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Cheatography

Screening Elderly Hearing Handicaps Cheat Sheet (DRAFT) by [deleted]

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Hearing Frequency Range by Age Group

Introd­uction

Presby­cusis is the third most common chronic condition in older Americans. Currently guidel­iness call for periodic screening of older patients for hearing impair­ments.
Audioscope examin­ation, otoscopic examin­ation, and Whispered Voice test are recomm­ended. See cheats­heet.
Questi­onn­aires such as the screening version of the Hearing Handicap Inventory for the Elderly accurately identify persons with hearing impair­ment.
Patients' medica­tions should be reviewed for potent­ially ototoxic drugs.
Patients with chronic otitis media or sudden hearing loss, or who fail any screening tests should be referred to an otolar­yng­olo­gist.
Hearing aids are the treatment of choice for older persons with hearing impair­ment, because they minimize hearing loss and improve daily functi­oning.

Assessment

Question (Points: Yes=4, Someti­mes=2, No=0)
Points
Does a hearing problem cause you to feel embarr­assed when you meet new people?
[__]
Does a hearing problem cause you to feel frustrated when talking to members of your family?
[__]
Do you have difficulty hearing when someone speaks in a whisper?
[__]
Do you feel impaired by a hearing problem?
[__]
Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors?
[__]
Does a hearing problem cause you to attend religious services less often than you would like?
[__]
Does a hearing problem cause you to have arguments with family members?
[__]
Does a hearing problem cause you difficulty when listening to the television or radio?
[__]
Do you feel that any difficulty with your hearing limits or hampers your personal or social life?
[__]
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends?
[__]
Sum the points assigned to each of the items - total score
[__]
A raw score:
0 to 8 = 13 percent probab­ility of hearing impairment (no handic­ap/no Referral);
0 to 24 = 50 percent probab­ility of hearing impairment (mild to moderate handic­ap/­ref­erral);
26 to 40 = 84 percent probab­ility of hearing impairment (severe handic­ap/­ref­erral).

Adapted from Ventry IM, Weinstein BE. Identi­fic­ation of elderly people with hearing problems. ASHA. 1983;2­5(7­):42.