection that can cause pain, fever, and hearing loss. Effective nursing care plans should include comprehensive nursing management and interventions for otitis media to ensure optimal patient outcomes. […] The goal of nursing care for a child with otitis media includes relief from pain, improved hearing and communication, avoidance of re-infection, and increased knowledge about the disease condition and its management. […] Hearing loss. Assessing and managing any temporary or permanent hearing loss resulting from otitis media. […] The client will regain and improve hearing. […] Alterations or disruptions in the ability to accurately perceive or interpret auditory stimuli may occur in patients with otitis media due to the accumulation of fluid in the middle ear, which can impair the transmission of sound waves to the inner ear. This can result in a decreased ability to hear or perceive sounds accurately. Therefore, nursing care plans for patients with otitis media should include interventions to address this sensory disturbance, such as providing a quiet environment and facilitating communication.

• #28 4 Otitis Media & Myringotomy Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/otitis-media-nursing-care-plans/

  Administer antibiotics as prescribed. When indicated for bacterial infection, a full 10-day course of an antibiotic is given to resolve otitis media and regain hearing. […] Notify caregiver of changes in hearing ability or drainage from the affected ear. Complications of OM may include perforation of the eardrum, mastoiditis, or conductive hearing loss.

• #29 Age-related hearing problems in primary care | Nursing in Practice

  https://www.nursinginpractice.com/clinical/age-related-hearing-problems-in-primary-care/

  Hearing therapists who specialise in hearing rehabilitation can enable people to use devices that will help them, including hearing aids and assistive listening devices. […] It is sensible to modify communication behaviours with this in mind. […] Speaking slightly more slowly and clearly tends to be more helpful than speaking louder. […] It can help a great deal to reduce background noise by turning off background sounds where possible and choosing quieter locations to communicate in.

• #29 Age-related hearing problems in primary care | Nursing in Practice

  https://www.nursinginpractice.com/clinical/age-related-hearing-problems-in-primary-care/

  You are well placed to help people identify when their hearing is changing and direct them to help. […] If a person reports hearing problems in one ear only, they should also be directed to ENT in the first instance. […] For cases where the hearing problem is consistent in both ears, without other symptoms, the patient should be referred by the GP to the audiology service. […] Hearing aids are digital amplifiers that are fitted to target the frequencies of sound that each individual cannot hear and to amplify those frequencies. […] If people are supported when adjusting to their hearing aids, outcomes are better. […] Hearing aids are not the only options for hearing loss. […] Lip-reading classes and communication groups may be available in the local area and provide a valuable social support to people with hearing loss.

• #30 Hearing Loss: Nursing Care – LevelUpRN

  https://leveluprn.com/blogs/nursing-tips/hearing-loss-nursing-care?srsltid=AfmBOoplvZo4sQKaXJt0hfZ–NTo0BF4bksbhBWMipySq5MeD_-eDoSP

  For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand. […] For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand.

• #31 Children With Hearing Loss: Guidelines for Schools

  https://www.nationwidechildrens.org/family-resources-education/health-wellness-and-safety-resources/helping-hands/children-with-hearing-loss-guidelines-for-schools

  Some children are born with a hearing loss. Others may develop one due to injury, infection or even loud noises. Children with hearing loss can do well in school, but they often need extra help to learn at their full capacity. Every child is different. This handout can help schools find ways to meet the needs of the child with a hearing loss. […] Children with hearing loss may benefit from all or just a few of these tips to help them learn. It is important for the school and the family to work together to decide what is best for the child. […] The classroom setting is not always easy for children with hearing loss. Poor sound (acoustics) can be caused by background noise in or out of the classroom, echoes from hard surfaces, such as walls, and the level of the teachers voice compared to background noise.

• #31 Children With Hearing Loss: Guidelines for Schools

  https://www.nationwidechildrens.org/family-resources-education/health-wellness-and-safety-resources/helping-hands/children-with-hearing-loss-guidelines-for-schools

  Hearing loss is legally considered a disability. Children with hearing loss may benefit from being placed on an IEP (Individualized Education Plan) or a 504 Plan. An IEP is a document that identifies what special education services a child must receive. A 504 Plan is for any child with a disability that does not need special education services. Both allow the school and parents to work together, discuss and monitor classroom performance and prepare the school environment. […] Children with hearing loss are at high risk for speech and/or language delays, educational and learning problems, behavior issues and attention deficits. It is best if an educational audiologist helps write the childs IEP or 504 Plan.

• #32 7 Strategies for Residents with Hearing Loss in Long-Term Care – Eversound by Uniguest

  https://eversoundhq.com/blog/senior-living/7-strategies-for-residents-with-hearing-loss-in-long-term-care/

  The Journal of Gerontological Nursing recently published an article about negative effects of age-related hearing loss and current policies that affect hearing care, titled “Implications of Hearing Care Policy for Nurses.” An outline of practical solutions to address hearing loss is offered by researchers within the article. The strategies provided can make a significant positive impact in the lives of those with hearing loss when utilized effectively. […] These strategies were identified to be used by family members, medical providers, and/or long-term care professionals to overcome the barriers associated with hearing loss as mentioned by researchers within the article. […] Utilizing the solutions outlined by the article’s authors, professionals providing care to those with hearing loss can communicate more effectively, deliver better quality care, and in turn, improve overall health and quality of life of those affected. The article specifically highlights the critical importance of nurses in promoting appropriate care for those with hearing loss and providing access to those who need hearing assistance and care. Long-term care providers and direct support staff are also vitally important in championing hearing loss awareness and improving resident outcomes and well-being. […] Effective communication combined with empathy and compassion could deem to be the most effective solution for ending the depression, social isolation, and cognitive decline brought on by hearing loss for so many older adults.

• #33 Hearing loss in hospice care – how to help your loved one

  https://www.healthyhearing.com/report/52421-The-role-of-hearing-care-in-hospice

  Knowing your loved one is near the end of life and can’t hear other people is a distressing thought. Unfortunately, hospice patients with hearing loss are sometimes in this predicament. […] However, there are steps you can take to reduce the burden of hearing loss on your loved one. In doing so, you help reduce their isolation and improve their ability to communicate with those around them. Most importantly: […] If your loved one wears hearing aids or other devices, make sure they have their hearing aids with them, and they are kept clean and charged. Near the end of life, your loved one may need help wearing them and keeping them in a safe location when not in use. […] If your loved one has hearing loss, but does not own or wear hearing aids, be sure to let hospice staff know so they can adjust how they communicate. Assistive listening devices may be helpful, such as caption apps that turn spoken speech into text.

• #33 Hearing loss in hospice care – how to help your loved one

  https://www.healthyhearing.com/report/52421-The-role-of-hearing-care-in-hospice

  Clear communication with caregivers and loved ones fosters connection, easing the loneliness of a patient’s final days. It empowers them, nurturing emotional well-being and a sense of autonomy. […] Hospice patients with hearing loss don’t need to feel lonely and isolated. Hearing aids and other treatments allow them to participate in decisions regarding their final days and connect with their family and loved ones. […] Proper hearing care can enable those with hearing loss to be active participants in their own lives for as long as possible. Most importantly, no longer will hearing loss cause things to be left unsaid or unspoken between family members and their loved ones. […] It is so important to have those last conversations with family, Athans said.

• #34 Hearing Loss | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/hearing-loss

  Hearing loss is a problem with a child’s ears that reduces their ability to detect sound. Hearing loss can affect one or both ears and ranges from mild to profound. Even mild hearing loss can interfere with a child’s speech and language skills. […] Approximately four in every 1,000 children are born with hearing loss. By age 12, about 20 percent of children have some degree of hearing loss. Acquired hearing loss can be the result of head trauma, illness, exposure to loud noises, or certain medical treatments. […] Hearing loss can be either temporary or permanent. Depending on the type and cause of their hearing loss, ear tubes, surgery, or medication may restore your child’s hearing. Children with permanent hearing loss are often able to hear some sounds with technologies such as hearing aids or cochlear implants. Early intervention services can play a critical role in helping young children develop language and communication skills.

• #34 Hearing Loss | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/hearing-loss

  Early intervention helps children with hearing loss develop language skills using a combination of reading, speaking, lip reading, sign language, and other tools. It can also teach parents skills to help them communicate with their child effectively. […] Our clinicians in the Department of Otolaryngology and Communication Enhancement at Boston Children’s Hospital have extensive expertise evaluating and treating hearing loss. Our Hearing Disorders Clinic and Audiology Program offer comprehensive, multi-disciplinary evaluation and management of various degrees of hearing loss in infants, children, and adolescents. We work closely with specialists in Boston Children’s Deaf and Hard of Hearing Program, one of the largest, most comprehensive hearing-loss programs in the country, to provide comprehensive evaluation and consultative services for children who are deaf or hard of hearing.

• #35 Treatment and Intervention for Hearing Loss | Hearing Loss in Children | CDC

  https://www.cdc.gov/hearing-loss-children/treatment/index.html

  No single treatment or intervention for hearing loss is the answer for every child or family. […] Intervention plans will include close monitoring, follow-ups, and any changes needed along the way. […] There are many different options for children with hearing loss and their families. […] Treatment and intervention options for hearing loss in children include working with a professional (or team) who can help a child and family learn to communicate. […] Early intervention program services help young children with hearing loss learn communication and other important skills. […] Research shows that early intervention services can greatly improve a child’s development. […] Babies who are diagnosed with hearing loss should begin to get intervention services as soon as possible, but no later than 6 months of age.

• #35 Treatment and Intervention for Hearing Loss | Hearing Loss in Children | CDC

  https://www.cdc.gov/hearing-loss-children/treatment/index.html

  This type of hearing aid can be considered when a child has either a conductive, mixed, or unilateral hearing loss. […] Medications or surgery may also help make the most of a person’s hearing. […] Without extra help, children with hearing loss have problems learning language. […] Families who have children with hearing loss often need to change their communication habits or learn special skills (such as sign language) to help their children learn language. […] Parents of children with recently identified hearing loss can seek different kinds of support.

• #35 Treatment and Intervention for Hearing Loss | Hearing Loss in Children | CDC

  https://www.cdc.gov/hearing-loss-children/treatment/index.html

  Services for children from birth through 36 months of age are called Early Intervention or Part C services. […] Special education is instruction specifically designed to address the educational and related developmental needs of older children with disabilities, or those who are experiencing developmental delays. […] Many people who are deaf or hard-of-hearing have some hearing. […] Technology does not „cure” hearing loss but may help a child with hearing loss to make the most of their residual hearing. […] Hearing aids make sounds louder. […] Babies with hearing loss may understand sounds better using hearing aids. […] A cochlear implant may help many children with severe to profound hearing loss even very young children. […] An auditory brainstem implant directly stimulates the hearing pathways in the brainstem, bypassing the inner ear and hearing nerve.

• #36 Hearing Loss (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/hearing-loss.html

  Kids who have hearing loss, or hearing impairment, have trouble hearing or understanding some or all sounds. […] Treatment depends on the type of hearing loss, what caused it, and how bad the hearing loss is. Children with permanent hearing loss should be seen by a team of specialists that includes an audiologist, ear, nose, and throat (ENT) doctor, speech-language therapist, and education specialist. […] Even mild hearing loss can cause problems with speech, language, learning, and social skills. That’s why babies and toddlers with hearing impairment should be enrolled in early intervention, a service that offers free therapy in each state to children who qualify.

• #37 Hearing Impairment: Practice Essentials, Anatomy, Pathophysiology

  https://emedicine.medscape.com/article/994159-overview

  Hearing loss is more prevalent than diabetes mellitus, myelomeningocele, all pediatric cancers, and numerous other medical conditions. However, medical professionals typically learn little about hearing impairment, about how to advise parents of children who are deaf or hard of hearing, or about the special considerations needed in the care of children with hearing loss. […] The role of the primary care physician cannot be overemphasized. In many instances, the otolaryngologist develops a long-term relationship with patients and their families, caring for the patients through their spectrum of development, especially if the otolaryngologist is part of a cochlear implant program. In addition to the surgeon, most cochlear implant teams include audiologists, speech therapists, and, sometimes, social workers. These teams can be very helpful to deaf children, their families, and their primary care physicians.

• #37 Hearing Impairment: Practice Essentials, Anatomy, Pathophysiology

  https://emedicine.medscape.com/article/994159-overview

  Pediatricians play a crucial role in providing referrals to audiologists, otolaryngologists, and special programs. To do so, they must understand the nature of hearing loss and the equipment that can improve auditory reception, the linguistic and social development of children who have hearing impairment, and the educational and linguistic options available to children who are deaf or hard of hearing. […] The goals must always be to integrate the child into the family and into society and to enable the growth and development of a healthy, confident child who is deaf or hard of hearing. To meet these goals, clinicians should use whichever communication strategy and equipment that is best suited for the individual child and his or her family.

• #38 How can school nurses help students with hearing loss?

  https://www.eduhealthsystem.com/blog/hearing-loss-in-students-and-how-can-school-nurses-help/

  School nurses play an important role in identifying children at risk of Noise-induced hearing loss. Half of the children newly diagnosed with hearing loss are between the ages of 4 to 6 years old, and the percentage of children declines as children get older. School nurses must become advocates for hearing screening policies and procedures, as well as instructional programs focused on decreasing hearing loss. Teachers, staff, parents and students can all benefit from hearing loss prevention education provided by the school nurse.

• #38 How can school nurses help students with hearing loss?

  https://www.eduhealthsystem.com/blog/hearing-loss-in-students-and-how-can-school-nurses-help/

  Hearing loss in students, and how can school nurses help? Hearing loss can have a severe impact on a child. Students who are deaf have stressful, isolated, and difficult experiences. Educating kids with hearing impairments requires more than just standard communication strategies. Even with todays advantages of early detection and intervention, there is still much more that can be done to enhance the lives of deaf and hard-of-hearing youngsters. […] The school nurses responsibilities with deaf or hard of hearing kids may include, but are not limited to: Demonstrating efficient communication practices, such as direct communication and/or the use of an interpreter. Creating protocols for hearing and vision screening and follow-up; conducting health and developmental evaluations. Serving as an educational resource for staff on health education. Acting as a resource for staff on community resources for health and human services for children who are deaf or hard of hearing. Prepare students and staff for actual screening and follow-up processes. Obtaining and analyzing result data to assess the efficacy of the health appraisal program.

• #39 Students with Hearing Loss or Deafness | Show Me School Health

  https://showmeschoolhealth.org/resources/students-with-hearing-loss-or-deafness/

  An additional important accommodation that a student who is HOH or deaf may require are services provided by educational audiologists and speech and language pathologists. School nurses may play a role in ensuring the student has the necessary equipment at school, checking that the equipment is in working condition, and assisting with emergency preparedness. […] If the student does not have access to these professionals, it may be necessary for the school nurse to advocate for these services. […] Ensure the device checks are being documented in the students health care record. […] Assess whether the student and their family require any assistance in accessing health care services, including mental health, technology, and/or other resources, such as disability services or financial assistance. […] Provide linkages to necessary health care and resources.

• #40 Hearing Impairment Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/994159-treatment

  Manage conductive hearing loss (CHL) due to otitis media or its sequelae with a course of appropriate antibiotics. Patients with serous otitis media for longer than 3 months benefit from myringotomy and removal of the fluid in the middle ear. Ventilation tubes may ultimately be necessary. If the hearing loss continues, amplification with a hearing aid may be needed. Speech therapy is rarely necessary unless the loss is prolonged and cannot be corrected with amplification. […] Sensorineural hearing loss (SNHL) cannot be treated medically. In mild-to-moderate hearing loss, amplification with hearing aids is used to give the child as much auditory input as possible. Speech therapy may be beneficial. If the child requires special schooling, the school should determine how much speech training is routinely part of the school day. Preferential seating and use of FM systems should be discussed with the patient’s family and teachers.

• #41 Research progress on the treatment and nursing of sensorineural hearing loss

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10279882/

  This article provides a comprehensive review of the progress in the treatment and care of sensorineural hearing loss (SNHL), which is a common disease in the field of otolaryngology. […] The treatment and care of this disease has been a hot topic in the medical field. […] In summary, the etiology and pathogenesis of SNHL are very complex, involving multiple factors and mechanisms. Currently, the treatment and prevention of SNHL mainly rely on drug therapy, auditory rehabilitation, and individualized intervention methods. […] Therefore, in-depth research on the etiology and pathogenesis of SNHL, exploring new therapeutic and preventive strategies, is of great significance in improving patients quality of life. […] Treatment methods for SNHL include medication, traditional Chinese medicine, hyperbaric oxygen therapy, and stem cell transplantation, each with unique mechanisms of action and indications.

• #41 Research progress on the treatment and nursing of sensorineural hearing loss

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10279882/

  Traditional Chinese medicine massage involves kneading, pushing, pulling, and pulling the earlobe. […] Therefore, high patient cooperation is required during the treatment process, and nurses should focus on patient-centered care, develop a planned and purposeful nursing plan, provide personalized care based on the patients condition, perform predictive assessments of potential risk factors, and collaborate with disease and medication observations to improve patient treatment compliance, and ultimately enhance treatment outcomes and hearing levels. […] Additionally, SNHL prevention is crucial, and nurses should focus on disease prevention education during the nursing process, such as maintaining healthy lifestyles and avoiding noisy environments to reduce the risk of illness. […] In summary, the treatment and care of SNHL are comprehensive processes that require the joint efforts of medical staff and active patient cooperation.

• #41 Research progress on the treatment and nursing of sensorineural hearing loss

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10279882/

  The mechanism of hyperbaric oxygen therapy is to improve the hypoxic state of the inner ear by increasing the oxygen content of blood. […] For patients with sensorineural hearing loss (SNHL), nursing care should include psychological, dietary, lifestyle, medication, hyperbaric oxygen, and traditional Chinese massage interventions. […] Therefore, it is important to maintain a quiet environment in the hospital room, avoid noise, and arrange single rooms whenever possible. […] During the treatment period, patients should eat low-salt, low-fat, and light foods. […] Patients with SNHL should be provided with a quiet and comfortable treatment environment to avoid excessive noise. […] During treatment with corticosteroids, patients eating and sleeping patterns should be monitored. […] When performing hyperbaric oxygen therapy, attention should be paid to the following: Before entering the chamber, analyze the patients Eustachian tube function and check the patency of the Eustachian tube.

• #42 Care and Treatment Options for Hearing Loss | American Geriatrics Society | HealthInAging.org

  https://www.healthinaging.org/a-z-topic/hearing-loss/care-treatment

  Most treatment for hearing loss in older adults involves improving communication and devices that increase sound, such as hearing aids. […] Working with a healthcare professional trained in audiology can help make sure that the hearing aid fits and the settings are adjusted as needed. […] A hearing aid is just one part of treating hearing loss. The other is a hearing rehabilitation program. This program includes counseling about hearing aids and suggestions for communicating with others. Programs are typically included in the cost of the hearing aid. […] A cochlear implant is an electronic device surgically placed in the ear of a person with moderately severe hearing loss that hearing aids cannot help. The implant sends sound directly to the cochlear nerves. Medicare programs and insurance companies often pay for the surgery.

• #43

  https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

  Rehabilitation helps people with hearing loss to function at their optimum, which means they can be as independent as possible in everyday activities. […] Interventions for rehabilitation for people with hearing loss include: the provision of, and training in the use of, hearing technologies (e.g. hearing aids, cochlear implants and middle ear implants); speech and language therapy to enhance perceptive skills and develop communication and linguistic abilities; training in the use of sign language and other means of sensory substitution (e.g. speech reading, use of print on palm, Tadoma, signed communication); the provision of hearing assistive technology, and services (e.g. frequency modulation and loop systems, alerting devices, telecommunication devices, captioning services and sign language interpretation); and counselling, training and support to enhance engagement in education, work and community life.

• #44 Hearing Loss Program | Stanford Health Care

  https://stanfordhealthcare.org/medical-clinics/hearing-loss.html

  We understand how hearing loss can disconnect you from your life and your loved ones. We specialize in advanced, personalized treatments for all causes of hearing loss. […] We help you figure out the cause with advanced diagnostic tools. […] We also treat conditions that may lead to hearing loss or affect the health of your ear and surrounding structures. […] We specialize in advanced microsurgery procedures to help improve your hearing. […] Our therapies allow you to live a full and vibrant life. We help you regain as much hearing as possible, improve your ability to communicate, and work to prevent hearing loss in the future. […] We offer hearing aids to amplify the sound around you and change it into something you can hear. […] When hearing aids don’t work well enough, our skilled surgeons can implant a hearing device.

• #45 Communicating with People with Hearing Loss | UCSF Health

  https://www.ucsfhealth.org/education/communicating-with-people-with-hearing-loss

  Successful communication requires the efforts of all people involved in a conversation. […] Even when the person with hearing loss utilizes hearing aids and active listening strategies, it is crucial that others involved in the communication process consistently use good communication strategies, including the following: […] Most hearing-impaired people have greater difficulty understanding speech when there is background noise. […] Some people with hearing loss are very sensitive to loud sounds. […] Recognize that everyone, especially the hard-of-hearing, has a harder time hearing and understanding when ill or tired. […] Enroll in aural rehabilitation classes with your hearing-impaired spouse or friend.

• #46 Life Care Plan Considerations for Hearing Impairments — Stokes & Associates

  https://www.stokes-associates.com/blog/2024/4/22/life-care-plan-considerations-for-hearing-impairments

  Life care planners are routinely engaged for cases involving clients who require hearing aids and assistive technology due to injury-related hearing loss. […] Life care planners should consult with audiologists and/or ENTs to obtain recommendations for current and future treatment needs. […] For significant sensorineural hearing loss requiring hearing aids, life care plans must specify the type (receiver-in-ear, behind-the-ear, or invisible-in-canal), which may require custom ear molds at additional cost. […] Ongoing audiologist follow-ups and hearing tests are necessary as hearing loss can progress over time. […] It is important to ensure that life care planners inquire about hearing aid warranties and replacement schedules. […] Life care plans must also include replacement batteries for hearing aids and assistive technology, if not rechargeable. […] In some cases, an ENT evaluation may be required before hearing aid fitting, especially if testing reveals hearing loss asymmetry, which could indicate neuromas or other inner ear/brain trauma requiring further diagnostics.

• #47 Hearing loss – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hearing-loss/diagnosis-treatment/drc-20373077

  Our caring team of Mayo Clinic experts can help you with your hearing loss-related health concerns. […] You can get help for hearing problems. Treatment depends on the cause of the hearing loss and how bad it is. […] Options include: […] A hearing specialist, known as an audiologist, can talk about how hearing aids can help and what kinds there are. Audiologists also can fit you with a hearing aid. […] An audiologist and a health care provider trained in the ears, nose and throat (ENT) can tell you the risks and benefits. […] Hearing aids, because they’re digital, can be adjusted over a wide range of hearing loss. […] An audiologist like Dr. Hogan can help you sort through all the options and create a personal solution for your hearing problem. […] If you think you have hearing loss, call your health care provider. Your provider might refer you to a hearing specialist, also known as an audiologist. […] For hearing loss, some questions to ask include: […] Your health care provider might ask you questions, including: […] Hearing loss care at Mayo Clinic.

• #48 Reddit – The heart of the internet

  https://www.reddit.com/r/nursing/comments/1e0uwea/can_a_person_with_a_hearing_loss_who_wears/

  The problem lies in my hearing loss. I was born with a severe hearing loss. I can’t hear without my hearing aids unless it s really loud sounds (i.e. a heavy textbook slamming on the door or someone speaking loudly directly in my ears). […] Despite that I took a couple years of speech therapy and I have hearing aids so I can hear and communicate with people. But there are times I do struggle to hear someone so I have to ask them to repeat themselves and then wearing a mask can make it a bit harder. […] I also know that there are accessible stethoscopes and tools such as the Eko stethoscope, but I’m really scared that this career won’t be right for me or if I mess up because I didn’t hear a patient properly. What do you think?

• #49 Hearing Loss and ER nurse – Emergency Nursing

  https://allnurses.com/hearing-loss-er-nurse-t434120/

  Yes you can be a good nurse even if you have hearing loss! […] You absolutely can be a successful RN with hearing difficulty! […] There are specialized molds that can be made for stethoscopes to accommodate hearing aids. […] I worked with a deaf paramedic. He had a special stethoscope and was one of the best. This will not slow you down. Press on, full speed ahead! […] I worked with an ER nurse who used hearing aides. […] Yes you can be a good nurse even if you have hearing loss! […] If I cant hear something, I just ask them to speak up! If there is a will, there is a way! Don’t give up.

• #50 Nurses with Undiagnosed Hearing Loss: Implications for Practice | OJIN: The Online Journal of Issues in Nursing

  https://ojin.nursingworld.org/table-of-contents/volume-20-2015/number-1-january-2015/articles-on-previously-published-topics/nurses-with-undiagnosed-hearing-loss-implications-for-practice/

  Hearing loss affects 36 million people in the United States of America, including 17% of the adult population. This suggests some nurses will have hearing losses that affect their communication skills and their ability to perform auscultation assessments, potentially compromising patient care and safety. […] The purposes of this article are to discuss how hearing loss can influence both patient assessments and effective nurse-patient communication and to explore accommodations available to the practicing nurse who has hearing loss. […] Nurses view communication as a vital part of their role. Interpersonal communication, multidisciplinary communication, and patient education are basic nursing responsibilities. When communication challenges occur, 82% of nurses report a high to very high impact on their ability to work efficiently, and 92% of nurses report lapses in communication that affect patient safety.

• #50 Nurses with Undiagnosed Hearing Loss: Implications for Practice | OJIN: The Online Journal of Issues in Nursing

  https://ojin.nursingworld.org/table-of-contents/volume-20-2015/number-1-january-2015/articles-on-previously-published-topics/nurses-with-undiagnosed-hearing-loss-implications-for-practice/

  Hearing loss greatly impacts the ability to communicate efficiently and effectively. […] Hearing loss also impacts the role of the nurse to perform accurate auscultation during patient assessments. […] For nurses with undetected or untreated hearing loss, deficits could have an impact on the accuracy of their assessments, thus compromising patient care. […] A variety of resources are available to support hearing-impaired nurses in giving care to their patients. […] Maintaining optimal health, including hearing health, is critical to providing professional patient care. […] Nurses need to follow the Healthy People 2020 health screening recommendation that nurses are screened every five years or sooner if needed. […] Nurses should have their hearing screened every five years and accommodate any deficits as needed. […] Nurses, as with the general population, need to be aware of their risk for hearing loss.

• #51 Reddit – The heart of the internet

  https://www.reddit.com/r/nursing/comments/16zxmhi/could_i_still_be_a_nurse_despite_having_mild/

  Im a 3rd year nursing student(28F) and recently I have been diagnosed with severe otitis media with effusion. I have undergone hearing test and the results are not favorable on my right ear. I have a mild hearing impairment. […] Whenever Im on my hospital duty, Im having a difficult time hearing on my stethoscope. Due to that, I have to relay on my classmates whenever auscultation is necessary. […] I consulted an otolaryngologist last week, he said that I might not able to work in the said field unless Ive undergone surgery to repair my problems and yet, its not guaranteed that I would get my hearing back. […] I would just like to confirm if I can no longer work in this field in the future?

• #52 Hearing loss, please help – Nurse Disabilities

  https://allnurses.com/hearing-loss-please-help-t686139/

  I have an extensive history with hearing loss that began in early childhood. […] The results were upsetting but confirmed what I basically already knew. The hearing loss in my left is moderate at some tones and „profound” in others. […] I constantly feared being „found out”. […] I thought it was odd but chalked it up to change in patient (nerves, positions, etc) and felt pretty confident in my reading. […] The conversation that ensued between the doctor and I was incredibly awkward and made me feel like absolute garbage. […] I eventually pulled myself together and finished out my day. […] Finding confidence has been just an excruciating process. […] I would look into getting an amplified stethoscope. […] Just recognize it for what it is: an issue you have through no fault of your own, that you need to compensate for a little bit.

• #52 Hearing loss, please help – Nurse Disabilities

  https://allnurses.com/hearing-loss-please-help-t686139/

  If you choose to take action to improve your hearing, let it be for you – so that you can be done with the stressor it has been to worry constantly about it. […] I had to defibrillate a patient a couple weeks ago in the back of the ambulance (the patient went into vfib arrest after being awake and talkative to us) and he couldn’t hear anything I was saying and was completely unaware that I was about to shock the patient. […] I would suggest if you can afford to, that you get a hearing aide. It is only going to get worse, and it can also be very frustrating for the people you work with if they have to repeat themselves 2+ times for you to hear them. […] Have you told your co-workers about your hearing loss? […] You have to face your handicaps so that you can successfully deal with them.

• #53 Can I Be a Nurse if I Have a Hearing Loss? | NOND

  https://nond.org/faqs/can-i-be-a-nurse-if-i-have-a-hearing-loss/

  Absolutely! The ADA Amendments specify that mitigating measures or devices such as hearing aids cannot be considered in determining whether a person has an impairment that substantially limits a major life activity (the criterion for protection under the ADA). This means that your hearing aids that help you function well do not disqualify you for protection under the ADA. […] We have nurses on our Board who have hearing loss who can consult with you, after you have explored the resources provided above. […] Disclaimer: The National Organization of Nurses with Disabilities (NOND) does not offer legal advice but NOND does offer resources to help you understand your rights, protections, and responsibilities within various Disability Rights Laws.

• #54 Nursing care plan for hearing loss

  https://nursipedia.com/nursing-care-plan-hearing-loss/

  These interventions are necessary to ensure that the patient is able to communicate effectively, maintain their self-care ability, and connect with others. […] To evaluate the success of the nursing care plan, the nurse should monitor the patients communication ability, self-care ability, and psychosocial wellbeing. […] Nursing care plans for hearing loss are necessary to ensure that the patient is able to manage their condition and achieve their goals. It is essential that nurses create an individualized plan to meet the patients needs and provide the necessary support and resources to allow them to live an independent and fulfilling life. […] Evidence-based nursing care plans can help improve the patients communication ability, reduce their feeling of loneliness, and increase their self-care ability.

• #54 Nursing care plan for hearing loss

  https://nursipedia.com/nursing-care-plan-hearing-loss/

  Nursing care plan for hearing lossNursing care plan for hearing loss […] Hearing loss is the partial or total inability to detect sound or understanding speech. Most of the people who suffer from hearing loss do not even realise that they have the condition. Hearing loss can be a big challenge and can affect physical, emotional, and social functioning. Therefore, it is important to develop an evidence-based nursing care plan. […] Based on the assessment findings, the following nursing diagnoses may be identified in patients with hearing loss: […] The goal of the nursing care plan is to improve the patients communication ability, reduce their feeling of loneliness, and increase their self-care ability. […] The nurse should create a comprehensive care plan to address the patients individual needs. Interventions should include:

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