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Patient Education :  Hearing Aids - A Guide to Selection, Wear and Care
   
1- Anyone Can Have Hearing Loss 5- Getting Your Hearing Aid
2- How You Hear 6- Caring For Your Hearing Aid
3- Your Hearing Evaluation 7- Living With Your New Hearing Aid
4- Types of Hearing Aids 8- Assistive Listening Devices (ALDs)
9- Resources
     
     

Hearing Aids - A Guide to Selection, Wear and Care

Page  3

    
     

Your Hearing Evaluation

         
The process of choosing a hearing aid usually begins with medical and hearing examinations. The medical exam may be done by your family doctor or you may be referred to an otolaryngologist (a doctor who is an ear, nose, and throat specialist). Your hearing will be carefully tested by an audiologist (a health professional who specializes in evaluation and nonmedical treatment of hearing loss). The test results, called an audiogram, will show whether your ears are healthy, what type of hearing loss you have, and exactly what you can and cannot hear.  

    

Your Medical Exam

A hearing loss can mean you have a medical problem. An examination of your ears, nose, and throat is needed to rule out any infection, injury, or other problem. Certain ear conditions can be treated or corrected with medicines or surgery. Then there might be no need for a hearing aid. Your doctor will take your medical history, asking you questions about your health and hearing as well as your family's medical history.

 

Your Hearing Test

The audiologist may use several tests to find which tones, sounds, and words you can and cannot hear. These tests are usually given in a soundproof room using electronic equipment. The tests are not painful or difficult to do. You are asked to signal when you hear tones and sounds that come through the earphones. Other tests will show if you can tell the difference between words that sound much alike, such as fin, pin, tin, and thin. The tests show which sounds or tones your hearing aid will need to amplify for you.

 

What the Audiogram Shows

The audiogram is a graph showing the results of your hearing test. Low pitch or frequencies (tones) are shown on the left and high frequencies on the right. Soft sounds are at the top of the graph and loud sounds at the bottom. The loudness where you first hear a tone is marked ( ) and these points are connected to form a line. Normal hearing levels start between 0 and 20 decibels. Normal tones fall within the dotted outline area.  

( Chart adapted from J. Northern and M. Downs, Hearing in Children, 2nd Ed. @Williams &Wilkins, 1991, and courtesy of Mary Ann KinsellaMeier and Florence Vold, Gallaudet University, 1985 ).

      
Audiogram of a person with a hearing loss that is worse in the higher frequencies: This person heard none of the sounds in the green area above the line.  

Other Possible Tests

Other tests may be done, depending on the nature of your hearing loss or the results of your audiogram. Such tests may be used to measure how well the eardrum is working, to check for fluid in the middle ear, or to diagnose other conditions not revealed by the usual tests.

  
This information is not intended as a substitute for professional health care. (c)1995, 1998 The StayWell Company, 1100 Grundy Lane, San Bruno, CA 94066-3030. (800) 333-3032. All rights reserved. Lithographed in Canada. Krames Communications. Consultants: Philip Bartlett, MD  Lawrence M. Eng, MS, CCC-A Contributions By Robert Harris, MD   Alison Grimes, MA CCC-A
      
    
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