Could Hearing Loss Be Contributing To Increased Hospital Stays?

GoLocalProv Health Team and Beltone

Could Hearing Loss Be Contributing To Increased Hospital Stays?

Hearing loss isn't just a part of aging, but an important public health safety issue. This, according to Dr. Frank Lin in the National Health and Nutrition Examination Survey by Johns Hopkins Medical Center.  When looking at the data on the association of hearing loss with increased medical care and increased hospital stays, the data speaks for itself.

32% of people with significant hearing loss are more likely to be admitted to a hospital, and older individuals with hearing loss were at a 36 percent greater risk of having prolonged stretches of injury or illness that last more than 10 days. Also important, 57 percent more likely to have 10 or more days of depression, bad moods or stress, which can also lead to hospital stays. Social isolation associated with untreated hearing loss may be a factor in increased moodiness as well as physical ailments.

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It doesn’t stop there.  Hearing loss is more likely to cause injury due to accidents such as falls from balance issues or tinnitus, across the board in all ages. Hearing loss also makes it difficult to hear important announcements, instructions, sirens, and traffic signals, which can mean danger. Overlay those dangers with advanced age, and being elderly and/or frail, and the impact on the healthcare system can be seen in more dramatic fashion.

Hypertension & Hearing Loss

Patients with hypertension can have a great increase in hearing threshold, according to a 2013 Study, “Effects of Hypertension on Hearing,” published by the NIH. Screening for hearing loss in those diagnosed with hypertension is especially important. With 70 million American adults, or 1 in every 3 of us having high blood pressure, a routine hearing test is not usually recommended, but probably should be as the impact of decreased blood flow can impact the vestibular system as well. If you’re diagnosed with high blood pressure, ask for a hearing test.

Hospital Delirium

One of the contributing factors to extended hospital stays in the elderly is delirium – or acquired hospital delirium.  Symptoms of delirium fluctuate or show up suddenly and usually present as: inattention, altered consciousness or trouble thinking.  Patients hospitalized for invasive procedures, such as a hip replacement or cardiac surgery, can develop what is known as “hospital delirium” and when that occurs patients are twice as likely to have significant declines in their ability to perform daily activities. Not being able to perform daily activities means longer stays in the hospital, or not being able to return home, according to Harvard Medical School.

If patients are unable to return home, they are normally placed in a nursing home for rehabilitation.  For every 100 elderly patients in a nursing home in a given year, 35 will die and another 37 will be admitted to a hospital where they may die, recover or return. The average stay for elderly patients who die in a nursing home is just shy of 2 years.  Less than 30% may recover to go home.  The cost of nursing home care, added to extended hospital stays, severely strains our Medicare and Medicaid programs.

Importance of Sensory Aids

If a loved one is hospitalized, one way to prevent a downward spiral is to insist on sensory aids being provided.  That means to help the patient by being an advocate for them and asking for eyeglasses, hearing aids, and dentures that are often put out of reach, to be brought back as soon as possible, to avoid disorientation. Many staff in hospitals don’t know how to care for hearing aids, so family members need to be extra vigilant in seeing that that happens appropriately or their hearing care provider should be consulted.  Families should also let the hospital staff know that they will be checking on the use of their loved one’s hearing aids, and if they observe staff shouting, letting them know that shouting usually does more harm than good because it can distort sounds or cause discomfort.

Maintaining Quality of Life

Regardless of medical conditions which might result in hospitalization, the National Council on the Aging (NCOA) reported that hearing loss in older persons can have a significant, negative impact on quality of life. In the NCOA's survey of 2,300 hearing-impaired adults, age 50 or older, those with untreated hearing loss were more likely to report depression, anxiety, and paranoia and less likely to participate in organized activities, compared to those who wore hearing aids to correct their hearing loss.  These lifestyle declines can lead directly to medical issues which may result in hospitalization.

 

If going into the hospital:

Request reasonable accommodation of your hearing loss, with availability of assistive devices.
Wear a Medic Alert bracelet/necklace to inform all about a hearing loss.
Keep hearing aids on as long as possible.
Have a hearing loss ID card handy with personal identification papers.
Teach family/friends how to advocate for specific needs in cases of inability to communicate.
Visit the local hospital prior to being hospitalized, to determine what procedures exist for patients with hearing loss.
Amplified captioning telephone or other relay-capable phones should be requested.
Captions on the TV should also be turned on.
Display hearing loss identification symbol on the patient room door or above the bed.
Bring extra hearing aid batteries, as well as your hearing acre provider’s contact information in case you, family or staff needs to contact them about your hearing aids.
Mark personal communication equipment with correct identification.
Bring and mark a storage container.

Being prepared for a hospital stay as a hearing challenged person requires good education for the hospital staff.  Here is a link to a sign that can be printed off and hung above one’s bed, letting everyone from the nurses to the dietary staff know – don’t be afraid to print it and take it with you:

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This story is part of an ongoing series between GoLocal and Beltone - a sponsored content series.

 


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