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Presentation Hospitals and Hearing Loss


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FCCDHH Coordinator for Education and Outreach Position Presentation

Hospitals and Hearing Loss

Coleen Cook Klecic

Published in: Health & Medicine
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Presentation Hospitals and Hearing Loss

  1. 1. Hospitals and Hearing Loss The Hard of Hearing Are Still at Risk in Some Hospitals!
  2. 2. Hospitals: Scary and Confusing [Insert Video here]
  3. 3. The Growing Problem of Silence About 9% of Anywhere from 2 Americans or over to 8 million 21 million people Americans are have hearing completely deaf. problems. Between 1971 and More than 20 1991 we saw a million of those 53% increase in have hearing hearing problems problems. in the aging. Deafness or loss Almost half the of hearing is the hearing problems single most are significant. chronic disability in America.
  4. 4. Hearing and Health• About a third of hearing problems come from other health problems.• A significant number of deaf people have complex medical issues that contributed to their deafness.
  5. 5. A Compound ProblemHealth problems Deafness
  6. 6. • A ConfusingPlace• No way tocommunicate• Anundertrainedstaff• A greaterchance ofmistakes incare
  7. 7. The Danger for the Deaf
  8. 8. Preventable Adverse Effects• Significantly more likely among those with communication problems like deafness• A preventable adverse event is defined as “an unintended injury or complication caused by the delivery of health care”
  9. 9. Common Adverse Effects• Drug related• Inappropriate treatment• Treatment delays• Failure to monitor a patient’s condition• The deaf experience more than one event
  10. 10. The Underlying Problem• The underlying problem is communication between deaf patients and health care professionals.
  11. 11. The Heart of Medicine• The conversation between the doctor and patient is the heart of medicine.
  12. 12. Effective Diagnosis and Treatment • A thorough medical history happens through a thorough conversation between a doctor and patient. • Good patient doctor communication is fundamental to good healthcare.
  13. 13. Deaf Healthcare Communication• Extraordinarily difficult for the deaf to communicate in healthcare settings• The Result: – Inadequate care – Inappropriate care – Care that harms
  14. 14. The BIG Issue• Oral communication for the deaf• Deaf people not included in the process• Needs are ignored
  15. 15. Hearing Aid Affordability• Becoming a significant issue for the deaf• Fewer can afford hearing aids• Communication difficulties result
  16. 16. Challenges Deaf People FaceLower Income Level Lower literacy Level
  17. 17. The DeafAmong the most vulnerable in our society
  18. 18. Almost 60 % of the. hearing impaired go to the doctor more often: • Higher health Due to unresolved costs medical problems • More healthcare A lack of • Inability to resolve understanding from health issue prior visit • More health risksNegative Outcomes for Deaf Patients
  19. 19. Poor Healthcare is Illegal
  20. 20. The Americans with Disabilities Act
  21. 21. What the Law Says for Deaf PeopleThe Hospital MustProvide:• A sign language interpreter• Note takers• Written materials• Assistive living devices• Health care must be equally accessible
  22. 22. Persistent Hospital Problems for the DeafLack of Understanding Lack of Preparedness• Yet many doctors still don’t understand the needs of deaf patients.• Some hospitals still aren’t prepared to really level the playing field in their facilities.
  23. 23. The Americans with Disabilities ActHospital Staff Uninformed Too Few Provisions Made
  24. 24. The Cost of Ignorance and NeglectHigher Than Assistive Healthcare Lawsuits and Devices Costs Go Up
  25. 25. Assistive Devices Required• The cost of the communications equipment is the responsibility of the hospital.• The law says its part of the cost of doing business and not the responsibility of the disabled patient.
  26. 26. The High Cost of Doing Nothing • However trying to save money by not providing deaf patients with equipment to communicate and staff members trained to use it can also raise the cost of care.
  27. 27. Preventable Adverse Hospital Events• Half of all preventable adverse events happen to the communication challenged• 57% of those affected had to stay longer• More than a third (35%) had to be re-admitted• About a third (32%) were suffered minimal impairment• A tenth (10%) suffered moderate impairment• (5%) experienced permanent impairment• (6%) died from the adverse event• Non-communication in healthcare is risky and costly!
  28. 28. What Do Hospitals Need to Do?• Provide assistive devices for the deaf• Train staff to use them• Provide transfer Teletypewriters (TTY) or Video Relay calls (VRS) pocket talkers and CART
  29. 29. What Else Can Hospitals Do?• Use patient ID on charts• Arrange for deaf interpreters• Use wristbands, signs• Special provisions• Remove surgical masks
  30. 30. Deaf People Have Legal Rights!• Everyone in the hospital system needs to know when a deaf or hard of hearing person is a hospital patient• Everyone needs to be trained know what to do to avoid adverse outcome
  31. 31. Deaf People Have Rights in Hospitals• Hospital safety makes happy patients!• Reputation is important!• The problem of communicating with the deaf in healthcare settings is not going away!
  32. 32. The Baby-Boomers: A Hearing Loss Time Bomb• Former President Bill Clinton: One of many baby- boomers who face hearing problems• The numbers will increase as baby boomers age
  33. 33. PREPARE FOR • More Americans are THE FUTURE losing hearing at an earlier age • 15% of school age children have hearing deficits • Young adults are showing signs of hearing impairment • The trends are expected to continue as baby boomers age.
  34. 34. Is Your Hospital Ready for the Future?