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Keeping Your Hearing Healthy Sonus

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This document provides information about hearing loss and hearing health. It discusses that hearing loss affects over 31 million Americans, including many below retirement age. It describes the different types of hearing loss, such as conductive, sensorineural, mixed, and central, and common causes like noise exposure, aging, and diseases. Signs of hearing loss and the components of a hearing test are outlined. The document emphasizes the importance of protecting hearing and lists ways to do so, such as limiting loud noise and using hearing protection. Treatment options for hearing loss like hearing aids and assistive devices are mentioned.

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KEEPING YOUR HEARING HEALTHY More than just your ears Harriet B. Jacobster, Au.D. Audiologist
FACTS ABOUT HEARING LOSS Ó˪ Hearing loss affects more than 31.5 million Americans— most of whom are below retirement age Ó˪ 3 in 10 people over age 60 have hearing loss Ó˪ Among Americans ages 41 to 59, about 15% already have hearing problems—that’s 1 in 6 baby boomers! Ó˪ 7.4 percent—or 1 in 14—Generation Xers, ages 29 to 40, suffer from hearing loss Ó˪ At least 1.4 million children, 18 or younger, have hearing problems Ó˪ It’s estimated that 3 in 1,000 infants are born with serious to profound hearing loss Better Hearing Institute
HOW WE HEAR or If a tree falls in the woods….
Ó˪ A sound or noise sends vibrations (sound waves) through the air Ó˪ The sound waves hit your eardrum, it vibrates Ó˪ These vibrations are sent to the three smallest bones in your body Ó˪ The bones pass these vibrations along a coiled tube in the inner ear Ó˪ Fluids in the inner ear are set into motion moving thousands of nerve endings Ó˪ In the inner ear, the physical vibrations are changed into neural impulses which are sent to the brain along the auditory pathways Ó˪ The brain interprets these vibrations as sound
CAUSES OF HEARING LOSS Ó˪ Excessive noise Ó˪ Aging Ó˪ Diseases Ó˪ Infections Ó˪ Injury to the head or ear Ó˪ Birth defects or genetics Ó˪ Ototoxic reaction to drugs or cancer treatment
TYPES OF HEARING LOSS There are four types of hearing loss: conductive sensorineural mixed central
CONDUCTIVE HEARING LOSS It's all mechanical Ó˪ any condition or disease that blocks or impedes the conveyance of sound through the middle ear Ó˪ Result is a loss of loudness Ó˪ Generally can be treated medically or surgically
Examples of CONDUCTIVE LOSS Ó˪ External Ear Ó˪ congenital malformation where pinna and ear canal fail to form Ó˪ blockage in ear canal - foreign body or accumulated cerumen (ear wax) Ó˪ Middle ear Ó˪ perforation in ear drum Ó˪ otitis media (ear infection) Ó˪ ossicular chain discontinuity/fixation
SENSORINEURAL HEARING LOSS Hair cell and/or nerve damage Ó˪ results from inner ear or auditory nerve dysfunction Ó˪ reduces the intensity and/or clarity of speech
Examples of SENSORINEURAL LOSS Sensory (inner ear or cochlea) Ó˪ High Frequency Ó˪ Aging Ó˪ Noise exposure Ó˪ Head Trauma Ó˪ Genetics Ó˪ Disease Ó˪ Low Frequency Ó˪ Meniere’s Disease Ó˪ Genetic Ó˪ Any/all frequencies Ó˪ Disease Ó˪ Drugs Ó˪ Genetics Ó˪ Viral/bacterial infections Ó˪ Vascular disorders
Examples of SENSORINEURAL LOSS Neural Ó˪ Acoustic neuroma or other tumor of or near the nerve of hearing and balance Ó˪ Auditory neuropathy Ó˪ Injury
CENTRAL HEARING LOSS damage to auditory centers of the brain Examples of CENTRAL LOSS Ó˪ Stroke Ó˪ Traumatic brain injury Ó˪ Brainstem lesions Ó˪ Disruption in neural pathways
MIXED HEARING LOSS Ó˪ combination of conductive and sensorineural Ó˪ damage in the outer or middle ear and in the inner ear (cochlea) or auditory nerve
SIGNS OF HEARING LOSS
You might have hearing loss if you . . . Socially: Ó˪ require frequent repetition. Ó˪ have difficulty following conversations involving more than 2 people. Ó˪ think that other people sound muffled or like they're mumbling. Ó˪ have difficulty hearing in noisy situations, like conferences, restaurants, malls, or crowded meeting rooms. Ó˪ have trouble hearing children and women. Ó˪ have your TV or radio turned up to a high volume. Ó˪ answer or respond inappropriately in conversations. Ó˪ read lips or more intently watch people's faces when they speak with you.
You might have hearing loss if you . . . Emotionally: Ó˪ feel stressed out from straining to hear what others are saying. Ó˪ feel annoyed at other people because you can't hear or understand them. Ó˪ feel embarrassed to meet new people or from misunderstanding what others are saying. Ó˪ feel nervous about trying to hear and understand. Ó˪ withdraw from social situations that you once enjoyed because of difficulty hearing
You might have hearing loss if you . . . Medically: Ó˪ have a family history of hearing loss. Ó˪ take medications that can harm the hearing system (ototoxic drugs). Ó˪ have diabetes, heart, circulation or thyroid problems. Ó˪ have been exposed to very loud sounds over a long period or single exposure to explosive noise
THE HEARING TEST
Raise your Hand when you hear the beep
DEGREE of hearing loss Ó˪ Degree of hearing loss refers to the severity of the loss. Ó˪ Hearing loss range (dB HL) Ó˪ Normal -10 to 15 Ó˪ Slight 16 to 25 Ó˪ Mild 26 to 40 Ó˪ Moderate 41 to 55 Ó˪ Moderately severe 56 to 70 Ó˪ Severe 71 to 90 Ó˪ Profound 91+ Source: Clark, J. G. (1981). Uses and abuses of hearing loss classification. Asha, 23, 493–500.
CONFIGURATION of hearing loss Ó˪ The shape of the hearing loss Ó˪ Amount of hearing loss at each frequency and the overall picture of hearing that is created Ó˪ High-frequency loss Ó˪ Low frequency Ó˪ Flat Ó˪ Cookie Bite Ó˪ Reverse slope
Other descriptors associated with hearing loss Ó˪ Bilateral versus unilateral Ó˪ Symmetrical versus asymmetrical Ó˪ Progressive versus sudden hearing loss Ó˪ Fluctuating versus stable hearing loss
WHAT YOU CAN DO TO PROTECT YOUR HEARING
Ó˪ Limit exposure time to noisy activities. Ó˪ Wear hearing protection, such as foam or silicone plugs or muffs Ó˪ At home, turn down the volume on the television, radio, stereos and walkmans. Ó˪ Buy quieter products (compare dB ratings – the smaller the better). Ó˪ Reduce the number of noisy appliances running at the same time in your personal environment. Ó˪ Avoid or limit medications that can be dangerous to your hearing. Be sure to ask your physician about possible effects on your hearing. Ó˪ Eat healthy and exercise Ó˪ Get regular check-ups
Get your hearing tested regularly to monitor your hearing ability
HEARING LOSS TREATMENT
Hearing loss treatment improves Ó˪ Earning power Ó˪ Communication in relationships Ó˪ Intimacy and warmth in family relationships Ó˪ Ease in communication Ó˪ Emotional stability Ó˪ Sense of control over life events Ó˪ Perception of mental functioning Ó˪ Physical health Ó˪ Group social participation
Hearing loss treatment reduces Ó˪ Discrimination toward the person with the hearing loss Ó˪ Hearing loss compensation behaviors (i.e. pretending you hear) Ó˪ Anger and frustration in relationships Ó˪ Depression and depressive symptoms Ó˪ Feelings of paranoia Ó˪ Anxiety Ó˪ Social phobias Ó˪ Self-criticism
TREATMENT INCLUDES Ó˪ Hearing Aids Ó˪ Assistive Listening Devices Ó˪ Aural Rehabilitation Ó˪ Counseling
QUESTIONS?????
THANK YOU Harriet B. Jacobster, Au.D. ASHA Certified in Audiology 371 State Route 17M Monroe, NY 10950 Ph: (845) 395-0300 E-mail: sonusmonroe@aol.com

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Keeping Your Hearing Healthy Sonus

  • 1. KEEPING YOUR HEARING HEALTHY More than just your ears Harriet B. Jacobster, Au.D. Audiologist
  • 2. FACTS ABOUT HEARING LOSS Ó˪ Hearing loss affects more than 31.5 million Americans— most of whom are below retirement age Ó˪ 3 in 10 people over age 60 have hearing loss Ó˪ Among Americans ages 41 to 59, about 15% already have hearing problems—that’s 1 in 6 baby boomers! Ó˪ 7.4 percent—or 1 in 14—Generation Xers, ages 29 to 40, suffer from hearing loss Ó˪ At least 1.4 million children, 18 or younger, have hearing problems Ó˪ It’s estimated that 3 in 1,000 infants are born with serious to profound hearing loss Better Hearing Institute
  • 3. HOW WE HEAR or If a tree falls in the woods….
  • 4. Ó˪ A sound or noise sends vibrations (sound waves) through the air Ó˪ The sound waves hit your eardrum, it vibrates Ó˪ These vibrations are sent to the three smallest bones in your body Ó˪ The bones pass these vibrations along a coiled tube in the inner ear Ó˪ Fluids in the inner ear are set into motion moving thousands of nerve endings Ó˪ In the inner ear, the physical vibrations are changed into neural impulses which are sent to the brain along the auditory pathways Ó˪ The brain interprets these vibrations as sound
  • 5. CAUSES OF HEARING LOSS Ó˪ Excessive noise Ó˪ Aging Ó˪ Diseases Ó˪ Infections Ó˪ Injury to the head or ear Ó˪ Birth defects or genetics Ó˪ Ototoxic reaction to drugs or cancer treatment
  • 6. TYPES OF HEARING LOSS There are four types of hearing loss: conductive sensorineural mixed central
  • 7. CONDUCTIVE HEARING LOSS It's all mechanical Ó˪ any condition or disease that blocks or impedes the conveyance of sound through the middle ear Ó˪ Result is a loss of loudness Ó˪ Generally can be treated medically or surgically
  • 8. Examples of CONDUCTIVE LOSS Ó˪ External Ear Ó˪ congenital malformation where pinna and ear canal fail to form Ó˪ blockage in ear canal - foreign body or accumulated cerumen (ear wax) Ó˪ Middle ear Ó˪ perforation in ear drum Ó˪ otitis media (ear infection) Ó˪ ossicular chain discontinuity/fixation
  • 9. SENSORINEURAL HEARING LOSS Hair cell and/or nerve damage Ó˪ results from inner ear or auditory nerve dysfunction Ó˪ reduces the intensity and/or clarity of speech
  • 10. Examples of SENSORINEURAL LOSS Sensory (inner ear or cochlea) Ó˪ High Frequency Ó˪ Aging Ó˪ Noise exposure Ó˪ Head Trauma Ó˪ Genetics Ó˪ Disease Ó˪ Low Frequency Ó˪ Meniere’s Disease Ó˪ Genetic Ó˪ Any/all frequencies Ó˪ Disease Ó˪ Drugs Ó˪ Genetics Ó˪ Viral/bacterial infections Ó˪ Vascular disorders
  • 11. Examples of SENSORINEURAL LOSS Neural Ó˪ Acoustic neuroma or other tumor of or near the nerve of hearing and balance Ó˪ Auditory neuropathy Ó˪ Injury
  • 12. CENTRAL HEARING LOSS damage to auditory centers of the brain Examples of CENTRAL LOSS Ó˪ Stroke Ó˪ Traumatic brain injury Ó˪ Brainstem lesions Ó˪ Disruption in neural pathways
  • 13. MIXED HEARING LOSS Ó˪ combination of conductive and sensorineural Ó˪ damage in the outer or middle ear and in the inner ear (cochlea) or auditory nerve
  • 15. You might have hearing loss if you . . . Socially: Ó˪ require frequent repetition. Ó˪ have difficulty following conversations involving more than 2 people. Ó˪ think that other people sound muffled or like they're mumbling. Ó˪ have difficulty hearing in noisy situations, like conferences, restaurants, malls, or crowded meeting rooms. Ó˪ have trouble hearing children and women. Ó˪ have your TV or radio turned up to a high volume. Ó˪ answer or respond inappropriately in conversations. Ó˪ read lips or more intently watch people's faces when they speak with you.
  • 16. You might have hearing loss if you . . . Emotionally: Ó˪ feel stressed out from straining to hear what others are saying. Ó˪ feel annoyed at other people because you can't hear or understand them. Ó˪ feel embarrassed to meet new people or from misunderstanding what others are saying. Ó˪ feel nervous about trying to hear and understand. Ó˪ withdraw from social situations that you once enjoyed because of difficulty hearing
  • 17. You might have hearing loss if you . . . Medically: Ó˪ have a family history of hearing loss. Ó˪ take medications that can harm the hearing system (ototoxic drugs). Ó˪ have diabetes, heart, circulation or thyroid problems. Ó˪ have been exposed to very loud sounds over a long period or single exposure to explosive noise
  • 19. Raise your Hand when you hear the beep
  • 20. DEGREE of hearing loss Ó˪ Degree of hearing loss refers to the severity of the loss. Ó˪ Hearing loss range (dB HL) Ó˪ Normal -10 to 15 Ó˪ Slight 16 to 25 Ó˪ Mild 26 to 40 Ó˪ Moderate 41 to 55 Ó˪ Moderately severe 56 to 70 Ó˪ Severe 71 to 90 Ó˪ Profound 91+ Source: Clark, J. G. (1981). Uses and abuses of hearing loss classification. Asha, 23, 493–500.
  • 21. CONFIGURATION of hearing loss Ó˪ The shape of the hearing loss Ó˪ Amount of hearing loss at each frequency and the overall picture of hearing that is created Ó˪ High-frequency loss Ó˪ Low frequency Ó˪ Flat Ó˪ Cookie Bite Ó˪ Reverse slope
  • 22. Other descriptors associated with hearing loss Ó˪ Bilateral versus unilateral Ó˪ Symmetrical versus asymmetrical Ó˪ Progressive versus sudden hearing loss Ó˪ Fluctuating versus stable hearing loss
  • 23. WHAT YOU CAN DO TO PROTECT YOUR HEARING
  • 24. Ó˪ Limit exposure time to noisy activities. Ó˪ Wear hearing protection, such as foam or silicone plugs or muffs Ó˪ At home, turn down the volume on the television, radio, stereos and walkmans. Ó˪ Buy quieter products (compare dB ratings – the smaller the better). Ó˪ Reduce the number of noisy appliances running at the same time in your personal environment. Ó˪ Avoid or limit medications that can be dangerous to your hearing. Be sure to ask your physician about possible effects on your hearing. Ó˪ Eat healthy and exercise Ó˪ Get regular check-ups
  • 25. Get your hearing tested regularly to monitor your hearing ability
  • 27. Hearing loss treatment improves Ó˪ Earning power Ó˪ Communication in relationships Ó˪ Intimacy and warmth in family relationships Ó˪ Ease in communication Ó˪ Emotional stability Ó˪ Sense of control over life events Ó˪ Perception of mental functioning Ó˪ Physical health Ó˪ Group social participation
  • 28. Hearing loss treatment reduces Ó˪ Discrimination toward the person with the hearing loss Ó˪ Hearing loss compensation behaviors (i.e. pretending you hear) Ó˪ Anger and frustration in relationships Ó˪ Depression and depressive symptoms Ó˪ Feelings of paranoia Ó˪ Anxiety Ó˪ Social phobias Ó˪ Self-criticism
  • 29. TREATMENT INCLUDES Ó˪ Hearing Aids Ó˪ Assistive Listening Devices Ó˪ Aural Rehabilitation Ó˪ Counseling
  • 31. THANK YOU Harriet B. Jacobster, Au.D. ASHA Certified in Audiology 371 State Route 17M Monroe, NY 10950 Ph: (845) 395-0300 E-mail: sonusmonroe@aol.com