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21 Cards in this Set
- Front
- Back
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typical adult with hearing loss?
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-male
-white -older -no college degree -low ses |
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why guys more??
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-males work in more noise
-males in military -hunt more -genetic issues related to the y chromosome |
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why white?
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genetics possibly
-whites have more hearing loss than african americans |
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why less ses?
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-less education the noiser the job.
-less salary, the noisier the job |
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women with hearing loss
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-chronic problem, few tested
bc not included in HMO 13% reported by 55 and more depression is noted |
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typical hearing loss in adults
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Gradual onset (noise & age)
High frequency in nature (noise & age) Individual compensates by turning up volume, requesting repetition, speechreading Most do not realize how bad their hearing loss is |
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effects of hearing loss
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Personality type
Stage of life Health Geography-no service providers Vocation//Socioeconomic Status Race & Ethnicity Gender |
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depression
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Differs from loss of vision
Cut off from communication Defensive Hostile Paranoia Denial “everyone mumbles” |
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three levels
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-primative
-warning -symbolic |
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primative
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Primitive-sound in environment subconsciously keeps us in touch with our world or space
-sudden loss, very problematic -insidious loss, lead to depression -individuals born with hearing loss do not miss this |
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warning
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Insecure—no doorbell or telephone ring
Annoyed by inability to hear-can’t hear alarm clock Cannot localize-requires bilateral equal hearing Aesthetics—loss of music, loss of birds singing, crickets |
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symbolic
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Language! Sound is the typical way we communicate
Home (TV, spouse) Work (loss of job, underemployment, co-workers) Telephone School Social Activities |
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hearing loss in elderly
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Presbycusis-- presby meaning old and akouein “to hear”
Most hearing loss in US is related to aging Wax & DiPietro NIDCD 1991 25-40% at age 65 have loss >90% have loss at age 80 years |
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what causes hearing loss in elderly?
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Aging process (Controversial)
Noise Medications Nutrition (calcium) Disease Tobacco Trauma Heavy metals/pollution |
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hearing loss in elderly associated with
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Depression
Confusion Inattentiveness Increased Tension Negativism Paranoia Anxiety |
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what does aging do the ear
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Outer and Middle
Less Elastic (ear canal collapse) Calcification of the bone Degeneration of muscle Calcification of the ligaments Jerger & Mauldin (72) – tympanometry findings vary more with age Hall (82) Reflexes decrease, but not more than related to hearing loss |
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aging inner ear
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Sensory-sharply sloping snhl due to loss of hair cells, base
Neural-high frequency loss w/poor word recog– inner hair cell coding Strial-flat snhl, good word recog, stria vascularis Mechanical-gentle slope, ligaments stiffen |
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auditory processing and aging
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James Jerger
Slower processing Decreased rapid memory Poorer ability to pull signal from noise Poorer speech recognition as compared to younger folks with same hearing loss |
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lack of services
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13-18% Receive AR Services
3 out of 5 have hearing aids (NCOA) REASONS TO NOT USE.. My hearing loss is not bad enough 66% I can get along without one It would make me feel old 20% Cost 50% I’m too embarrassed to wear one 20% |
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impact on hearing loss
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Baby Boomers are getting old
Change marketing strategies Fitting more individuals over age 80 years than ever before |
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stages in grieving process
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-stages
-loss career -age stigma -depression -issues of self adequecy |
