Special Article| Volume 19, ISSUE 4, P323-327, April 2018

Hearing Loss: Why Does It Matter for Nursing Homes?

Published:February 03, 2018DOI:


      Over the past decade, hearing loss has emerged as a key issue for aging and health. We describe why hearing loss may be especially disabling in nursing home settings and provide an estimate of prevalence using the Minimum Data Set (MDS v.3.0). We outline steps to mitigate hearing loss. Many solutions are inexpensive and low-tech, but require significant awareness and institutional commitment.


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        • Vos T.
        • Allen C.
        • Arora M.
        • et al.
        Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: A systematic analysis for the global Burden of disease study 2015.
        Lancet. 2016; 388: 1545-1602
        • Goman A.M.
        • Reed N.S.
        • Lin F.R.
        Addressing estimated hearing loss in adults in 2060.
        JAMA Otolaryngol Head Neck Surg. 2017; 143: 733-734
        • Weinstein B.E.
        • Ventry I.M.
        Hearing impairment and social isolation in the elderly.
        J Speech Hear Res. 1982; 25: 593-599
        • Mick P.
        • Kawachi I.
        • Lin F.R.
        The association between hearing loss and social isolation in older adults.
        Otolaryngol Head Neck Surg. 2014; 150: 378-384
        • Gopinath B.
        • Wang J.J.
        • Schneider J.
        • et al.
        Depressive symptoms in older adults with hearing impairments: The Blue Mountains Study.
        J Am Geriatr Soc. 2009; 57: 1306-1308
        • Lin F.R.
        • Metter E.J.
        • O’Brien R.J.
        • et al.
        Hearing loss and incident dementia.
        Arch Neurol. 2011; 68: 214-220
        • Amieva H.
        • Ouvrard C.
        • Giulioli C.
        • et al.
        Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: A 25-year study.
        J Am Geriatr Soc. 2015; 63: 2099-2104
      1. Peelle JE. Listening effort: How the cognitive consequences of acoustic challenge are reflected in brain and behavior. Ear Hear. [published online September 21, 2017].

        • Pichora-Fuller M.K.
        • Kramer S.E.
        • Eckert M.A.
        • et al.
        Hearing impairment and cognitive energy: The framework for understanding effortful listening.
        Ear Hear. 2016; 37: 5S-27S
        • Joosse L.L.
        Sound levels in nursing homes.
        J Gerontol Nurs. 2011; 37: 30-35
        • Pryce H.
        • Gooberman-Hill R.
        “There’s a hell of a noise”: Living with a hearing loss in residential care.
        Age Ageing. 2012; 41: 40-46
        • Lau K.M.
        • McPherson B.
        Noise levels in urban nursing homes for the elderly: Implications for communication.
        J Acad Rehabil Audiol. 2002; 35: 59-76
        • Thomas K.S.
        • Dosa D.
        • Wysocki A.
        • et al.
        The Minimum Data Set 3.0 cognitive function scale.
        Med Care. 2017; 55: e68-e72
        • Moore K.L.
        • Boscardin W.J.
        • Steinman M.A.
        • et al.
        Patterns of chronic co-morbid medical conditions in older residents of U.S. nursing homes: Differences between the sexes and across the agespan.
        J Nutr Health Aging. 2014; 18: 429-436
        • Choi J.S.
        • Betz J.
        • Deal J.
        • et al.
        A comparison of self-report and audiometric measures of hearing and their associations with functional outcomes in older adults.
        J Aging Health. 2016; 28: 890-910
        • Centers for Medicare & Medicaid Services
        Long-term care facility resident assessment instrument 3.0 user’s manual, version 1.15.
        (Available at:)
        • Kasper J.
        Who stays and who goes home: Using national data on nursing home discharges and long-stay residents to draw implications for nursing home transition programs. The Henry J. Kaiser Family Foundation.
        (Available at:)
        Date: 2005
        Date accessed: November 25, 2017
        • MacDonald A.A.
        • Joyson A.
        • Lee R.
        • et al.
        The effect of hearing augmentation on cognitive assessment scales at admission to hospital.
        Am J Geriatr Psychiatry. 2012; 20: 355-361
        • Voeks S.K.
        • Gallagher C.M.
        • Langer E.H.
        • et al.
        Hearing loss in the nursing home: An institutional issue.
        J Am Geriatr Soc. 1990; 38: 141-145
        • Garahan M.B.
        • Waller J.A.
        • Houghton M.
        • et al.
        Hearing loss prevalence and management in nursing home residents.
        J Am Geriatr Soc. 1992; 40: 130-134
        • Schow R.L.
        • Nerbonne M.A.
        Hearing levels among elderly nursing home residents.
        J Speech Hear Disord. 1980; 45: 124-132
        • Cohen-Mansfield J.
        • Taylor J.W.
        Hearing aid use in nursing homes. Part 1: Prevalence rates of hearing impairment and hearing aid use.
        J Am Med Dir Assoc. 2004; 5: 283-288
        • Mahoney D.F.
        Cerumen impaction: Prevalence and detection in nursing homes.
        J Gerontol Nurs. 1993; 19: 23-30
        • Joseph A.
        • Ulrich R.
        Sound control for improved outcomes in healthcare settings.
        Center for Health Design, Concord, CA2007 (Issue Paper 4. Available at:)
        • National Academies of Sciences
        • Engineering
        • and Medicine
        Hearing Health Care for Adults: Priorities for Improving Access and Affordability.
        National Academies Press, Washington, DC2016 (Available at:)
        Date accessed: November 25, 2017
        • Thibodeau L.M.
        • Schmitt L.
        A report on condition of hearing aids in nursing homes and retirement centers.
        J Acad Rehabil Audiol. 1988; 21: 113-119
        • Cohen-Mansfield J.
        • Taylor J.W.
        Hearing aid use in nursing homes. Part 2: Barriers to effective utilization of hearing aids.
        J Am Med Dir Assoc. 2004; 5: 289-296
        • Nieman C.L.
        • Marrone N.
        • Mamo S.K.
        • et al.
        The Baltimore HEARS pilot study: An affordable, accessible, community-delivered hearing care intervention.
        Gerontologist. 2017; 57: 1173-1186
        • Mamo S.K.
        • Nirmalasari O.
        • Nieman C.L.
        • et al.
        Hearing care intervention for persons with dementia: A pilot study.
        Am J Geriatr Psychiatry. 2017; 25: 92-101
        • Fook L.
        • Morgan R.
        • Sharma P.
        • et al.
        The impact of hearing on communication.
        Postgrad Med J. 2000; 76: 92-95
        • Smith A.K.
        • Jain N.
        • Wallhagen M.L.
        Hearing loss in palliative care.
        J Palliat Med. 2015; 18: 559-562
        • U.S. Department of Justice
        • Civil Rights Division
        ADA requirements: Effective communication.
        (Available at:)
        Date accessed: November 25, 2017