This document discusses hearing loss and hearing solutions. It aims to educate people about hearing loss, clarify options, and empower those reluctant to address hearing problems. The author has 35 years of experience as a hearing instrument specialist and operates four hearing clinics in New Brunswick and Nova Scotia. Untreated hearing loss can negatively impact quality of life, mental health, cognition and memory. Advances in hearing aid technology have made them effective, discreet solutions. The document provides information on causes of hearing loss, symptoms, treatment options including hearing aids, and testimonials from satisfied clients.
2. 1. To educate as many people as possible.
2. To clarify as much as possible.
3. To empower people who are reluctant to make a change.
Cheryl Morehouse, BC-HIS
Board Certified Hearing Instrument Specialist with
35 years experience,
head office in Fredericton, NB
4 Hearing Clinics in NB & NS
3. My Reasons
My passion
Make the “invisible handicap”
disappear.
Hi-tech & cool.
4. Reasons for
Better Hearing
Any change in your
hearing can have a
serious, negative effect on
your quality of life and
mental health.
There is no reason that
anyone should suffer
with less than optimal
hearing.
Advances in hearing
techno logy has been so
remarkable in just the last
3 to 5 years.
The brains of people
with hearing loss shrink
faster than those who’s
hearing has not
diminished.
5. Hearing
andCognition
hear·ing
/ˈhiriNG/
the faculty of perceiving sounds
synonyms: ability to hear, auditory perception, sense of
hearing, aural faculty
cog·ni·tion
käɡˈniSH(ə)n/
the mental action or process of acquiring knowledge and
understanding through thought, experience, and the senses.
synonyms: perception, discernment, apprehension, learning,
understanding, comprehension, insight.
7. Memory &
Dementia
Hearing loss is a potential contributing factor to other medical and
psychological issues.
The brains of people with hearing loss shrink faster than those
whose hearing has not diminished.
After hearing aid use, improved
attention and word recollection.
Processing speed was faster.
Reference: Jamie Desjardins, PhD, an assistant professor in the
speech‐language pathology program atThe University ofTexas
at El Paso January 26, 2016
8. Hearing Loss
& Depression
hear·ing
/ˈhiriNG/
the faculty of perceiving sounds
synonyms: ability to hear,
auditory perception, sense of
hearing, aural faculty
de.press.ion
/dɪˈpreʃn/
a serious medical condition in
which a person feels very sad,
hopeless, and unimportant and often is unable to live in a normal
way
Reference: http://www.healthyhearing.com/report/52437-The-complex-link-
between-depression-and-hearing-loss
12. Untreated
Sadness and depression
Worry and anxiety
Paranoia
Less social activity
Emotional turmoil and
insecurity
Treated
Better relationships with
their families
Better feelings about
themselves
Improved mental health
Greater independence and
security
14. Related Health
Concerns
Serious health concerns:
Hearing loss is associated with many health conditions including:
diabetes
cardiovascular disease
higher risk of falls
18. Intro to
HearingAids
How Hearing AidsWork
Simplified:
Sounds are picked up by the hearing aid MICROPHONE.
The sound is made louder by the AMPLIFIER.
The sound exits the SPEAKER and into the ear canal.
Hearing aids are tiny computers that:
Help distinguish speech in noise
Reduce feedback
Are customizable to your loss and needs
Come in all shapes and sizes
Pair with accessories
22. DidYou Know
Tinnitus can be worse when you do certain activities
It can only be noticeable when it’s quiet
Your food or drink choices may play a role
Stress, nervousness and anxiety can contribute
Exposure to loud noises can also contribute
Tinnitus can cause trouble concentrating
It can cause trouble sleeping
It can affect your hobbies & activities
It can make you irritable
It can certainly get in the way of your hearing
25. Expect customization from the
very first consultation.
Hearing aids are ordered and
custom fit to your loss, your
needs, and your budget.
Differences in Hearing
Loss NEED
Customization
28. Our Locations
Woodstock
559-561 Main Street
Woodstock, NB E7M 2B9
(506) 325-2723
Amherst
211 South Albion Street
Amherst, NS B4H 2X2
(902) 667-5433
Fredericton
111-1133 Regent Street
Fredericton, NB E3B 3Z2
(506) 452-2913
Moncton
271 St. George Street
Moncton, NB E1C 1W7
(506) 857-4252
hearing@nbnet.nb.ca
29. “I knew I would hear better but it was
unbelievable how much better I hear. Everyone
I work with is very happy that I have them!”
– D. Ebbett
“I drove my kids crazy asking them to repeat
everything they said. What a joy to hear and
not be pretending.” – G. Riley
“The hearing aids are awesome, quite a life
changer.They’re perfect.” – B. Kenney
Editor's Notes
Hi, My name is Cheryl and I’ll be presenting this webinar today
To educate as many people as possible about how valuable their hearing is
To clarify as much as possible and help people make a decision
To inspire people who are reluctant to make a change
Change is hard at first, messy in the middle, and beautiful at the end.
The average person waits 7 to 10 years to seek help.
The percentage of people who have hearing loss and who wear hearing aids has not budged in years.
Less than optimal hearing has been linked to an increased risk of serious health problems.
Bonus at the end.
My passion for my work is rooted in my personal experience of having a younger brother who was born profoundly deaf. Far too often, he was excluded from family activities due to his inability to hear. My passion for my work is an expression of my love for him & an innate need to make the world a better place.
We are entering an era where it may be possible to make the “invisible handicap” disappear.
The latest wave of technology has made hearing devices so sleek and hi-tech that they’re cool.
I want you to know that being able to hear better is not just a matter of convenience or comfort; it has a powerful influence on the quality of your life and your family and friends will thank you for it.
Any change in your hearing can have a serious, negative effect on your quality of life and mental health.
There is no reason that anyone should suffer with less than optimal hearing.
Advances in hearing techno logy has been so remarkable in just the last 3 to 5 years
The brains of people with hearing loss shrink faster than those who’s hearing has not diminished.
There is a difference between hearing and understanding.
Loud enough is not the same as clear enough!
Most people say they can hear but just can’t make out what people are saying.
Sometimes women and children are harder to understand.
Have a harder time hearing in background noise.
Maybe the TV is louder than normal.
Having difficulty hearing on the phone.
It is physically tiring to listen with such intent all the time to make sure you don’t miss anything.
Listening Effort:
What effect do hearing aids have on listening effort?
Hearing loss is mentally exhausting. It is very tiring to have to focus all the time and try to constantly piece together the missing pieces of what you’re hearing.
Reducing listening effort:
has multiple impacts
can change your social interaction with family and friends
can change psychology
What higher technology can do:
noise reduction
directionality
Hearing health professionals and the hearing care industry must be the ones who ensure that hearing loss is recognized not only for its own treatment, but also as a potential contributing factor to the successful resolution of other medical and psychological issues.
University of Texas at El Paso Professor shows that hearing aids improve memory and speech.
Results (After 2 weeks of hearing aid use):
• Increase in percent scores for recalling words
• Improvement in working memory and selective attention tests
• Processing speed at which participants selected the correct response was faster
By the end of the study, participants had exhibited significant improvement in their cognitive function.
Reference: Jamie Desjardins, PhD, an assistant professor in the speech‐language pathology program at The University of Texas at El Paso January 26, 2016
Strongly recommend hearing assessment as part of screening process for dementia and Alzheimer’s disease.
Hearing Loss and Depression
Hearing loss is the third most occurring condition in older adults.
Social isolation as a result of hearing loss leads to depression, especially in older adults.
More than 11 percent of those with hearing loss also had depression, as opposed to only 5 percent in the general population.
In employees aged 33-55, those with untreated mild to moderate hearing loss were more prone to depression, anxiety and interpersonal sensitivity than those with no hearing problems.
Fatigue, difficulty concentrating, loss of appetite, irritability and loss of interest in hobbies can all be signs of depression.
Reference: http://www.healthyhearing.com/report/52437-The-complex-link-between-depression-and-hearing-loss
Sound funnels into the external auditory canal (ear canal) and causes the eardrum to move.
The eardrum vibrates with sound.
Sound vibrations move through the ossicles (incus, malleus and stapes which are the 3 tiniest bones in the human body) to the cochlea.
Sound vibrations cause the fluid in the cochlea to move.
Fluid movement causes the hair cells to bend. Hair cells create neural signals which are picked up by the auditory nerve.
The auditory nerve sends signals to the brain where they are interpreted as sounds.
We hear across a wide range of sound frequencies or pitches.
250 Hz (Hertz) is a low frequency sound and 8000 Hz is a high frequency sound. In other words, the lower the number, the lower the pitch of the sound.
The range of 250 to 8000 Hz represents the frequencies most useful for listening to speech, which is why audiologists and hearing specialists test through this range.
The audiogram of a person without hearing loss would show hearing at all frequencies between -10 to 25 dB. All recordings on the audiogram greater than 25 dB represent a hearing loss at that frequency.
When you need the TV volume up so high that it disturbs your family.
When you have trouble hearing a caller on the phone.
When you find yourself saying “what?’ during normal conversation.
When you start favouring one ear over the other when trying to hear.
When you frequently misunderstand what’s being said.
When everyone appears to be mumbling.
When you don’t know where sound is coming from.
When you can’t follow a conversation in a noisier environment.
Untreated:
Sadness and depression
Worry and anxiety
Paranoia
Less social activity
Emotional turmoil and insecurity
Treated
Better relationships with their families
Better feelings about themselves
Improved mental health
Greater independence and security
Causes of hearing loss include:
Noise exposure at work or other loud events such as concerts
Aging
Genetics
Ototoxic drugs
Ototoxic Drugs
Illness (examples)
Autoimmune Disease
Meniere’s Syndrome
Acoustic Neuromas
HL often associate with:
Diabetes
Cardiovascular Disease
Higher risk of falls
There are several diseases and health issues that can contribute to or even cause your hearing loss. As with hearing loss, these issues left untreated will only get worse.
5 stages of grief (because hearing loss is a loss)
Denial
Refusal to believe we have a hearing loss. ‘The problem ‘really’ is that everyone else mutters.’
Anger
towards anyone related to loss e.g. ENT doctor, audiologist. ‘What I need is a cure not a hearing aid.’
Bargaining
‘If my hearing comes back I’ll be nicer to people.’
Depression
‘I might as well give up going out with my friends if I can’t hear a word they say.’
Acceptance
‘We had a wonderful holiday after all. There is life after loss of hearing.’
What to Do: You have a hearing loss, acknowledge it, own it and get on with it!
Polish your coping and communication skills
Help your friends and family
Get hearing aids and learn how to use them
Take advantage of assistive technology
Pass on what you learn
Educate/Advocate for better hearing
If you are the one helping someone with hearing loss…
Communication tips:
Repeat and/or rephrase
Simplify message content; highlight key words
Supplement spoken language with nonverbal and written communication
Use a moderate, rather than slow or fast rate of speech
Speak face-to-face and make sure your face is visible (well lit, nothing in front of mouth, etc.)
Make it obvious when you are changing the topic of conversation
Avoid noisy, busy environments
Limit group conversations and focus on one-on-one conversations
Reduce distractions
See slide
STYLES
Body (in the past)
Receiver in canal (RIC)
Behind The Ear (BTE)
In The Ear (ITE)
In The Canal (ITC)
Completely In the Canal (CIC)
How Can Better Hearing Help?
• Improves independence
• Allows you to become more socially engaged
• Improves quality of life
• Improves the patient’s safety
Hearing instrument users are more likely to report improvements in their physical, emotional, mental and social well-being. Family members and friends are more likely to notice these benefits than the actual users themselves. There is a strong correlation between a strong social network and quality of life as you age.
TINNITUS
Sound you hear that no one else does.
Sounds: ringing, buzzing, chirping, clicking, roaring, rushing, heart beat…
It can be heard in one ear, both ears or in your head.
Can be constant, Comes and Goes, fluctuate in volume
Tinnitus is heard when the auditory nerves are stimulated without an external cause.
Basically, your nerve endings are sending messages to your brain that a sound is heard even though no sound is actually there.
Your nerve endings (sometimes called Hair Cells) are over-stimulated! But why???
Often due to damage because of excessive noise exposure causing damage to hair cells.
See Slide
Introduction to Hearing Aid Features by Steve Barber, HLAA-Wake Chapter
Hearing aids are Expensive. Hearing aids aren’t like glasses. You need to be an informed consumer.
You need to know how to use the aid. There are a lot of misconceptions about hearing. Hearing better is UP TO YOU!
• Highest Priority: Hearing Better
• High Priority: Learning to Use Your Aid
• Lowest Priority: Vanity
Put hearing better as the top priority. Put vanity at the bottom of your priorities. Be a savvy consumer; know what features might help you. Watch out for people trying to sell you what they THINK you want. Choose a provider that lets you try multiple aids/settings. Small is not necessarily better (and usually isn’t).
Watch out for sales pitches; if it sounds too good to be true; it probably is. Get professional help from someone you trust. New is not necessarily better (but sometimes is).
Use the trial period. Try the aids in different situations and make notes. Work with your provider during the trial period by explaining what things sound good or bad to you.
Team of:
Audiologist
Hearing instrument specialists
Customer care coordinators
Why do you want better hearing?
What motivated you to come in?
We help you find your “why”.
Fitting is an art and science … not like glasses
100-day trial period
Your #1 PRIORITY is Better Hearing
Our clients experience a higher degree of satisfaction with their hearing aids than the industry average. This is simply because I hold the highest standards for best practices at my company.
The longer you wait to begin using hearing technology, the faster your hearing loss will deteriorate. Wearing hearing aids will help your hearing from getting worse.
Thank you for watching this webinar all the way through. We appreciate your interest in learning the most you can about your hearing and hearing loss.
You can help yourself, or a loved one, with this bonus, almost a $30 value, just contact us for your free copy.
If you are wondering how to help your loved one, this book can help start the conversation about better hearing.
Email to hearing@ nbnet.nb.ca for an e-Book or paperback delivered to your door.
I want to extend a special thanks to our all of our clients for their loyal support over the years. From all of us at Innovative Hearing, Thank you for being our client! Here’s what some of them have to say…