II. Management: Communication
- American Disabilities Act mandates "Auxiliary Aids and Services" for deaf or Hearing impaired patients at healthcare facilities
- Attempt to adapt to the patient's preferred communication method (and note in medical record for longterm patients)
-
General
- Maintain eye contact with patient (regardless of Interpreter presence)
- Speak in a normal volume and tone
- Lip readers
- Maintain eye contact
- Have a supply of clear masks for staff to allow patients to lip read through the mask
- Speech to Text Applications
- Live Transcribe
- Otter.ai
- Ava
- Sign Language Live or via Remote Interpreter
- Use a professional medical american sign Language Interpreter
- As with any Translation Services, avoid using family members or friends (unless patient declines professional Interpreter)
- Phone Relay or Video Relay Service (via typed text, TTY)
- Calls may be received through a relay service, or initiated by dialing 711
- Makeshift Hearing amplifier
- Use the stethoscope as an amplifier
- Place the ear tips in the patients ears
- Speak into the diaphragm of the stethoscope
- References
- From email communication with D. Nagase, MD
- References
- (2021) Presc Lett 28(6): 34-5
III. Complications
- Decreased social engagement
- Adverse effects on partner relationship
- Decreased quality of life
- Major Depression
- Decreased functional status (e.g. Activities of Daily Living)
- Delirium
- Exacerbates Dementia
- Increased Fall Risk
- Increased Mortality
IV. Prevention
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Related Studies
| Definition (MSHCZE) | Těžká porucha až ztráta sluchu znemožňující příjem zvukových informací. Postihuje jedno nebo obě uši. Převodní porucha sluchu – porucha převodu zvuku ze zevního ucha na ucho vnitřní, obv. ve středním uchu. Pacient slyší lépe vysoké tóny než nízké. Percepční porucha sluchu – porucha vlastního vnímání zvuku ve vnitřním uchu, sluchovém nervu nebo v příslušných oblastech mozku (poslední se někdy označuje jako centrální). Pacient slyší hůře vysoké tóny, resp. šepot ve srovnání s hlasitou řečí. Příč. vrozená onemocnění, vlivy některých toxických látek a léků (srov. ototoxický), akustické trauma (barotrauma), záněty ucha či CNS, náhlé cévní příhody v oblasti vnitřního ucha, těžké formy otosklerózy aj. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ ) |
| Definition (NCI) | An inherited or acquired condition characterized by a partial or complete loss of hearing in one or both ears. The level of impairment varies from a mild but important loss of sensitivity to a total loss of hearing. |
| Definition (CSP) | lack or significant deficiency of the sense of hearing. |
| Definition (MSH) | A general term for the complete loss of the ability to hear from both ears. |
| Concepts | Finding (T033) |
| MSH | D003638 |
| ICD10 | H91.9 |
| SnomedCT | 15188001, 267678002, 194432002, 155259007, 162341001, 194411005, 139613003 |
| English | Deafness, Deafness NOS, Surdity, Deafness (NOS), Unspecified deafness, No hearing, Deafness [Disease/Finding], loss hearing, ear deafness, hear loss, hearing losses, hearing loss, deafness degree, deafness (diagnosis), deafness, Deafness NOS (disorder), DEAFNESS, Deafness, NOS, Deafness NOS (finding) |
| French | SURDITE, Surdité SAI, Pas d'audition, Surdité non précisée, Surdité totale, Surdité, Déficience auditive totale, Perte auditive totale, Perte d'audition totale, Surdité bilatérale totale |
| Portuguese | SURDEZ, Surdez NE, Audição nula, Surdez |
| Spanish | SORDERA, sordera total (trastorno), Sordera (NEOM), No oye, Sordera NEOM, Sordera no especificada, sordera, SAI (hallazgo), Anacusia, sordera, SAI (trastorno), sordera, SAI, Deafness NOS, Sordera |
| German | TAUBHEIT, kein Gehoer, unspezifische Taubheit, Taubheit (NNB), Taubheit NNB, Gehörlosigkeit, Gehörverlust, vollständiger, Surditas, Taubheit |
| Dutch | doofheid NAO, doofheid (NAO), geen gehoor, niet-gespecificeerde doofheid, surditas, doofheid, Doofheid, Slechthorendheid |
| Italian | Sordità NAS, Sordità non specificata, Sordità (NAS), Udito assente, Perdita dell'udito, Sordità bilaterale, Perdita completa dell'udito, Sordità |
| Japanese | 難聴, 詳細不明の難聴, ろう, 難聴（ＮＯＳ）, 難聴ＮＯＳ, ﾅﾝﾁｮｳNOS, ｼｮｳｻｲﾌﾒｲﾉﾅﾝﾁｮｳ, ﾅﾝﾁｮｳ, ﾛｳ, 聾唖, ろうあ, 聴覚消失症, 聴覚消失, 聾 |
| Swedish | Dövhet |
| Czech | hluchota, Nedoslýchavost NOS, Hluchota, Hluchota NOS, Blíže neurčená hluchota, Neslyšící, anacusis, anakuze, bilaterální hluchota, celková ztráta sluchu, surditas |
| Finnish | Kuurous |
| Russian | GLUKHONEMOTA, SLUKHA POTERIA POLNAIA, GLUKHOTA, GLUKHOTA NEIROSENSORNAIA, ГЛУХОНЕМОТА, ГЛУХОТА, ГЛУХОТА НЕЙРОСЕНСОРНАЯ, СЛУХА ПОТЕРЯ ПОЛНАЯ |
| Croatian | GLUHOĆA |
| Polish | Głuchoniemota, Głuchota |
| Hungarian | süketség, süketség (k.m.n.), süketség k.m.n., Süketség, Nem hallás, Nem meghatározott süketség |
| Norwegian | Døvhet, begge ører, Totalt hørselstap, Døvhet, Bilateral døvhet |
Ontology: Hearing Impaired Persons (C0525064)
| Definition (MSH) | Persons with any degree of loss of hearing that has an impact on their activities of daily living or that requires special assistance or intervention. |
| Definition (PSY) | Profoundly or severely hearing impaired. Consider also PARTIALLY HEARING IMPAIRED for severely hearing impaired. |
| Concepts | Patient or Disabled Group (T101) |
| MSH | D019986 |
| English | Deaf, Hard of Hearing Persons, Hearing Impaired Person, Person, Hearing Impaired, Persons, Hearing Impaired, Deaf Person, Person, Deaf, Persons, Deaf, Deaf Persons, hard hearing person, deaf, Person, Hearing Disabled, Disabled Persons, Hearing, Persons, Hearing Disabled, Hearing Disabled Persons, Hearing Disabled Person, Persons With Hearing Impairments, Hearing Impaired Persons |
| Dutch | doof, Doven, Gehoorgestoorde personen, Hardhorige personen, Personen die slechthorend zijn, Slechthorende personen, Slechthorende persoon |
| French | Sourd, Sourds, Déficients auditifs, Personnes déficientes auditives, Personnes ayant des difficultés auditives, Personnes handicapées auditives, Malentendants, Personnes ayant des déficiences auditives, Personnes présentant des déficiences auditives, Personnes sourdes, Handicapés auditifs, Personnes malentendantes |
| German | taub, Schwerhörige Personen, Taube Personen, Hörgeschädigte Personen, Personen mit Hörschäden |
| Italian | Sordità, Persone sorde, Persone con deficit uditivi, Persone con deficit uditivo, Invalidi non udenti |
| Portuguese | Surdo, Pessoas Portadoras de Surdez, Pessoas com Insuficiência Auditiva, Not Translated[Persons With Hearing Impairments], Pessoas com Deficiência Auditiva, Pessoas com Dificuldade Auditiva |
| Spanish | Sordo, Personas Sordas, Personas con Deficiencia Auditiva, Personas Insuficiencia Auditiva, Not Translated[Persons With Hearing Impairments], Personas con Dificultad Auditiva |
| Japanese | 難聴, ﾅﾝﾁｮｳ, 聴覚障害者, ろうあ者, 聾唖者 |
| Swedish | Hörselskadade |
| Czech | sluchově postižení, nedoslýchaví, neslyšící, Neslyšící |
| Finnish | Kuulovammaiset |
| Russian | SLABOSLYSHASHCHIE, TUGOUKHIE, ЛИЦА С ОСЛАБЛЕННЫМ СЛУХОМ, LITSA S OSLABLENNYM SLUKHOM, СЛАБОСЛЫШАЩИЕ, ТУГОУХИЕ |
| Polish | Osoby niedosłyszące, Osoby upośledzone słuchowo, Inwalidzi słuchu |
| Hungarian | Süket |
| Norwegian | Døve og hørselshemmede, Hørselshemmede, Hørselsskadede |
Ontology: hearing impairment (C1384666)
| Definition (MSHCZE) | Výraz pro celkovou či částečnou ztrátu schopnosti slyšet jedním nebo oběma ušima. |
| Definition (NCI) | Partial or complete loss of the ability to detect or understand sounds resulting from damage to the outer, middle, or inner ear structures. Causes include exposure to loud noise, ear infections, injuries to the ear, genetic, and congenital disorders. |
| Definition (NCI) | A partial or complete loss of hearing in one or both ears. It is classified as conductive, sensory, or central. |
| Definition (NCI_CTCAE) | A disorder characterized by partial or complete loss of the ability to detect or understand sounds resulting from damage to ear structures. |
| Definition (MSH) | A general term for the complete or partial loss of the ability to hear from one or both ears. |
| Concepts | Finding (T033) |
| MSH | D034381 |
| ICD9 | 389.9, 389 |
| ICD10 | H91.9 |
| SnomedCT | 155254002, 267764005, 155242002, 194411005, 15188001, 103276001, 111543003 |
| LNC | LP56780-7, MTHU021608, LA17308-0, LA16989-8 |
| English | Unspecified hearing loss, HEARING IMPAIRED, HEARING DECREASED, HEARING REDUCED, Hypoacusis, Hearing loss, unspecified, loss of hearing (symptom), hearing loss (diagnosis), hard of hearing, hearing impaired, loss of hearing, hearing loss, Hearing decreased, Hearing reduced, Hearing Impairment, Hearing Loss, Loss, Hearing, Hypoacuses, Hearing deficit, Hearing loss NOS, Hearing Loss [Disease/Finding], Impairment;hearing, Loss (of);hearing, Hearing losses, Loss of hearing, Deafness, IMPAIRMENT, HEARING, HEARING IMPAIRMENT, HEARING LOSS, LOSS OF HEARING, Hearing loss, Hearing impairment, Hearing impaired, Impaired hearing, Difficulty hearing, HI - Hearing impairment, HL - Hearing loss, HOH - Hard of hearing, Hard of hearing, Decreased hearing, Decreased hearing (finding), defect; hearing, hearing; defect, hearing; loss, loss; hearing, Hearing loss, NOS, hearing impairment, Hearing loss (finding), Hearing loss (disorder) |
| German | Hoerverluste, Gehoer verringert, Gehoer vermindert, schwerhoerig, Gehoerverlust, unspezifischer Hoerverlust, GEHOER EINGESCHRAENKT, GEHOER VERMINDERT, HOERVERMINDERUNG, Hoerverlust, nicht naeher bezeichnet, Hoerstoerung, Hypakusis, Hypoakusis, Hörbeeinträchtigung, Hörverlust |
| Italian | Perdite dell'udito, Udito compromesso, Sordità non specificata, Udito diminuito, Duro di orecchi, Udito ridotto, Invalidità uditiva, Ipoacusia, Perdita dell'udito |
| Dutch | verminderd gehoor, verlies van het gehoor, hardhorig, niet-gespecificeerd gehoorverlies, defect; gehoor, gehoor; defect, gehoor; verlies, verlies; gehoor, Gehoorverlies, niet gespecificeerd, gehoor beschadigd, gehoorverlies, hypoacusis, Gehoorstoornis, Hypoacusis, Gehoorafname |
| French | Audition réduite, Perte auditive non précisée, Audition diminuée, Dur d'oreille, ALTERATION DE L'OUIE, DIMINUTION DE L'OUIE, REDUCTION DE L'OUIE, Hypo-acousie, Malentendant, Pertes auditives, Déficience auditive, Déficit auditif, Baisse de l'acuité auditive, Hypoacousie, Perte d'audition, Perte auditive |
| Portuguese | Défice auditivo NE, Dificuldade auditiva, Audição reduzida, Audição diminuída, Défice auditivo, AUDICAO DIMINUIDA, INSUFICIENCIA AUDITIVA, REDUCAO DA AUDICAO, Perda da Audição, Perda da Capacidade Auditiva, Deficiência auditiva, Perdas de audição, Hipoacusia, Deficiência Auditiva, Perda Auditiva |
| Spanish | Audición reducida, Dificultad para oír, Pérdida de audición no especificada, Audición disminuida, Pérdida de audición, pérdida auditiva (hallazgo), sordera, AUDICION DETERIORADA, AUDICION DISMINUIDA, AUDICION REDUCIDA, pérdida de la audición (trastorno), pérdida auditiva (trastorno), pérdida de la audición, disminución de la audición, Pérdida de la Capacidad Auditiva, Pérdida de la Audición, audición disminuida (hallazgo), audición disminuida, hipoacusia, pérdida auditiva, Audición alterada, Pérdidas de audición, sordera (hallazgo), Hipoacusia, Deficiencia Auditiva, Pérdida Auditiva |
| Japanese | 詳細不明の難聴, 聴力減退, 聴覚障害, 聴力低下, ﾅﾝﾁｮｳ, ﾁｮｳﾘｮｸｹﾞﾝﾀｲ, ｼｮｳｻｲﾌﾒｲﾉﾅﾝﾁｮｳ, ﾁｮｳｶｸｼｮｳｶﾞｲ, ﾁｮｳﾘｮｸﾃｲｶ, 部分的聴力損失, 聴力損失-部分的, 局所的聴力損失, 聴力損失-局所的, 難聴-局所的, 聴力喪失-部分的, 聴力損失, 局所的難聴, 異聴(難聴), 難聴 |
| Swedish | Hörselnedsättning |
| Czech | porucha sluchu, hypoakuzie, nedoslýchavost, Omezení sluchu, Hypoakuzie, Zhoršení sluchu, Nedoslýchavý, Porucha sluchu, Ztráty sluchu, Ztráta sluchu, Blíže neurčená ztráta sluchu, ztráta sluchu, hypakuze, hypacusis, hypakuzie |
| Finnish | Huonokuuloisuus |
| Russian | GLUKHOTA CHASTICHNAIA, SLUKHA POTERIA CHASTICHNAIA, SLUKHA POTERIA, ГЛУХОТА ЧАСТИЧНАЯ, СЛУХА ПОТЕРЯ, СЛУХА ПОТЕРЯ ЧАСТИЧНАЯ |
| Korean | 상세불명의 난청 |
| Croatian | Not Translated[Hearing Loss] |
| Polish | Ubytek słuchu, Niedosłuch |
| Hungarian | Nem meghatározott hallásvesztés, hypoacusis, halláscsökkenés, csökkenthallás, Hallási nehézség, Halláscsökkenések, halláskárosodás, Hallás elvesztése |
| Norwegian | Hørselshemning, Nedsatt hørsel, Hørselstap, Hypakusis, Hørselshemming, Tunghørthet |
Ontology: Hearing impairment (SMQ) (C2609433)
| Definition (MDR) | SMQ is intended to include ear disorders that may be drug related. Two sub-search SMQs created for two functions of ear: hearing and balance. Hearing may be impaired, disturbed, or accentuated. Hearing loss and abnormal hearing are not separated in this SMQ due to overlap of the these conditions in certain patients. Definition: hearing - ability to perceive sound; sensation of sound as apposed to vibration. Hearing impairment may result from: a lesion in external auditory canal or middle ear (conductive hearing loss); or a lesion in inner ear or VIIIth cranial nerve (sensorineural). Sensorineural hearing loss can be further differentiated as: sensory (cochlea); or neural (VIIIth cranial nerve) |
| Definition (MDRSPA) | La SMQ está destinada para incluir trastornos del oído que pueden estar relacionados con fármacos. Se crearon dos SMQ de subbúsqueda para dos funciones del oído: audición y equilibrio. La audición puede perderse, alterarse o agudizarse. La pérdida auditiva y audición anormal no están separadas en esta SMQ debido a que en ciertos pacientes estas afecciones son mixtas. Definición: audición capacidad de percibir el sonido; sensación de sonido a diferencia de la vibración. El déficit auditivo puede ser resultado de: una lesión en el conducto auditivo externo o el oído medio (pérdida auditiva conductiva); o una lesión en el oído interno o en el VIII par craneal (neurosensorial).La pérdida auditiva neurosensorial puede diferenciarse más a fondo como: sensorial (cóclea); o neural (VIII par craneal) |
| Definition (MDRPOR) | Esta SMQ destina-se a incluir perturbações do ouvido que podem estar relacionadas com fármacos. Criaram-se duas SMQ de sub-pesquisa para duas funções do ouvido: audição e equilíbrio. A audição pode diminuir, alterar-se ou acentuar-se. A perda da audição e a audição anormal não estão separadas nesta SMQ devido ao facto destas perturbações se sobreporem em certos pacientes. Definição: audição capacidade de perceber o som; sensação de som por oposição à vibração. A insuficiência auditiva pode ser o resultado de uma lesão do canal auditivo externo ou do ouvido médio (perda auditiva condutiva); ou uma lesão do ouvido interno ou do VIII nervo craniano (neurossensorial).A perda auditiva neurossensorial pode diferenciar-se mais a fundo como: sensorial (cóclea); ou neural (VIII nervo craniano). |
| Definition (MDRDUT) | De SMQ is opgezet om ooraandoeningen te bevatten die mogelijk geneesmiddelgerelateerd zijn. Twee SMQ's met ondergeschikte zoekbewerkingen samengesteld voor twee functies van het oor: gehoor en evenwicht. Het gehoor kan verminderd, verstoord of geaccentueerd zijn. Gehoorverlies en abnormaal gehoor worden in deze SMQ niet gescheiden omdat deze aandoeningen zich bij bepaalde patiënten overlappen. Definitie: gehoor vermogen geluid waar te nemen; gewaarwording van geluid in tegenstelling tot trilling. Hardhorendheid kan het gevolg zijn van: letsel in de uitwendige gehoorgang of het middenoor (geleidingsgehoorverlies); of letsel in het binnenoor of de VIIIe hersenzenuw (sensineuraal).Sensineuraal gehoorverlies kan nader worden onderscheiden als: sensorisch (cochlea); of neuraal (VIIIe hersenzenuw) |
| Definition (MDRITA) | Questo SMQ intende includere i disturbi dell'orecchio che possono essere farmaco-correlati. Due SMQ di sottoricerca creati per due funzioni dell'orecchio: udito ed equilibrio. L'udito può essere compromesso, disturbato o accentuato. La perdita dell'udito e l'udito anormale non sono separati in questo SMQ in quanto queste condizioni si sovrappongono in alcuni pazienti. Definizione: udito abilità di percepire suoni; sensazione di suono opposto a vibrazione. La compromissione dell'udito può essere causata da: una lesione nel canale uditivo esterno o nell'orecchio medio (perdita dell'udito conduttivo); o da una lesione dell'orecchio interno e dell'VIII nervo cranico (sensorineurale).La perdita dell'udito sensorineurale può essere ulteriormente differenziata come: sensoria (coclea) o neurale (VIII nervo cranico). |
| Definition (MDRFRE) | Cette SMQ est destinée à inclure les troubles de l'oreille pouvant être d'origine médicamenteuse. Deux SMQ de sous-recherche créées pour deux fonctions de l'oreille : audition et équilibre. L'audition peut être entravée, perturbée ou accentuée. La perte d'audition et une audition anormale ne sont pas séparées dans cette SMQ en raison du chevauchement de ces états chez certains patients. Définition : Audition capacité à percevoir un son ; sensation du son par opposition à la vibration. Une déficience auditive peut résulter de : Une lésion du canal auditif externe ou de l'oreille moyenne (perte d'audition conductive) ; ou une lésion de l'oreille interne ou du huitième nerf crânien (neurosensorielle).La perte d'audition neurosensorielle peut être d'avantage différenciée comme : sensitive (cochlée) ou neurale (huitième nerf crânien). |
| Definition (MDRGER) | Arzneimittelbedingte Erkrankungen des Ohrs sind absichtlich in der SMQ enthalten. Zwei SMQs der Untergruppensuchen bestehen für zwei Funktionen des Ohrs: Gehör, Gleichgewicht. Das Gehör kann beinträchtigt, gestört oder akzentuiert sein. Gehörverlust und anomales Gehör sind in dieser SMQ aufgrund einer Überlappung dieser Zustände in bestimmten Patienten nicht geteilt. Definition: Gehör Fähigkeit Töne zu erkennen; Wahrnehmung einesTons im Gegensatz zu Vibrationen. Mögliche Ursachen von Hörstörungen sind: Läsion im äußeren Hörkanal oder Mittelohr (Leitungsstörung); oder Läsion im Innenohr oder im Kranialnerv VII (sensorineural).Sensorineuraler Gehörverlust kann weiter unterschieden werden als: sensorisch (Cochlea); oder neural (Kranialnerv VII). |
| Definition (MDRCZE) | SMQ je určeno pro poruchy sluchu, které mohou být způsobeny léky. Dvě podřízená vyhledávání SMQ vytvořená pro dvě funkce ucha: sluch a rovnováhu. Sluch může být zhoršený, narušený nebo zesílený. Porucha sluchu a abnormální sluch nejsou v SMQ Porucha sluchu odděleny vzhledem k překrývání těchto stavů u určitých pacientů. Definice: sluch schopnost vnímat zvuk na rozdíl od vibrací. Porucha sluchu může být způsobena: lézí v zevním zvukovodu nebo středním uchu (převodní ztráta sluchu) nebo lézí ve vnitřním uchu nebo VIII. hlavovém nervu (sensorineurální).Sensorineurální ztráta sluchu může být dále rozdělena jako: senzorická (kochleární) nebo neurální (VIII. hlavový nerv). |
| Definition (MDRJPN) | 本SMQは薬剤に関連する可能性のある耳障害を包含することを目的としている。耳の2種類の機能−聴覚と平衡感覚−に対して2つのサブSMQを作成した。聴覚は低下、障害、または亢進する。本SMQでは難聴と聴覚異常を区別していない。これは一部の患者ではこれらの病態が重複するためである。定義：聴覚−音を知覚する能力；すなわち振動に対比するものとして音に対する感覚である。聴覚障害の原因は次の通りである：外耳道あるいは中耳の病変（伝音難聴）、または；内耳あるいは第8脳神経の病変（感音難聴）。感音難聴はさらに次のように区別される：感覚性（蝸牛性）、または神経性（第8脳神経性）。 |
| Definition (MDRHUN) | Az SMQ a gyógyszerek mellékhatásaként jelentkező fülbetegségeket hivatott magában foglalni. A fül két funkciójához két al-SMQ lett létrehozva: hallás és egyensúly. A hallás lehet károsodott, zavart vagy érzékeny. A hallás elvesztése és a kóros hallás ebben az SMQ-ban nincs elkülönítve, mivel ezek az állapotok bizonyos páciensekben átfedik egymást. Definíció: hallás hang érzékelésének képessége; hangérzékelés vibráció hatására. A halláskárosodás okai lehetnek: laesio a külső fülkürt csatornában vagy a belsőfülben (vezetéses hallásvesztés); vagy laesio a belső fülben vagy a VIII. agyidegben (sensoro-neuralis).A sensoro-neuralis hallásvesztés tovább osztályozható: sensoros (cochlea); vagy neuralis (VIII.. agyideg), |
| Concepts | Classification (T185) |
| English | Hearing impairment (SMQ) |
| Spanish | Déficit auditivo (SMQ) |
| Portuguese | Deficiência auditiva (SMQ) |
| Dutch | Hardhorendheid (SMQ) |
| Italian | Compromissione dell'udito (SMQ) |
| French | Déficience auditive (SMQ) |
| German | Hoerstoerung (SMQ) |
| Czech | Porucha sluchu (SMQ) |
| Japanese | 聴覚障害（ＳＭＱ） |
| Hungarian | Halláskárosodás (SMQ) |
