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My 98-year-old mom lives with my husband and I, and her hearing is worsening as time goes on. She refuses to look into hearing aids. She no longer leaves the house. Does anyone have any suggestions as to how to help her hear what we are saying?

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Goangele: Since she refuses hearing aids, try amplifiers.
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Idearly she qualifies for a yearly audiologist test through Medicare. See if the audiologist office has one of those machines that test if she is understanding what she hears in addition to the hearing test
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My mom wore her headphones to watch her favorite soap opera!
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ElizabethY Aug 2023
My mom does as well!
Goangele, you can buy a little pocket voice amplifier and inexpensive light headphones if you don't like the earbuds that come with them.
This is a pretty simple one...
https://www.amazon.com/gp/product/B019EDGWGO/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1
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Grandma1954 August 2, 2023 1:50pm
If this is just to communicate with you and other family members (as well as visitors) If she refuses to get hearing aids then a dry erase board would be the most economical way.
There are hearing aids you can purchase without going out to be examined. (I think I saw some on QVC one evening) but Google hearing aids and a lot of different ones will come up, then it is just a matter of looking at reviews.
The kicker is if she refuses to wear them no matter how good or bad they are they are not going to help.
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This probably will not work for everyone, but mom listens to the darn television on the highest volume, so so loud for my husband and I. I decided one day to put on the closed caption on the televisions, what a wonderful thing!!! Now she sits quietly and reads the text and watches at a normal volume, it's fantastic, and it stimulates her to read, and since she can't read books anymore and comprehend them, this works for us!!
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Get a Clear Caption phone...free to get and use. It transcribes what the other party is saying so she can read it. You could use your phone (at home or away) while she reads what you're saying to her.
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“Amplifiers” rather than “hearing aids” may do the trick, and decent ones CAN be found in drug stores and online. If she is still understanding what you say if she is able to hear it, the simple goal is to be sure that whatever you say is loud enough.

There are microphone fobs that speakers can wear to target and amplify the signal that the listener is receiving. Many people with hearing loss who are her age will find them too loud to tolerate, and finding the best level of amplification is often trial and error.

”Lip reading” depends on the ability to observe and interpret the motion of the lips in forming consonants into words, and only about half of all the sounds used in English speech are actually visible to the eye. It is not too likely that attempting to teach this is of much value.

If she can tolerate them, Apple AirPods Pro 2 can be set up as simple amplifiers and I think they work fairly well (I use them).

If she is actually frustrated while indicating her needs, a flip book of line drawings nouns and verbs and adjectives might help her indicate her needs a little more easily.
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Agree with others regarding lip reading. Well lit, sit in front, ensure she can see your face clearly.

Any sight problems will make it even more challenging.

I wish I had learnt sign language.. in fact I wish all school children were taught 100 basic sign words.
I sure wish my Mother had learnt it (long time hearing impaired, now also sight impaired).

I'm going to look into this now. While it may well be too hard to teach these old gals new tricks like the sign alphabet, just a few simple signs could help communication eg toilet, tissue, cuppa tea, what's the time?

I wonder about using a speech to text (large text) on a tablet...
I might experiment with that too.
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My mother has been profoundly hearing impaired since her 30s. It’s always been difficult and tiring trying to communicate with her. She and her family should have learned ASL years ago, we all might have had better relationships with her.

She has expensive hearing aids that probably need to be replaced but we will just keep
these going as long as we can. She cannot afford new ones. Her hearing problems are too complicated to buy over the counter.

So to communicate with her now I make sure the room is well lit and I sit directly in front of her and speak clearly in a loud voice. She has become a good lip reader.

I also taught her how to text me using her iPad so we communicate via texting.

She also has the deaf telecom relay service. That worked well for her for a long time, not so much anymore. That may be an option for you.
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If it's uncomfortable (i.e. not fitted exactly to the patient's ear), they won't wear it. So spending money on an over-the-counter device that they won't wear would be foolish.

My LO is very hard of hearing due to his service in the military. He bought his hearing aids at Costco and they give a good correction. Plus I can control them from his cell phone. I wish they didn't have tiny little batteries to change, though. Next time, if there is a next time, he needs the kind that plug into a charger.
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Goangele Jul 2023
Thank you!
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Oh my gosh, I can empathize! My mom was nearly deaf. I took her to an audiologist. She spent a ton of money for one hearing aid. The other ear wasn’t able to be helped by a hearing aid.

She had an excessive wax situation and I had to clean her hearing aid often. She couldn’t hear very well even when she wore her hearing aid.

I became exhausted from hollering so she could hear me. One day, I thought, why not use a voice amplifier? Teachers use these in classrooms. They are inexpensive and sold on Amazon.

One thing that helped me also was, my mom was an excellent lip reader. If I faced her directly and spoke slowly, she was able to read my lips.
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Here is a link to hearing helpers from Amazon:

https://www.amazon.com/s?k=devices+to+help+hearing+impaired+listen+to+tv&crid=2WS0898T1QWSX&sprefix=Hearing+help%2Caps%2C205&ref=nb_sb_ss_ts-doa-p_3_12

If you search out "hearing aids" on Amazon, they have a ton of affordable models there too.
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Goangele Jul 2023
Thank you!
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The higher end non prescription hearing aids available on line may not have all the latest high tech bells and whistles but many have been evaluated as being very good, there are also simpler personal amplifiers like The Pocket Talker which can be helpful one on one, or at places where there isn't a lot of background noise (like religious services or seniors meetings and presentations..
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Goangele Jul 2023
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You really need to have her hearing evaluated by a hearing professional.

There is a connection between hearing loss and dementia. You don't say whether she has cognitive decline, but most people have some by age 98.
Read this:

https://publichealth.jhu.edu/2023/new-study-links-hearing-loss-with-dementia-in-older-adults

You need to prevent cognitive decline as much as you can. My LO's doctor is firm on this: Get the best hearing aids money can buy. Also get the best glasses prescription you can.

Dementia isn't just about loss of memory. It is a matter of bladder and bowel incontinence (that will affect you if you're the one cleaning her up afterward). And not understanding what she needs to do (like brush her teeth because she no longer knows how). And refusing to bathe. And screaming in the middle of the night. And wandering. And begging to go home because she doesn't know she is home.

So inability to hear isn't just a matter of her not hearing you. It's about losing her brain.

If she can understand, show her the Johns Hopkins article. If she can't, you can either take her for a hearing test over her objections or ask the hearing aid folks to come to the house. I had to do that with my dad; he thought it was someone who came by to clean his ears.
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