Hearing loss and cognitive decline

Aug 22, 2023 | Dona Locke | @DrDonaLocke | Comments (18)

In the HABIT program, we often "hear" the excuse that someone doesn't have a memory problem, they just have a hearing problem. For that reason, we've always advocated that our patients have their hearing evaluated and hearing corrected if hearing impairment is discovered. Typically, once hearing is corrected as much as possible, our patients (and their partners) come to understand that the reason they didn't remember something really isn't just a hearing issue--it is memory issue or Mild Cognitive Impairment.

Recently, Mayo Clinic News Network highlighted the additional importance for correcting hearing impairment: using hearing aids can actually slow cognitive decline in older adults with hearing loss!

Take a look at that news announcement here, and then go get your hearing aid fitting scheduled!

Interested in more newsfeed posts like this? Go to the Mild Cognitive Impairment (MCI) blog.

I recently watched a you tube video of a English doctor that said they were different types of tinnitus. If there is no hearing loss, it could be stress related. I have tinnitus 24/7 . Definitely stress related as it sometimes gets weaker and other times louder.

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I think you are correct about hearing loss being related to cognitive decline. Seeing an ENT is on my list, but need to address physical disability w/back first. Can’t seem to address more than one issue at a time.

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@anne23anna

I think you are correct about hearing loss being related to cognitive decline. Seeing an ENT is on my list, but need to address physical disability w/back first. Can’t seem to address more than one issue at a time.

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@anne23anna I encourage you to have your hearing checked by an audiologist as soon as possible. The appearance of cognitive issues related to hearing loss is often the result of poor hearing rather than cognitive decline. People with hearing loss, in most instances can 'hear', but have difficulty 'understanding' speech. That can easily lead to responding out of context in a conversation. It is embarrassing to be told what you said was totally 'off the wall'. When that becomes a person's reality, it is easy for them to stop doing things they've always enjoyed.

It is typical for a hard of hearing person to need up to 5 seconds to respond to a simple question, especially one that is not expected since the brain has to consider the options for response in that question. 5 seconds feels like 5 minutes to the person who is waiting for an answer. This is frustrating for both parties.

Psychologically, when this happens frequently, the person with HL often pulls away from socializing in settings where there is background noise like other conversations in the same area. Social isolation can lead to depression. Everything can go down hill. The fact that hearing loss comes with a whole set of stigmas often keeps people from using hearing aids.

Most of the current research on this issue suggests that cognitive decline may occur when the hearing loss goes untreated.

Do you know that the National Institutes of Health estimates that nearly 50 million people in the USA have some degree of hearing loss?

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@julieo4

@anne23anna I encourage you to have your hearing checked by an audiologist as soon as possible. The appearance of cognitive issues related to hearing loss is often the result of poor hearing rather than cognitive decline. People with hearing loss, in most instances can 'hear', but have difficulty 'understanding' speech. That can easily lead to responding out of context in a conversation. It is embarrassing to be told what you said was totally 'off the wall'. When that becomes a person's reality, it is easy for them to stop doing things they've always enjoyed.

It is typical for a hard of hearing person to need up to 5 seconds to respond to a simple question, especially one that is not expected since the brain has to consider the options for response in that question. 5 seconds feels like 5 minutes to the person who is waiting for an answer. This is frustrating for both parties.

Psychologically, when this happens frequently, the person with HL often pulls away from socializing in settings where there is background noise like other conversations in the same area. Social isolation can lead to depression. Everything can go down hill. The fact that hearing loss comes with a whole set of stigmas often keeps people from using hearing aids.

Most of the current research on this issue suggests that cognitive decline may occur when the hearing loss goes untreated.

Do you know that the National Institutes of Health estimates that nearly 50 million people in the USA have some degree of hearing loss?

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I hear u, and that is excellent advice. Need to make this a priority. Much thanks.

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@julieo4

@anne23anna I encourage you to have your hearing checked by an audiologist as soon as possible. The appearance of cognitive issues related to hearing loss is often the result of poor hearing rather than cognitive decline. People with hearing loss, in most instances can 'hear', but have difficulty 'understanding' speech. That can easily lead to responding out of context in a conversation. It is embarrassing to be told what you said was totally 'off the wall'. When that becomes a person's reality, it is easy for them to stop doing things they've always enjoyed.

It is typical for a hard of hearing person to need up to 5 seconds to respond to a simple question, especially one that is not expected since the brain has to consider the options for response in that question. 5 seconds feels like 5 minutes to the person who is waiting for an answer. This is frustrating for both parties.

Psychologically, when this happens frequently, the person with HL often pulls away from socializing in settings where there is background noise like other conversations in the same area. Social isolation can lead to depression. Everything can go down hill. The fact that hearing loss comes with a whole set of stigmas often keeps people from using hearing aids.

Most of the current research on this issue suggests that cognitive decline may occur when the hearing loss goes untreated.

Do you know that the National Institutes of Health estimates that nearly 50 million people in the USA have some degree of hearing loss?

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I have Bluetooth aids adjustable with either top buttons on the hearing aids or digitally on my headphones.
I don’t know what else to do. A simple conversation with people who have “normal” hearing is atrocious.
I am frequently ignored unless I practically shout. I. Find it rude to shout at friends but it is what it is.
3 or 4 times I keep quiet because I feel ignored.
You must know how it feels to say something in a crowd at dinner with no response so I don’t participate

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@andytheman

I have Bluetooth aids adjustable with either top buttons on the hearing aids or digitally on my headphones.
I don’t know what else to do. A simple conversation with people who have “normal” hearing is atrocious.
I am frequently ignored unless I practically shout. I. Find it rude to shout at friends but it is what it is.
3 or 4 times I keep quiet because I feel ignored.
You must know how it feels to say something in a crowd at dinner with no response so I don’t participate

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Did y our hearing aid provider talk to you about assistive technology that can work with your BT hearing aids? These are 'add on' products. An example is a wireless microphone that can be held in your hand, pinned on a person you want to hear in a one on one setting, or even set on a table in a small group. The sound that goes into the microphone is transmitted directly to your BT hearing aids. This type of device, while not perfect, can help in social settings where background noise is present.

Why are YOU shouting? Usually, others are shouting because they think the person who doesn't hear well can hear them if they are louder. (Shouting may work to get someone's attention, but it doesn't help much with conversation.)

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Awww, that’s happy that can’t hear as well. My brother got it. I think my wife needs to advance her hearing. My hearing is great, but my understanding is broken from my TBI accident. I’ve been there; my hearing was good/normal 5 years ago. Maybe my wife & me could check our hearing. I hope hearing my mind could change from here ‘til soon. I hoe my understanding could work.

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@andytheman

I was examined by an ENT and I have mild cognitive impairment and vertigo. My hearing loss resulted in my having to wear hearing aids. My vertigo therapy didn’t work. So this was abut 6 years ago.
I can’t wear my hearing aids because I wear eyeglasses and they constantly compete for ear space at the top of my ear with my eyeglasses.
My hearing is a little bit off. I have a hard time keeping up with people talking to me or just talking.
How do you keep hearing aids from sliding off your ears? I don’t wear my brand new hearing aids anymore because of this issue. My glasses either sit on the back of the hearing aids pushing them forward or sliding down my ears and getting all crooked.

Unfortunately the eyeglasses won out and my hearing aids are sitting in their case. I haven’t worn hearing aids in a long time and just deal with the lack of hearing properly.
I was tested for dementia at a memory center hospital and my tests were fine. No dementia or altzheimers but I was diagnosed with a mild cognitive impairment. I don’t know what the solution is. I was thinking of in-the -ear hearing aids but they are super expensive.

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Why don't you go back to your hearing aid specialist or get contacts. You can also get a band for your glasses to keep them from falling off. I hate hearing aids too and only wear them around my granddaughters and other people that speak softly.

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