Aging And The Auditory System

This volume brings together noted scientists who study presbycusis from the perspective of complementary disciplines, for a review of the current state of knowledge on the aging auditory system. Age-related hearing loss (ARHL) is one of the top three most common chronic health conditions affecting individuals aged 65 years and older. The high prevalence of age-related hearing loss compels audiologists, otolaryngologists, and auditory neuroscientists alike to understand the neural, genetic and molecular mechanisms underlying this disorder. A comprehensive understanding of these factors is needed so that effective prevention, intervention, and rehabilitative strategies can be developed to ameliorate the myriad of behavioral manifestations.

Since the first edition of the Aging Auditory System volume (in 2009), there has been a tremendous amount of research in basic, translational, and clinical sciences related to age-related changes in auditory system structure and function. The new research has been driven by technical and conceptual advances in auditory neuroscience at multiple levels ranging from cells to cognition. The chapters in Aging and Hearing: Causes and Consequences span a broad range of topics and appeal to a relatively wide audience. Our goal in this volume is to put together state-of-the-art discussions about new developments in aging research that will appeal to a broad audience, serving as an important update on the current state of research on the aging auditory system. This update includes not only the recent research, but also consideration of how human and animal studies or translational and basic research are working in tandem to advance the field. This new edition is a natural complement to the previous SHAR volume on the aging auditory system edited by Gordon-Salant, Frisina, Popper, and Fay. The target audience for this volume will be graduate students, researchers, and academic faculty from a range of disciplines (psychology, hearing science/audiology, physiology, neuroscience, engineering). It also will appeal to clinical audiologists as well as to researchers working in the hearing device industry. Individuals who attend conferences sponsored by the Association for Research in Otolaryngology, Acoustical Society of America, Auditory Cognitive Neuroscience Society, American Auditory Society, Society for Neuroscience, American Speech, Language and Hearing Association, and the American Academy of Audiology (among others) are likely to find value in the volume.

Completely revised and updated, Geriatric Audiology, Second Edition is a unique handbook that provides audiologists, speech language pathologists, and doctoral students in audiology with evidence-based, clinical guidance on evaluating and treating hearing loss in older adults. Focusing solely on geriatric audiology, this new edition contains the latest information on the demographics of aging as well as the biological, sociological, and psychological factors that affect geriatric hearing loss and its ramifications. Key features: Includes a new chapter designed to help audiologists and speech language pathologists teach health care professionals about hearing loss diagnosis and management Emphasizes patient-centered hearing health care Contains updated chapters on hearing loss, pure tone and speech findings, hearing aids, and audiologist rehabilitation and counseling for geriatric patients, giving readers comprehensive information on important areas in the specialty Based on Dr. Weinstein's extensive experience in geriatric audiology, this book is an invaluable resource for audiologists, speech-language pathologists, and others involved in the care of elderly patients with hearing, speech, language, voice problems, and other communicative disorders.

Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can become socially isolated, and social isolation can be an important driver of morbidity and mortality in older adults. Despite the critical importance of communication, many older adults have hearing loss that interferes with their social interactions and enjoyment of life. People may turn up the volume on their televisions or stereos, miss words in a conversation, go to fewer public places where it is difficult to hear, or worry about missing an alarm or notification. In other cases, hearing loss is much more severe, and people may retreat into a hard-to-reach shell. Yet fewer than one in seven older Americans with hearing loss use hearing aids, despite rapidly advancing technologies and innovative approaches to hearing health care. In addition, there may not be an adequate number of professionals trained to address the growing need for hearing health care for older adults. Further, Medicare does not cover routine hearing exams, hearing aids, or exams for fitting hearing aids, which can be prohibitively expensive for many older adults. Hearing Loss and Healthy Aging is the summary of a workshop convened by the Forum on Aging, Disability, and Independence in January 2014 on age-related hearing loss. Researchers, advocates, policy makers, entrepreneurs, regulators, and others discussed this pressing social and public health issue. This report examines the ways in which age-related hearing loss affects healthy aging, and how the spectrum of public and private stakeholders can work together to address hearing loss in older adults as a public health issue.

The Auditory Brain and Age-Related Hearing Impairment provides an overview of the interaction between age-related hearing impairments and cognitive brain function. This monograph elucidates the techniques used in the connectome and other brain-network studies based on electrophysiological methods. Discussions of the manifestations of age-related hearing impairment, the causes of degradation of sound processing, compensatory changes in the human brain, and rehabilitation and intervention are included. There is currently a surge in content on aging and hearing loss, the benefits of hearing aids and implants, and the correlation between hearing loss, cognitive decline and early onset of dementia. Given the changing demographics, treatment of age-related hearing impairment need not just be bottom-up (i.e., by amplification and/or cochlear implantation), but also top-down by addressing the impact of the changing brain on communication. The role of age-related capacity for audio-visual integration and its role in assisting treatment have only recently been investigated, thus this area needs more attention. Relates the techniques used in the connectome and other brain-network studies to the human auditory-cortex and age-related hearing loss research findings Examines the side effects of age-related hearing impairment and their impact on the quality of life for the elderly Evaluates the importance of multi-modal means in the rehabilitation of the elderly with hearing aids and cochlear implants Discusses the role of neurostimulation and various training procedures to halt, or potentially reverse, cognitive decline in the elderly

CONTENTSHearing Loss in Older Adulthood. The Effects of Presbycusis on Hearing. The Effects of Hearing Impairment on Older Adults. Assessment of Auditory/Communicative Function in Aging. Hearing Aids. Improving Communication for Aging Adults Who are Hearing Impaired. Programs in the Health Care Facility. Evaluation in Aural Rehabilitation Treatment for Older Adults Who Are Hearing Impaired. References. Index.

Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.