Addressing adult hearing loss in primary care
Article first published online: 11 JUL 2012
© 2012 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 69, Issue 4, pages 896–904, April 2013
How to Cite
McCullagh M.C. & Frank K. (2013) Addressing adult hearing loss in primary care. Journal of Advanced Nursing 69(4), 896–904. doi: 10·1111/j.1365-2648·2012·06078.x
- Issue published online: 14 MAR 2013
- Article first published online: 11 JUL 2012
- Manuscript Accepted: 26 MAY 2012
- National Institutes for Occupational Safety and Health. Grant Number: T42 OH008455-05
- adult nursing;
- advanced practice;
- hearing loss;
To (a) determine the extent to which primary care providers screen adults for environmental or occupational hearing loss during the primary care visit and (b) determine what techniques are used to screen for hearing loss in the adult primary care patient.
Although the prevalence of hearing loss is high, the frequency and techniques of screening for hearing loss among primary care providers are unknown. According to the United States Preventative Task Force, hearing screening promotes early detection, adequate treatment, and improved quality of life.
It is a retrospective audit.
Thirty client records were randomly selected from two clinics in 2009 for this retrospective patient record audit.
Physical assessment of the structure of the auditory system was completed in all cases selected. Hearing acuity in all cases was determined by patient self-assessment, as indicated on patient-completed history forms; there was no documentation of objective assessment of auditory function.
Given the low correlation between perceived and measured hearing ability, assessment of hearing ability by patient report alone may result in failure to detect hearing loss. Research into the nature and extent of barriers to hearing assessment in primary care needs to be explored, and criteria for screening of adults in the primary care setting should be established.