Hearing Loss, Falls, and Other Health Implications Tony Davis MSW - - PowerPoint PPT Presentation

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Hearing Loss, Falls, and Other Health Implications Tony Davis MSW - - PowerPoint PPT Presentation

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Hearing Loss, Falls, and Other Health Implications Tony Davis MSW Hard of Hearing Services Coordinator November 7, 2018 NCDHHS, Division of Services for the Deaf and Hard of Hearing 1 Objectives Gain a better understanding of the

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NCDHHS, Division of Services for the Deaf and Hard of Hearing

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Hearing Loss, Falls, and Other Health Implications

Tony Davis MSW

Hard of Hearing Services Coordinator

November 7, 2018

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NCDHHS, Division of Services for the Deaf and Hard of Hearing

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Objectives

  • Gain a better understanding of the

prevalence of hearing loss.

  • Understand some of the associated

health issues related to hearing loss.

  • Understand why awareness is so

important.

  • Understand what types of assistive

technology is available to use.

  • Learn about DSDHH services.
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NCDHHS, Division of Services for the Deaf and Hard of Hearing

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Statistics on Hearing Loss

  • Who Has Hearing loss

− Approximately 16.2% of adults in NC have hearing loss − ≈33% between the ages of 65 and 75 − ≈50% over age 75 − Hearing loss is the third most chronic health condition among older adults

SOURCE: North Carolina Division of Services for the Deaf and the Hard of Hearing. March 30, 2017 National Institute on Aging. Hearing: Hearing Loss: A Common Problem for Older Adults. https://www.nia.nih.gov/health/hearing-loss-common-problem-older-adults. Accessed Nov 5th, 2018.

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NCDHHS, Division of Services for the Deaf and Hard of Hearing

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NC Population with Hearing Loss

SOURCE: North Carolina Division of Services for the Deaf and the Hard of Hearing. March 30, 2017

679,753 771,594 264,179 384,471 274,701 493,283 1,218,633 1,649,348

  • 200,000

400,000 600,000 800,000 1,000,000 1,200,000 1,400,000 1,600,000 1,800,000 2015 2030 2015 2030 2015 2030 2015 2030 Residents Ages 18-64 with Hearing Loss Residents Ages 65-74 with Hearing Loss Residents Age 75 and Over with Hearing Loss TOTAL RESIDENTS WITH HEARING LOSS AGE 18 & OVER

2014 - 2030 PROJECTED INCREASE IN NC POPULATION WITH HEARING LOSS, BY AGE GROUPS

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NCDHHS, Division of Services for the Deaf and Hard of Hearing

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Spectrum of Hearing Loss

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Famous Quote

“Hearing loss is often perceived as an unfortunate but inconsequential part of aging”. (Lin 2012)”

SOURCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3518399/

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Hearing loss and Falls

Image# 684536046

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Hearing Loss and Fall Risk

  • "Hearing loss significantly increases

the risk of falls for older people".

− Study: Ages 40-69 of people with mild hearing loss or greater,

  • 4.9 % Reported falling x 1 in last year
  • Persons with mild loss = triple risk of fall
  • Each additional 10 Db of loss = 1.4 fold odds of

fall

− Additional Studies:

  • Greater hearing loss associated with slower

gait speed.

SOURCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3518403/ https://www.ncbi.nlm.nih.gov/pubmed/?term=PMID%3A+23177614

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Hearing Loss and Dementia

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Associated Health Risk

  • Dementia & Hearing Loss

− Hearing loss and dementia can look alike. − Hearing loss is correlated with dementia.

  • Study followed 639 adults for nearly 12 years &

found that persons with hearing loss had increased risk of dementia.

− Level of Hearing Loss

  • Mild = 2X risk
  • Moderate = 3X risk
  • Severe = 5X risk

SOURCE: http://www.hopkinsmedicine.org/health/healthy_aging/healthy_body/the-hidden-risks-of-hearing-loss

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The Brain and Hearing Loss

  • Baltimore Longitudinal Study of Aging

− 126 participants over 10 years. − Those that hearing loss when they started had faster rates of brain atrophy. − Those with hearing loss had an additional decrease of 1 cubic centimeter of brain matter a year. − Sound and speech areas of the brain had greater atrophy

Source: http://www.hopkinsmedicine.org/news/media/releases/hearing_loss_linked_to_accelerated_brain_tissue_loss_

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Associated Health Risk

  • Untreated Hearing Loss and Cognitive

Decline

− 3 Dominos

  • Brain Overload: Incoming sound is not clear and

the brain has to constantly make sense of it.

  • Brain Shrinkage: Is literally getting smaller

because of atrophy.

  • Social Isolation: People are becoming detached

from their environment.

SOURCE: Hearing Loss Matters Full Episode Video Twin Cities PBS air date 10/24/15 https://www.tpt.org/hearing- loss-matters/video/tpt-co-productions-hearing-loss-matters/

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Hearing Loss and Tinnitus

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Associated Health Risk

  • Tinnitus

− “Tinnitus (TIN-ih-tus) is the perception of noise or ringing in the ears. A common problem, tinnitus affects about 1 in 5 people”. − Often Sounds like: Ringing, Buzzing, Roaring, Clicking, Hissing, (can be very debilitating). − “Tinnitus can significantly affect quality

  • f life”. Can cause: exhaustion, sleep

issues, stress, anxiety & depression.

SOURCE: https://www.mayoclinic.org/diseases-conditions/tinnitus/symptoms-causes/syc-20350156

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Associated Health Risk

  • Diabetes Correlation

− Hearing Loss is twice as common in people with Diabetes. − A person with prediabetes is 30% more likely to have hearing loss. − Theory:

  • Possibility that high blood sugar damaging

small vessels in the inner ear

SOURCE: http://www.diabetes.org/living-with-diabetes/treatment-and-care/seniors/diabetes-and-hearing-loss.html,

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Associated Health Risk

  • Mental Health

− Depression − Anxiety − Isolation − Typically worse in those that are late deafened or hard of hearing.

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Assistive Technology

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Hearing Aids & Cochlear Implants

  • Hearing Aids

− Various Styles

  • Differ based on depth of hearing loss

− Performance

  • An aid not a cure
  • Much more than amplification
  • Constantly improving
  • Cochlear Implants

− Various types

  • An aid not a cure
  • Success varies
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Assistive Technology

  • Personal Amplifiers
  • Alerting Technology
  • Amplified/Captioned Telephones
  • Videophones
  • Hearing Aid Streamers
  • Voice to Text
  • Apps
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DSDHH MISSION STATEMENT

  • The Division of Services for the Deaf

and the Hard of Hearing serves individuals who are Deaf, Hard of Hearing, Deaf-Blind, their families and the communities in North Carolina by enabling them to achieve equal access, effective communication and a better quality of life.

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DSDHH Statewide Regional Centers

Asheville Morganton Greensboro Raleigh Wilson Charlotte Wilmington

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Services Provided by DSDHH

  • DSDHH can provide…

− Information and Referral − Advocacy − Consultation − Training − Assistance / Resources to Agencies − Equipment

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DSDHH Brochures & Fact Sheets

  • Will pass out four today

− Communication Tips Fact Sheet − Assistive Devices Fact Sheet − DSDHH Brochure − Equipment Distribution Service Brochure Please contact us for more information or visit our website: www.ncdhhs.gov/dsdhh

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Wrap Up

  • Questions?
  • Contact Information

Tony Davis Hard Of Hearing Services Coordinator

Division of Services for the Deaf and Hard of Hearing NC Department of Health and Human Services Office: 919-351-2206 (VP) Voice/TTY: 800-851-6099 Fax: 919-855-6873 Tony.Davis@dhhs.nc.gov