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The Changing Relationship Between Hearing Loss And Chronic Illness

hearing loss and chronic illness

The way hearing health care providers are caring for their patients is taking a new shape thanks to the increasing amount of information coming to surface thanks to important scientific research highlighting comorbidities between chronic medical illness and hearing decline.
Past Awareness
In the past few decades, new information about the link between chronic illness and hearing loss has been trickling into the medical community. However, awareness of the issue and knowledge of the exact conditions that share a link to hearing loss has been slow to evolve.
According to a recent article in The Hearing Journal, Kathryn Dowd, Aud, first became aware of the link between comorbidities of chronic disease and hearing loss in 1984 when she found information from the Maryland Department of Aging recommending that anyone with diabetes, cardiovascular, chronic kidney, Alport syndrome, or Crohn’s syndrome have their hearing checked.
What Dowd soon realized was that this information was not widely known among the medical or hearing health community. She began an effort called the Audiology Project to help get the CDC and other organizations the right information to disperse to patients who need it so their hearing needs can be properly attended.
Research At Work
In the meantime, the evidence base for the link between chronic conditions and hearing loss has been growing steadily. In 2008, researchers established a higher rate of hearing loss among those suffering from diabetes than those who do not. In 2011, a research study highlighted the link between early-stage dementia and hearing loss.
Research continues to expand the list of chronic illnesses that have a definitive link to hearing loss. They’re also working to understand whether the relationship between the two is causal or correlative. As information expands, so is awareness among the medical and hearing healthcare community, which will continue to shape future provider care.
The Future Of Provider Care
Links between chronic disease and hearing loss, particularly in older populations will play an integral part in determining the right kind of provider care. Primary care physicians who are properly educated will increase referrals to Audiologists and other hearing health professionals.
In turn, these professionals will begin providing feedback to the referring physician or make their own referrals to medical professionals if they suspect possible links between a patient’s hearing loss and other conditions.
The Future Of Patient Care
The growing awareness of these links means more comprehensive care and communication between hearing healthcare and other medical care providers. Diagnosis of hearing conditions that may have otherwise be missed may now be more probable thanks to the awareness both providers are beginning to gain with the Audiology Project and similar awareness movements.
Awareness may reduce the chances of isolation patients suffer from living with undiagnosed hearing loss. It may also lead to improved means of communication between patient and medical healthcare provider thanks to proper hearing healthcare.
Audiologists will also be better suited to tailor hearing health solutions for their patients based on increased awareness of patients limitations due to chronic illness. Patients with early onset dementia may benefit from early intervention so hearing aids become a part of their established routine. Whereas those with vision problems due to chronic disease may be well suited for a hearing aid with bright colors so that it can easily be found and worn.

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A Holistic Approach To The Management Of Hearing Loss

holistic approach to hearing loss

Holistic medicine is an approach to health treatment that emphasizes cooperative relationships. It is the practice of medicine that addresses the wants of the whole person including physical, nutritional, environmental, social, spiritual, and lifestyle changes. This approach to health treatment includes the use of drugs and surgery if needed, and focuses on education for balance and well being. Now, hearing healthcare professionals are using a multi-step process to improve treatment outcomes for hearing loss patients. The transition is placing hearing health as part of whole-body health.

Evaluation

Evaluation is the first step in the holistic approach to hearing loss treatment. Hearing healthcare professionals identify the presence of hearing loss and if present, determine if the damage is due to a sensorineural impairment. The inner ear is susceptible to numerous chronic diseases, and as a specialist in this area, the hearing healthcare professional can assist in the detection and possible treatment of chronic diseases.

Case History

A review of the patient’s case history is essential for identifying the presence of chronic diseases. Chronic diseases often have multiple and overlapping pathophysiology so a method of identification of these diseases should be a part of a medical history form for patients of hearing healthcare professionals.

Hearing Loss Comorbidities

At this step, the professional will determine if both a chronic hearing loss and another chronic condition are co-existing. If this is the case, then comorbidity, the presence of two or more chronic conditions simultaneously exists. Poor health outcomes increased healthcare costs, and highly complex clinical management are part of treating comorbidities. This interaction between the two illnesses affects the manner of treatment and prognosis.

Odds Ratio

At this point, the hearing healthcare professional determines if the odds ratio of chronic disease is increasing. This increase may indicate associated pathology. Vascular diseases such as heart disease, high blood pressure, stroke, and chronic kidney disease as well as neurological diseases such as Alzheimer’s disease are known to elevate odds ratios.

Self-Evaluation

Self-evaluation is a time for hearing healthcare professionals to assess readiness to attempt patient co-management of the patient’s diseases. The practitioner must decide if they wish to be involved in the sharing of information with other providers to improve the patient’s outcome. This access allows the hearing healthcare professional to provide awareness regarding the interactions with hearing and balance disorders.

Team Management

This phase is communication that works toward team management of comorbid chronic health conditions. These interactions usually involve the patient’s primary care physician. A hearing healthcare professional can add a clear insight to a healthcare team for a few reasons:

  • The hearing healthcare professional is the only member of the treatment team who can assess inner ear function.
  • Hearing healthcare professionals are the sole members who can provide treatment for sensorineural hearing loss.
  • The hearing healthcare professional can notify the other health care professionals of hearing disorders.

The future of hearing health is gearing up for enhancement through the collaboration of hearing healthcare professionals with other medical specialties.