Format

Send to

Choose Destination
J Pain Symptom Manage. 2016 Aug;52(2):254-8. doi: 10.1016/j.jpainsymman.2016.02.007. Epub 2016 Apr 1.

Hearing Loss in Hospice and Palliative Care: A National Survey of Providers.

Author information

1
Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA; Geriatrics, Palliative, and Extended Care, Veterans Affairs Medical Center, San Francisco, California, USA. Electronic address: aksmith@ucsf.edu.
2
Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA; Jewish Home San Francisco, San Francisco, California, USA.
3
Department of Physiological Nursing, University of California at San Francisco, San Francisco, California, USA.

Abstract

CONTEXT:

Age-related hearing loss can impair patient-provider communication about symptom management, goals of care, and end-of-life decision-making.

OBJECTIVES:

To determine whether hospice and palliative care providers screen for or received training about hearing loss, believe it impacts patient care, and use strategies to optimize communication.

METHODS:

This was a national survey of hospice and palliative care providers conducted via email and social media. Survey questions were pilot tested with multidisciplinary providers in San Francisco.

RESULTS:

Of 510 responses (55% age 50+ years, 65% female, 64% in practice 5+ years, 57% practiced hospital-based palliative care, 45% hospice), 315 were physicians, 50 nurses, 48 nurse practitioners, 58 social workers, and 39 chaplains. Ninety-one percent reported that hearing loss has some or great impact on the quality of care for older adults. Eighty-eight percent recalled a situation where hearing loss created a communication problem with a patient and 56% a communication problem with a caregiver. Eighty-seven percent of physicians, nurses, and nurse practitioners reported not screening for hearing loss. Although 61% felt comfortable with their communication skills for patients with hearing loss, only 21% reported having received formal training in its management, 31% were unfamiliar with resources for patients with hearing loss, and 38% had never heard of a pocket talker amplification device.

CONCLUSION:

Hospice and palliative medicine providers believe age-related hearing loss impacts care yet most do not screen. Although they feel they are managing well, few have formal training. Knowledge about management approaches and resources is suboptimal.

KEYWORDS:

Hearing loss; aging; communication; hospice; palliative care

PMID:
27046300
PMCID:
PMC5069696
DOI:
10.1016/j.jpainsymman.2016.02.007
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center