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Presentation Submitted by Beth Wilson
Tips for Hard of Hearing PeopleTips for Hard of Hearing People
in a Medical Settingin a Medical SettingBeth Wilson
This presentation may be freely used by any SHHH Chapters. It’s available for download from www.nchearingloss.org/programs.htm
Presentation Submitted by Beth Wilson
Royal National InstituteStudy in England
February 2000
22% Deaf or HOH patients leave a doctor’s appointment unsure of what is wrong with them
87% of GPs feel that they communicate effectively with Deaf and HOH patients
Presentation Submitted by Beth Wilson
Medical Settings
Offices and Clinics Medical Doctor Dentist Eye Doctor Lab Work
Hospital Emergency Room In Patient
Presentation Submitted by Beth Wilson
Offices and Clinics
Presentation Submitted by Beth Wilson
The First Visit: Filling out the Forms
Describe Your Hearing Loss write notes on the forms you fill out ask the receptionist to make a special note on your file
Include Specifics “I hear low tones” “I do okay if I can lipread the speaker”
Offer Suggestions “Things are easier if I am in a quiet bright room” “I need people to face me when they speak” “I can’t lipread someone wearing a mask”
Presentation Submitted by Beth Wilson
Making an Impression
Wear a “Face Me I’m Hard of Hearing” button explains why you don’t respond reminds people who have forgotten
Hand out “Ear/Slash” stickers on intake form outside folder Please
Face MeI am
Hard Of Hearing
Presentation Submitted by Beth Wilson
In the Waiting Room
“Have a seat, the doctor will be right with you”
“First we need you to go to room 456 for the abc work”
What They SayWhat They Say What They MeanWhat They Mean
“We’ll call your name and you’ll have no idea it’s your turn.”
“Guess where we are sending you and what for”
Presentation Submitted by Beth Wilson
Strategies in the Waiting Room
Alert everyone you are hard of hearing cannot hear your name called
Ask for written directions: What Where Who
“My problem is not what I don’t hear but what I
think I did hear -- please make us both feel better
by writing it down.”
Presentation Submitted by Beth Wilson
That Paper Gown Problem
how long before they come back? is that a knock I hear?
Solution explain that you will not hear a knock offer to open the door slightly when ready
Presentation Submitted by Beth Wilson
The First Visit: Meeting the Doctor
Take Charge of the Exchange Early “Before we begin, we need to talk” “I need to explain my hearing loss”
Point Out the Advantages to Them Accurate communication Efficiency
Presentation Submitted by Beth Wilson
With the Doctor Initiate discussion BEFORE the
examination explain that you need to see the
speaker sit in a chair instead of the table
Initiate follow-up discussion AFTER the examination repeat back what you understood ask for clarification and confirmation
Presentation Submitted by Beth Wilson
Use Humor to Ease the Situation
Don’t scream at me, you’ll scare me and your other patients”
“If you remember to face me, I’ll remember to take my hearing aid out before you shine that light in my ear.”
Presentation Submitted by Beth Wilson
I Never Thought of That...
Hearing Patients Hear: their name called a knock on the door instructions in the dark a conversation through glass observations made through a mask a response over the intercom
Presentation Submitted by Beth Wilson
The Mammogram Problem:
staff are trained to look away can’t turn around to lipread…
Solution: discuss everything before “the machine” wear the “Face Me” button
Presentation Submitted by Beth Wilson
At the Dentist Office
“Tell me what you are going to do” ask for explanation before shots and drills don’t just nod -- repeat back what you thought you heard
Problems for the hard of hearing patient difficult to hear over equipment light shining in your face dentist often wears mask hearing aid makes noises worse
Don’t be afraid to stop them
Presentation Submitted by Beth Wilson
The Eye Doctor
Problems for the hard of hearing patient dark room eye drops blur lipreading instructions often given from behind equipment
Ask for a “lights up” discussion before and after exam ask for explanation before the drops repeat back what you thought you heard
Be firm -- ask for the lights
Presentation Submitted by Beth Wilson
The Hospital
Presentation Submitted by Beth Wilson
In the Emergency Room Ask for quiet area for intake information
Ask to see the questions that are being asked Ask for direct interview (not through the glass)
Explain that you cannot be paged Explain your loss
what you can hear what you can’t hear what will help you understand
You are the teacher!You are the teacher!You are the best source of information, so speak up about
what will help you.
If you don’t sign, make sure they are not making you wait for an interpreter!
Presentation Submitted by Beth Wilson
In the Hospital Parade of staff that don’t know about your hearing:
ask for note on chart put up a sign in the room
Intercom response may be verbal Need your hearing aid and glasses for conversation Make sure you understand everything
repeat for confirmation ask for clarification
Making the room accessibleMaking the room accessible Captioning Amplified phone or TTY
Presentation Submitted by Beth Wilson
Summary Don’t try to hide your hearing loss Initiate discussions
before the exam-- what is happening after the exam -- what you need to do
Offer strategies don’t expect them to know what to do be firm about your communication
Make sure you understand everything
