2. Karen Downs and Regina Kiperman-Kiselgof National Technical Institute for the Deaf Center on Employment

3. Late Deafened Adults: Lose hearing after speech/language development Gradual or sudden hearing loss Identified self with hearing culture Dislikes repeatedly asking for clarification

4. Hearing loss in the U.S. Americans with hearing loss: estimated 55 million Have some degree of loss: one in six adults This population predicted to increase

5. Hearing Loss in Military Veterans Is number one disability Over 78,000 have hearing loss Over 94, 00 have tinnitus

6. Psychological Impact of Hearing Loss May be in denial Can feel isolated May experience stress or depression Hesitant to disclose hearing loss

7. Hearing Loss Causes Aging process Illness or medications Heredity Accident Loud noises

8. LOUDNESS Understanding Hearing Loss

9. CLARITY

14. Listening Activity

15. General Communication Strategies Maintain eye contact when speaking Speak slowly and clearly Use open-ended questions Use gestures and facial expression Choose environment conducive to communication

16. Group Communication Strategies Provide agenda for meetings Use visual aids Repeat, then rephrase when necessary Avoid speaking with back turned Record minutes or take notes

17. Job Accommodations and Technologies E-mail PDA Instant messaging Captioning

18. Voice Carry-over (VCO) WebCaptel Captioned Telephone

19. On-line relay callerTelephone user On-line Talk Type Operator

20. Notetaking

21. Visual and Listening Devices Visual Alerts Listening Phone Amplifier FM System

22. Thank you!