Primary Auditory Disorder in Older Adults

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Physical aging is a natural process that appears within psychosocial and behavioral contexts that greatly influence the progression of an individual’s experience of aging. Aging is often associated with greater exposure to disease and disability. The primary auditory disorder of many older people is difficulty understanding speech in noisy situations or competing speech, or that their communicators speak too fast, or do not articulate clearly enough. Age-related hearing loss, also known as presbycusis is a gradual and progressive hearing loss that affects most individuals as they age. Due to the slow evolution, adults with age-related hearing loss may not recognize that their hearing ability is decreasing, but if they do, they may acknowledge it as typical aging. Age is the greatest risk factor for sensorineural hearing loss, of greater degree in the higher frequencies and increasingly progressive. The term presbycusis reflects both peripheral and central auditory system dysfunction. Nevertheless, hearing loss is often mistreated due to its hidden sense that is always anticipated to be operating. Nevertheless, it is essential to study and understand aspects of several different types of hearing loss as it may be socially debilitating.
Hearing loss can influence the communication abilities of a person, not only in terms of receiving and processing information, but also in providing an appropriate and accurate response to the communicating partner. Impaired audition potentially compromises individual’s interactions with his or her environment, from basic awareness of warning sounds to the complex and subtle nuances of conversation. Individuals with age-related hearing loss may realize several affective factors, such as: the speech ...

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...ds of time compression, rather than to cognitive slowing. Many elders with presbycusis can and do benefit from amplification, such as hearing aids or other assistive listening devices as it enables better hearing and reduces the communication barriers enforced by hearing impairment. By improving the audibility and communication deficits associated with hearing impairment, better quality of life can be achieved. Nevertheless, it is important to note that the prevalence of hearing aids among hearing-impaired elders is quite low, remaining about 20% (Gates et al., 2008). In conclusion, there is evidence that auditory and cognitive factors cause elderly listener’s difficulties keeping up with fast rates of speech. Thus, it is essential to continue these researches to advance the clinical implications of assisting individuals in order to make their communication easier.

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