Hearing Loss in Older Adults

By Silver Sitters

Hearing loss can make conversations, medical instructions and warning sounds harder to follow. Age-related changes often develop gradually in both ears, but hearing difficulties should not be dismissed as an unavoidable part of getting older.

Arrange an assessment

A primary care clinician, ear specialist or audiologist can help investigate hearing changes and discuss suitable support. Reducing exposure to loud noise and using appropriate ear protection can help prevent noise-related damage.

Make conversations easier together

Communication is a shared responsibility. Ask the person which situations are difficult and what helps, rather than assuming they are uninterested or unwilling to join in. Try these adjustments:

• Get their attention before speaking and talk face to face in the same room.
• Keep your face visible and well lit. Avoid covering your mouth.
• Speak clearly in a normal voice. Shouting can make speech harder to understand.
• Turn down the television or move to a quieter space with less competing conversation.
• If something is unclear, rephrase the message instead of repeating it louder.
• Use captions during television programs or video calls when helpful.

Allow breaks when listening becomes tiring. Be patient with misunderstandings and include the person directly in the conversation. Small changes to how a visit or appointment is organized can make participation more comfortable.

Sudden hearing loss needs urgent attention

A rapid drop in hearing, all at once or over a few days, is a medical emergency. Contact a doctor immediately, even if it seems like earwax or congestion. Ringing, dizziness or ear fullness may accompany it. Delaying assessment can reduce treatment effectiveness.