1. The successful use of hearing aids may be hindered due to your present cognitive skills. Unfortunately, the inability to measure this in any individual makes it very difficult to predict outcomes of hearing aid fittings. As a rough indication, you will probably find results less than satisfactory if you have always been a bit absent minded, if you have always struggled in noisy places, if you’ve had a hearing problem since childhood, if your hearing loss is as a result of operations or if you are experiencing concentration problems, etc
2. How good is your hearing aid Dispenser? Your likely success will improve greatly if this individual is kind and patient, very local to you and prepared to allow you a free choice, etc…so long as you aren’t intending to move house in the near future, it may be better to deal with a local Independent Company.
3. The Number of channels your hearing aids have: This is an easy way to assess hearing aids’ definition capabilities. A one channel aid is not so clever, NHS aids are commonly 4 channel, many private aids will be 8-17 channels, some have as many as 33
4. Directionality: It’s better if your aids have this and that it switches off and on (either automatically or manual by you using a button). Some directional systems may not work well for you... It might be better to have a remote control or switch to turn the directionality off and on as you require it. If you want automatic, make sure you test out the aids thoroughly (say within a full money back period). Non directional and fixed directional aids should generally be avoided. There are no clear descriptive terms shared by all manufacturers, so be aware and ask for the directionality method to be explained to you.
5. Please note that most completely in the canal aids (or CICs) DON’T have many features of that particular model. If you really want this size, make sure you understand exactly what features are really there! Many consumers choose CIC not realising they are buying a lower specification model.
6. Is the hearing aid powerful enough? If your hearing loss is advanced, Make sure within the free trial period that your hearing aids are powerful enough AND that there is lots of spare headroom left over (i.e. they can be turned up without whistling) —this should be tried out at the fitting stage. REMEMBER - YOUR HEARING WILL LIKELY GET A LITTLE WORSE as time goes by. If your new hearing aids need turning down to stop them whistling (or indeed you need to turn them down to stop whistling) or they are just too weak, then give them back before it’s too late.
7. Can you handle the sound of your own voice? Many hearing aids are rejected due to this unpleasant side-effect. Most hearing aid wearers have mild to moderate hearing loss, with the low frequency hearing levels being the least damaged. Unfortunately, this means you may encounter OCCLUSION. Receiver in the ear versions of any hearing aid are proving very successful and popular and you should maybe consider this type first (a small unit over your ear and a thin tube leading into your ear canal).
8. And this leads onto the last consideration: Long term RELIABILITY. CICs are the least reliable, lasting on average about 3 1/2 years, with an average two breakdowns in that period. Behind the ear aids are generally far more reliable, lasting around 6 years, with breakdowns unlikely.
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