American Speech-Language-Hearing Association

"I can hear, but I can't understand what's being said"

Tip Sheet
news: facts:

Y our  life is changing because of hearing loss and you may not even realize it. You turn up the TV or you ask people to repeat what they say, especially in the presence of background noise or when listening from a distance.

By the year 2030, 21 million Americans age 65 and older are expected to have a hearing loss.

Sensorineural hearing loss is most often associated with the aging process. It usually occurs in both ears and is irreversible medically or surgically. This condition involves difficulty understanding speech, especially in noisy environments, and gets worse over time. A person's ability to hear high frequency sounds diminish with old age. For example, "s" may sound like "sh" and "f" may sound like "th."

Almost every older person will experience normal aging changes in the auditory system; however, exposure to noise over a lifetime is now believed to be a major contributor to hearing loss in old age. Hearing health can be protected through preventive measures such as:

- wearing earplugs

- turning down the volume on stereos or headsets

- limiting periods of exposure to noise while at concerts

Because communication with an older person can often be challenging due to physical, psychological and social changes during the aging process, take extra time and be patient. For example,

- begin conversations with casual topics

- be an active listener

- look for hints from eye gaze and gestures

- reduce background noises that may be distracting

- allow extra time for a response

- keep sentences and questions short

If you suspect that you or a family member has a hearing loss, consult an ASHA-certified audiologist, the hearing care professional who can evaluate your hearing and suggest treatment methods.

For more information on hearing loss and aging, including a free brochure, or for a referral to an ASHA-certified audiologist, consumers may call ASHA's Action Center at 1-800-638-TALK (8255) or visit ASHA's web site at www.asha.org .

Communication disorders affect approximately 46 million Americans. Of these, 28 million have a hearing loss, 14 million have a speech or language disorder, and 4 million have a balance disorder, or suffer from smell and taste disorders.

Audiologists are hearing health care professionals who specialize in preventing, identifying and assessing hearing disorders as well as providing audiologic treatment including hearing aids and other assistive listening devices.

Speech-language pathologists are the professionals who identify, assess, and treat speech and language problems including swallowing disorders.

ASHA is the national professional, scientific, and credentialing association for more than 120,000 audiologists, speech-language pathologists and speech, language, and hearing scientists.

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