Hearing Loss Health Care for Older Adults

被引:38
作者
Contrera, Kevin J. [1 ]
Wallhagen, Margaret I. [2 ,3 ]
Mamo, Sara K. [4 ]
Oh, Esther S. [5 ]
Lin, Frank R. [6 ,7 ,8 ,9 ]
机构
[1] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[2] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA USA
[3] John A Hartford Ctr Gerontol Nursing Excellence, San Francisco, CA USA
[4] Johns Hopkins Med Inst, Ctr Aging & Hlth, Baltimore, MD 21205 USA
[5] Johns Hopkins Univ, Dept Geriatr Med & Gerontol, Baltimore, MD USA
[6] Johns Hopkins Univ, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA
[7] Johns Hopkins Univ, Dept Geriatr Med, Baltimore, MD USA
[8] Johns Hopkins Univ, Dept Mental Hlth, Baltimore, MD USA
[9] Johns Hopkins Univ, Dept Epidemiol, Baltimore, MD USA
基金
美国国家卫生研究院;
关键词
Access to Health Care; Clinical Medicine; Cost-Effectiveness; Hearing Loss; Otolaryngology; NATIONAL-HEALTH; LOSS PREVALENCE; ASSOCIATION; IMPAIRMENT; IMPACT; DEPRESSION; PREDICTOR; MORTALITY; MODERATE; FALLS;
D O I
10.3122/jabfm.2016.03.150235
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Hearing deficits are highly prevalent among older adults and are associated with declines in cognitive, physical, and mental health. However, hearing loss in the geriatric population often goes untreated and generally receives little clinical emphasis in primary care practice. This article reviews hearing health care for older adults, focusing on what is most relevant for family physicians. The objective of hearing loss treatment is to ensure that a patient can communicate effectively in all settings. We present the 5 major obstacles to obtaining effective hearing and rehabilitative care: awareness, access, treatment options, cost, and device effectiveness. Hearing technologies are discussed, along with recommendations on when it is appropriate to screen, refer, or counsel a patient. The purpose of this article is to provide pragmatic recommendations for the clinical management of the older adult with hearing loss that can be conducted in family medicine practices.
引用
收藏
页码:394 / 403
页数:10
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