Interventions for Age related hearing losd

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Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness using mass media and community campaigns on the importance of identifying ear disorders early	Avoidance of exposure to loud sounds	Recognition of hearing disorder signs and symptoms	Early recognition of symptoms for referral
Primary Care
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early treatment of ear infections	Otoscope examination Hearing assessment	Antibiotic treatment Analgesics treatment Removal of wax blockage Early referral for unresponsive cases
Referral Facility: General
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early treatment of ear infections Screening patients for hearing loss	Otoscope examination Audiometry examination	Antibiotic treatment Analgesics treatment Removal of wax blockage Referral to higher level for unresponsive cases
Referral Facility: Specialist
Health education on the importance of identifying ear disorders early	Rational use of medicines to prevent ototoxic hearing loss Early treatment of ear infections Screening patients for hearing loss	History Physical examination Otoscope examination Audiometry examination	Analgesics Antibiotics Tympanostomy Tympanoplasty Electronic or battery-operated hearing aids Cochlear implants Middle ear implants	Assistive devices, such as amplification device

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness using mass media and community campaigns on the importance of identifying ear disorders early Promote occupational hearing conservation programs for noise and chemical exposure	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	Early recognition of symptoms for referral
Primary Care
Health education on the importance of identifying ear disorders early		Otoscope examination Hearing assessment	Antibiotic treatment Analgesics treatment Removal of wax blockage Early referral for unresponsive cases	Assistive devices, such as amplification device
Referral Facility: General
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	Otoscope examination Audiometry examination	Antibiotic treatment Analgesics treatment Removal of wax blockage Referral to higher level for unresponsive cases	Assistive devices, such as amplification device
Referral Facility: Specialist
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	History Physical examination Otoscope examination Audiometry examination	Analgesics Antibiotics Tympanostomy Tympanoplasty Electronic or battery-operated hearing aids Cochlear implants Middle ear implants	Assistive devices, such as amplification device

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness using mass media and community campaigns on the importance of identifying ear disorders early School based screening for identifying hearing problems early	Avoidance of exposure to loud sounds Avoidance of inserting foreign bodies	Recognition of hearing loss signs and symptoms	Early recognition of symptoms for referral	Training in sign language and lip reading
Primary Care
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	History Physical examination Otoscope examination Hearing assessment	Antibiotic treatment Analgesics treatment Removal of wax blockage Early referral for unresponsive cases	Training in sign language and lip reading
Referral Facility: General
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	History Physical examination Otoscope examination Audiometry examination	Antibiotic treatment Analgesics treatment Removal of wax blockage Referral to higher level for unresponsive cases	Support with hearing assistive technology and services Rehabilitative therapy to enhance perceptive skills, communication and linguistic abilities
Referral Facility: Specialist
Health education on the importance of identifying ear disorders early	Rational prescription of medicines to prevent ototoxic hearing loss Early identification and management of common ear conditions	History Physical examination Otoscope examination Audiometry examination	Analgesics Antibiotics Tympanostomy Tympanoplasty Electronic or battery-operated hearing aids Cochlear implants Middle ear implants	Support with hearing assistive technology and services Rehabilitative therapy to enhance perceptive skills, communication and linguistic abilities

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Create awareness using mass media and community campaigns on the importance of identifying ear disorders early School based screening for identifying hearing problems early	Vaccination: pneumococcal conjugate Vaccination: haemophilus influenza type b (Hib) Genetic counselling Avoidance of exposure to loud sounds	Recognition of hearing disorders signs and symptoms	Early recognition of symptoms for referral	Training in sign language and lip reading
Primary Care
Health education on the importance of identifying ear disorders early and seeking treatment	Vaccination: pneumococcal conjugate Vaccination: haemophilus influenzae type b (Hib) Quality maternal and childcare practices Genetic counselling Rational prescription of medicines to prevent ototoxic hearing loss Early treatment of ear infections	History Physical examination Otoscope examination Hearing assessment	Antibiotic therapy Analgesics Removal of wax blockage Early referral for unresponsive cases	Training in sign language and lip reading
Referral Facility: General
Health education on the importance of identifying ear disorders early and seeking treatment	Vaccination: pneumococcal conjugate Vaccination: haemophilus influenzae type b (Hib) Quality maternal and childcare practices Genetic counselling Rational prescription of medicines to prevent ototoxic hearing loss Early treatment of ear infections Tertiary Level	History Physical examination Otoscope examination Audiometry examination	Antibiotic therapy Analgesics Removal of wax blockage Referral to higher level for unresponsive cases	Support with hearing assistive technology and services Rehabilitative therapy to enhance perceptive skills, communication and linguistic abilities
Referral Facility: Specialist
Health education on the importance of identifying ear disorders early and seeking treatment	Rational use of medicines to prevent ototoxic hearing loss Early treatment of ear infections	History Physical examination Otoscope examination Audiometry examination	Analgesics Antibiotics Tympanostomy Tympanoplasty Electronic or battery-operated hearing aids Cochlear implants Middle ear implants	Support with hearing assistive technology and services Rehabilitative therapy to enhance perceptive skills, communication and linguistic abilities.