Impact of severe and profound hearing loss

1. Impact of severe and profound hearing loss NAME: Laura Turton DATE: 12th December 2013

2. Terminology • Deaf • deaf • deafened • Hard of hearing

4. Questionnaire evidence

5. Questionnaires used • Glasgow Health Status Inventory • Total score and 3 sub-score: general, social and physical (5 point Likert scale) • Warwick and Edinburgh Mental Health & Wellbeing Scale • Positive mental health statements used and scored (5 point Likert scale)

6. GHSI

7. GHSI compared to Turton & Smith data IRP 2012 Data IJA 2008 Data

8. GHSI compared to normative data

9. WEMWBS

10. Case Study Evidence

11. PK • 46 year old female • Overnight bilateral severe ski slope hearing loss with constant tinnitus • PhD student • Denial – Depression – Anger – Acceptance (not quite Kubler-Ross)

12. TL • 72 year old male • Sudden loss left (in his 40s) progressive right (from birth) • Bilateral tinnitus • Retired lecturer • Isolated, dependant, low self esteem

13. CC • 43 year old female • Age 6 - Mild loss in one ear – not noticeable • Age 20 – mild to moderate - bilateral • Age 25 – severe - bilateral • Age 29 – profound – bilateral • No diagnosis for progressive hearing loss • Tinnitus and vertigo, worse when tired • Trained as a teacher, now trains teaching assistants • Has constant tinnitus and vertigo, with intermittent unsteadiness

14. CC • Feels loss is harder because of gradual loss – adjusting and then readjusting • Felt depressed, suicidal (at times), isolated, useless, worthless, lonely, afraid, terrified, angry, frustrated, sad, misunderstood, different, betrayed, disappointed, ashamed, alone • Impact on: • Work, lost self confidence to teach • Love of music

15. CC • Completely isolated - withdrew and hid • Reclusive • Lost confidence and self-esteem • “Became very self-centred”

16. Summary • Tremendous physical and emotional energy is required for the person to stay in effective communication • Lead to fatigue, chronic stress, depression, withdrawal and overall reduced health • Limited use of hearing aids – hence they must rely heavily on lip-reading or the written word • Affects every area of the person’s life