Hearing loss most often physically occurs in the ear but also affects our brain and how we interpret and understand sounds, especially speech sounds. The use of hearings aids and cochlear implants help us to detect sounds easier but it is important to help re-train the brain to better understand sounds and make sense of the information sent through the devices.
For us to optimally understand conversation, our working memory is used to recall words and their context. Also, when a hearing loss is present, our brains have a hard time understanding the conversation because they cannot accurately interpret the information fast enough. Both of these characteristics have also been shown to decrease as we age.
Those with even a mild hearing loss and good speech understanding have experienced difficulty hearing conversations in noise. The hearing loss is causing ours brain to work harder to filter out the pertinent speech information from the background noise.
Auditory training is also referred to as “aural rehabilitation” and “hearing exercises”. The goal of auditory training is to help improve working memory and increase auditory processing speed. Hearing aid users who practiced auditory training, specifically hearing speech against background noise, for 3 hours a week were able to correctly identify 25% more words in sentences than when they started. It may be time to consider auditory training if any of the following applies when also wearing devices:
You are still avoiding noisy restaurants
You are asking family members to repeat themselves more often
Feeling fatigued after a conversation or being in a noisy listening environment
Auditory training can be done at home with a program set up by your audiologist or completed through apps available on smartphones, tablets, and computers. These programs are designed to act like a game so it is interactive and fun to do. Examples of some apps are:
If downloading an app isn’t the user’s preference, other ideas for auditory training include listening to audiobooks and having practice conversations with family members.
In addition to hearing aids, cochlear implants, and osseointegrated implants, there are other devices on the market to help those who are hearing impaired. Devices such as amplified phones, lighted door bells, and amplified alarm clocks are just a few of these options.
For anyone with hearing loss, the telephone can be quite a difficult task. Two options that can help ease this stress are 1. Amplified telephones and 2. Captioned Telephones. There are many national companies that provide captioned telephones to patients with hearing loss. Captioned telephones go through a transcription service to write out what is being said on a screen. Patients can then read what the other person is saying. Any audiologist or medical provider can certify a patient’s hearing loss.
*Check out CaptionCall.com for more information.
Devices such as amplified alarm clocks also have features such as a “bed shaker” that sends a small vibration at the alarm time. Patients have also utilized smart watches with a vibration feature for alarms.
*Check out Diglo.com for more assistive technology for patients with hearing loss
As audiologists, we often get asked “How do I clean my ears?” by patients. Many people do not know that your ear typically cleans itself! Earwax, or cerumen, is a self-cleaning agent meant to protect and lubricate your ear canal. Glands in your ear canal produce this substance to trap dirt and dust particles so they do not make their way to your eardrum. The earwax naturally migrates out of your ear with jaw movements, such as chewing or talking. Different factors can impact how much earwax a person produces (e.g. genetics, medications).
When a cerumen impaction occurs, it is typically due to the patient using Q-tips or other objects to clean their ears. But, in reality this typically just inhibits the natural migration of the earwax and pushes it down deeper into the ear canal! Symptoms of a cerumen impaction include decreased hearing, tinnitus (ringing in the ears), itchiness, or a plugged feeling in the ears.
There are safe methods to help remove the earwax from your ears, if there is a buildup. Patients can place a few drops of mineral oil, a mixture of hydrogen peroxide and water, or commercial wax softeners into the ear over the course of a few days. If a deep impaction has occurred, softening the wax alone will most likely not remove all of the wax and the individual will need to have the cerumen extracted. Licensed medical providers have the ability to manually remove earwax. Different methods of extraction include suction, water irrigation, or curette removal. The method used varies depending on the condition of their ear and the amount of wax. Consult a physician if you believe that you have a cerumen impaction.
The Hearing Center At JHBI Proudly Serves Patients In Jacksonville (Jax), Jacksonville Beach, Neptune Beach, Atlantic Beach, Mandarin, Ortega, Ponte Vedra Beach, Flagler Beach, Fernandina Beach, Amelia Island, St. Augustine, St. Augustine Beach, Orange Park, Macclenny, Middleburg, St. Johns, St. Marys, Waycross, Nocatee, Vilano Beach, Green Cove Springs, Middleburg, Jacksonville Beach.