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Hearing aid and Audiology Services guide (thin tube)

Patient information A-Z

Who is the leaflet for? What is its aim?

This guide is written for patients who have recently been fitted with new hearing aid(s) by the Addenbrooke’s Audiology department. It aims to guide you through some of the key aspects of how to use and maintain your hearing aid(s), as well as listing the additional services the department and its partners provide.

Further information is available at: Audiology

What happens next?

  • When you have been fitted with your hearing aid(s), you will need time for your brain to adjust to the new sounds you will be able to hear.
  • Try and build up usage, wearing them consistently every day, increasing the amount of time worn and the type of situation you are wearing them in. For example, begin wearing them in quiet environments at home where you can control the noise level, and build up to noisier situations such as social events.
  • It is also important to allow your ear to get used to wearing the earpiece.
  • Sounds such as your own voice may seem different from how you have been used to hearing them, such as your own voice. This will improve with time as you become more acclimatised to the hearing aids, but if this is still a problem after a few weeks then speak to your audiologist.
  • Familiarise yourself with the leaflets given to you at your appointment, ensuring you know how the controls work on your hearing aid(s) and practise inserting and removing them. This may feel awkward at first, but keep practising and speak to your audiologist if you continue to have difficulties.
  • Explain your communication needs to friends and family members so that they are better able to help you hear as well as possible. The “Communication tactics” section of this leaflet provides some handy tips.
  • A follow up appointment to see how you are getting on with your hearing aid(s) will be arranged as appropriate. Please contact the department if you have any problems before this time.
Basic Anatomy of a hearing aid(s)
A hearing aid with the following parts listed going clockwise: Tubing, Dome, Battery drawer and Control button
Controlling your hearing aid(s):
C2Hear QR code
C2Hear QR code
Insertion and removal:

NB: Please DO NOT remove the dome from the thin tube hearing aid(s) as suggested in some videos. Please visit a repair centre if your dome needs to be changed.

Image of inserting a hearing aid with instructions. 1. Place the hearing aid behind your ear. 2. Gently guide the dome down your ear canal 3. The tube should lie flat to the side of the head
A hearing aid in an ear
Batteries

The typical lifespan of these batteries is 8-14 days

This is based on the hearing aid(s) being used 12-18 hours a day, and switched off overnight, and is a rough guide only.]

Battery lifespan will also be affected by your prescription – the stronger your prescription, the more quickly your battery will go flat.

Tips for extending the battery life:

  • Switch your hearing aid(s) off overnight. To do this, just open the battery drawer to disconnect the battery.
  • Allow each new battery 2 minutes to ‘breathe’ before using it for the first time. This means removing the coloured sticker two minutes before you intend to use the battery. Doing so will add a day or two to the battery’s lifespan.

If your hearing aids are connected to your mobile through Bluetooth streaming, this can also drain the battery more quickly.

Replacement batteries

Replacement batteries can be obtained free of charge from the Addenbrooke’s Audiology Department in person, by post or online. Batteries are also available free from local voluntary services. Please see the link at the back of this leaflet.

Batteries will only be supplied on presentation of your record card or brown book.

To obtain batteries by post please either

complete the ‘battery issue’ form on our website:

or

send your record card with a written note detailing your request to the following address:

Audiology Department

Box 94

Addenbrooke’s Hospital

Hills Road

Cambridge

CB2 0QQ

Batteries can also be purchased from reputable retail outlets in-store or online* such as Boots the Chemist or Lloyds Pharmacy.

*Warning: Be cautious about buying batteries via the internet; always use a reputable supplier and brand.

Battery disposal and safety

Please store and dispose of your batteries safely using local recycling facilities. Theses are often available at supermarkets.

Keep batteries out of the reach of children and pets. If swallowed, seek medical attention IMMEDIATELY.

Do not attempt to heat or recharge the batteries

Care and maintenance

Cleaning your hearing aid(s)

Daily:

Your earpiece should be kept clean to avoid wax build up. Wipe the dome and tube with a damp cloth or wet wipe. Check for any blockages in the tubing or damage to the hearing aid

Please DO NOT remove the dome from the thin tube hearing aid.

Weekly:

You can separate the hearing aid from the tube by unscrewing the tube from the hearing aid, taking care not to pinch the tubing

Place the hearing aid somewhere safe and dry, such as your hearing aid box.

You can then thread a cleaning wire down the tube, through the dome out of the bottom of the tube. This will pull through any wax in the tube.

Screw the tube back onto the hearing aid ensuring it is on tightly.

Please DO NOT remove the dome from the thin tube hearing aid.

Dome on the thin tube of hearing aid
Hearing aid(s) repairs

If you encounter problems with your hearing aid(s) which you are unable to resolve yourself or your hearing aid(s) need servicing, then please contact the Audiology Department for a repair appointment or use our postal service.

Postal Repair Service

Repairs and servicing can be performed using our postal service. Please send your hearing aid(s) and record card with a written note detailing your request to the address below.

Audiology Department
Box 94
Addenbrooke’s Hospital
Hills Road
Cambridge
CB2 0QQ

New tubing

The tubing and dome on your hearing aid(s) will need changing approximately every 6 to 12 months.

You may notice the following when the tubing needs changing:

  • The tubing has become discoloured (yellowed)
  • The tubing is kinked or blocked and a cleaning wire won’t clear it.

If you think your tubing needs replacing, please attend one of the Local Voluntary Services, contact the Audiology Department for a repair appointment or by using our postal service.

Hearing Aid(s) Accessories

There are a number of accessories which you can purchase to help with the maintenance of your hearing aid(s). A few commonly used ones are listed below:

Drying Kits

Because hearing aid(s) are worn on the body, they absorb

moisture internally which can sometimes cause damage to them. Drying out the hearing aid(s) overnight will improve their reliability and help extend their life.

Maintenance Pack

A Hearing Aid Care Kit, supplied in a resealable pouch containing:

  • a guide to hearing aid care
  • earmould puffer
  • pre-bent tubes
  • earmould threader
  • oto-fresh wax brush with magnet and loop
  • Stetoclip hearing aid listener complete with a variable attenuator
  • 10 x cleaning wipes

These items can be purchased from:

Connevans

Connevans (opens in a new tab)

Telephone: 01737 247571

Fax: 01737 223475

Text/Mini-com: 01737 644016

Email connevans.com

Basic troubleshooting
Problem Possible
Cause
Solution
No sound or reduced sound Possible
Cause
Flat battery or battery
incorrectly inserted
Solution Ensure the battery is inserted
correctly. Your hearing aid instruction leaflet will show you how to do this.
Replace the battery
No sound or reduced sound Possible
Cause
Blocked tube
Solution Clean the earpiece, checking
for any blockages in the tube (see page 7)
No sound or reduced sound Possible
Cause
Faulty hearing aid(s)
Solution Book an repair appointment
Whistling (feedback) Possible
Cause
Earpiece inserted incorrectly
Solution Check that the earpiece is
correctly fitted in the ear (See page 4 for instructions). Contact audiology
if you are struggling with this.
Whistling (feedback) Possible
Cause
Wax in ear
Solution See your GP practice to have
your ears checked
Whistling (feedback) Possible
Cause
Poorly fitting earpiece
Solution Book an repair appointment
Using the telephone with your hearing aid(s):
A hearing aid with an arrow pointing to the microphone port.

The microphone ports for your hearing aid(s) are located at the top (see diagram). You will need to line your phone speaker up with the microphone ports to hear clearly. This means holding your phone slightly further up than usual, over the top of your ear. You may wish to practise this using the dial tone to ensure correct positioning.

Some hearing aids are now compatible with certain mobile phones. This will allow you to stream phone calls directly from your mobile to your hearing aids. Please ask the audiologist about this if you are not sure about this.

Assistive Listening Devices

Hearing aids can be a great help but other devices, known as assistive listening devices, may also help with the following situations:

  • Using telephones (landline and mobile)
  • Watching television or listening to the radio
  • Alerting devices (doorbell, telephone ringing, baby monitor, smoke alarm)
  • Listening to talks, lectures and in meetings
  • Listening in the theatre, cinema and other events

In some cases equipment can be provided by social services, or it can be privately purchased. Further advice and some demonstrations are available at the hospital. Please contact the Audiology department for further information.

Communication tactics for everyone

The following section is a quick guide as to how you can help yourself and others to hear better:

If you have a hearing impairment

  • Don’t stand too far away from the speaker.
  • Face the speaker and keep the light on their face.
  • Make sure that you can see the face/lips of the speaker and watch for expressions and gestures.
  • Ask the speaker to get your attention first.
  • Encourage people when starting a conversation to start with the subject at the beginning.
  • Don’t be afraid to ask the speaker to repeat themselves or to rephrase.
  • Ask the speaker to slow down and speak clearly.
  • Explain that you have a hearing loss and then tell people how they can help you.
  • Be assertive.
  • Try to keep calm and don’t panic.

Think positively

Simple considerations can help you to use your hearing more effectively, think about each situation and how you can improve things.

Manipulate the environment

  • Reduce background noise where possible.
  • Choose quiet surroundings wherever possible.
  • Always speak to other people from the same room.
  • Rooms with soft furnishings reduce echo.
  • Sit where the light falls on the speakers face.
  • Consider whether another part of the room would be quieter.
  • Turn down the volume of your hearing aid(s) in noisy places.
  • Sit so that you reduce any distraction from behind.
  • Using mats and tablecloths helps reduce echoes and harsh sounds.

If you are speaking with someone who has a hearing impairment

  • Attract the listeners’ attention.
  • Ensure the listener knows the topic.
  • Do not shout.
  • Do not over exaggerate lip movement.
  • Speak clearly but not too slowly.
  • Keep your hand away from your face.
  • Keep the light on your face.
  • Remove sunglasses.
  • Try to keep items such as cups or cigarettes away from your mouth as these may prevent lip reading.
  • Rephrase and don’t just repeat a single word.
  • Remember the listener is watching you closely because they are lip reading.
  • Move closer to the listener.
Local Voluntary Services

For basic on-going maintenance including re-tubing and general advice, local voluntary services run open clinics regularly throughout the East of England. Please see the leaflet “Local Hearing Help Sessions” for further details of these sessions or visit the website of your local provider.

Other support and advice services

Access to Work

Access to Work provides grants to help people to overcome barriers they may be facing when looking for a job, or when working. This includes helping you to overcome any difficulties you are facing because of not hearing at work

If you would like further information please ask for a member of the Audiology team for an “Access to Work” leaflet or visit: Access to Work (opens in a new tab)

Important information

Address

Audiology,

Clinic 10,

Box 94,

Addenbrooke’s Hospital,

Hills Road,

Cambridge,

CB2 0QQ

Telephone: 01223 217797

Email cuh.audiology@nhs.net

Website: Audiology Service

We are smoke-free

Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.

Other formats

Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/

Contact us

Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ

Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/