The Impact of Hearing Impairment on Patient Care and Autonomy

被引:0
|
作者
Baimbridge, Savannah [1 ]
Neil, Julie [1 ]
Aisenberg, Gabriel M. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Internal Med, Houston, TX 77030 USA
关键词
geriatrics and internal medicine; altered mental status evaluation; comprehensive geriatric assessment; patient autonomy; hearing impairment;
D O I
10.7759/cureus.65464
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sensory deficits, including hypoacusis, can cause a barrier to communication between healthcare providers and patients, which in turn can lead to misdiagnosis and loss of patient autonomy. Such deficits are frequently overlooked in clinical encounters. We present a 92-year-old Spanish-speaking female who presented twice to the Emergency Department for complications of a diabetic foot infection. Limited evaluation, documentation, and accommodations regarding the patient's hypoacusis led to a misinterpretation of her mental status and a transfer of decision-making to surrogates. A two-toe amputation, mechanical intubation, and intensive care unit stay were followed. It was only after these events that the caregivers realized the patient's hypoacusis and learned about her different wishes focused on pain control and hospice care rather than surgical intervention. Available geriatric tools, a consultation with a geriatrician, a thorough evaluation of sensory deficits, and a multidimensional and comprehensive approach could have prevented the loss of autonomy and unexpected care.
引用
收藏
页数:3
相关论文
共 50 条
  • [41] Goiter and hearing impairment: A case of a male patient with Pendred syndrome
    Hu, Er-Wei
    Liu, Li-Bin
    Jiang, Ruo-Yu
    He, Xiang-Hui
    ONCOLOGY LETTERS, 2014, 8 (05) : 2059 - 2062
  • [42] Approaches to ascertaining hearing impairment and their impact on the studies of the association between hearing loss and dementia
    Chan, T.
    Fisher, S.
    Manuel, D.
    Hsu, A.
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2020, 70 : S258 - S258
  • [43] Pediatric hearing impairment caregiver experience: Impact of duration of hearing loss on parental stress
    Meinzen-Derr, Jareen
    Lim, Lynne H. Y.
    Choo, Daniel I.
    Buyniski, Samantha
    Wiley, Susan
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2008, 72 (11) : 1693 - 1703
  • [45] Reconsidering patient centred care: Between autonomy and abandonment
    Nicoll, Avril
    SOCIOLOGY OF HEALTH & ILLNESS, 2023, 45 (06) : 1395 - 1396
  • [46] The delicate balance of patient autonomy and compassionate care COMMENT
    Breau, Rodney H.
    CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL, 2021, 15 (04): : 114 - 114
  • [47] Ethics and palliative care: a case of patient's autonomy
    Tahmasebi, Mamak
    JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, 2022, 15
  • [48] Patient Autonomy Versus Intervention: Geriatric Care Dilemmas
    Gao, Zhongxi
    GERONTOLOGY AND GERIATRIC MEDICINE, 2024, 10
  • [49] THE HEARING PRACTITIONER AND HEARING IMPAIRMENT
    MENCHER, GT
    JACOBSON, JT
    CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 1984, 75 (03): : 230 - 236
  • [50] Hearing impairment
    Crome, P
    Lyons, R
    Monaghan, S
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1996, 44 (04) : 470 - 470