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Presbycusis and Management in Elderly, Symptoms of Presbycusis :red_flag: …
Presbycusis and Management in Elderly
Epidemiology of Presbycusis
1.2 billion people over 60 years of age will have presbycusis (WHO)
Incidence of presbycusis for people aged 75 years and older is expected to risen to 40-50%.
One in every 3 adults over age 65 has hearing loss
It affects more than half of adults by age 75 years, most adults over the age of 80, and nearly all adults who are 90 or older
Prevalence of this disease is usually affect the frequencies of above 8kHz (Tas, 2022)
Prevalence of presbycusis increase as the age increase
Affect males more than females
69.9% of older adults aged 60 years and above have HL in Malaysia
Prevalence of PTAHL among Malaysian
older adults aged 60 years and above was 75.5%.
Risk factors of Presbycusis
:warning:
Genetic risk factors
Race
Black people are less prone to ear impairments than white people.
Gender
Asian population: Men are more at risk for hearing loss. By the age of 60, the rate of hearing loss in males is much higher than in females.
History
Inheritance of presbycusis in the elderly is also estimated at 40 to 50%.
Environmental risk factors
Loud Noise Exposure
Noise can cause nerve
damage and thus exacerbate presbycusis
Lifestyle and diet
Excess fats, blood sugar,
cholesterol, and carbohydrates are strongly associated with the development of presbycusis
Individual health factors
Underlying diseases
Cardiovascular
disease, diabetes mellitus, immune system dysfunction, metabolic disease, kidney failure, and bone density
Ototoxic drugs
Affect the outer hair cells of the cochlea and cause high-frequency sensorineural hearing loss
Aging
Coping Strategy
:check:
Family-centered care
Speechreading
Informational counseling
Management
:fountain_pen:
Assistive Listening Device (FM system)
Eliminating background noise, allowing the listener to hear the speaker's voice clearly.
Cochlear Implant (CI)
Hearing Aid
Custom Made
Behind-The-Ear (BTE)
Most patients with significant age-related hearing loss will benefit from use of a hearing aid.
Receiver-In-Canal (RIC)
Factors affecting hearing aid selection
:
Types and Severity of Hearing Loss
Financial Issue
Lifestyle Options
Hearing Aid Features
Family Factors
What is Presbycusis
Symmetrical progressive loss of hearing over many years
It affects the high frequencies of hearing
Usually sensorineural loss
Age-related hearing loss
Symptoms of Presbycusis
:red_flag:
Some sounds seem overly loud and annoying
Tinnitus (ringing in the ears) may occur in one or both ears
Men's voices are easier to hear than women's
Difficulties understanding conversation in noisy environment
High-pitched sounds, such as "s" or "th" are hard to distinguish
Speech of others sounds mumbled or slurred