Audiological management of adults with severe and profound hearing loss

Guidelines for best practice1

Mild to moderate hearing loss:
widely understood
Severe and profound hearing loss:
little guidance available


Severe hearing loss: average 61 – 80 dB HL
Profound hearing loss: average > 81 dB HL



adults seeking treatment have
severe to profound hearing loss3

Expert panel consensus

Those with severe and profound
hearing loss need….


Counseling on continuum
of hearing technologies

These conversations are vital to understanding that hearing aids need not be the final stop on their hearing journey.

Extra consideration when selecting
and fitting hearing aids

In order to maintain audibility and support aided speech recognition,
fitting approaches beyond the standard ‘initial fit’ are required.


Immediate consideration of remote

Remote microphone technology should be considered at the same time as selection of hearing aids and/or cochlear implants.

Communication training
and strategies

Beyond hearing technology, communication abilities can be enhanced with auditory skills training and communication strategies.


Early focus on

Approximately 50% of these individuals report tinnitus and addressing the hearing loss is the starting point for treatment.

Successfully managing these complex needs requires
ongoing professional development of skills which support
your client’s well-being, with:

1. Continued hearing device optimization and maintenance
2. Self-management strategies
3. Counseling and support
4. Referral onward when appropriate

Start today with new expert guidance on the management of severe and profound hearing loss by visiting

1 Turton, L. (editor), Souza, P., Thibodeau, L., Hickson, L., Giff ord, R., Bird, J., Stropahl, M., Gailey, L., Fulton, B., Scarinci, N., Ekberg, K., Timmer, B. (2020). Guidelines for Best Practice in the Audiological Management of Adults with Severe and Profound Hearing Loss. Seminars in Hearing, 41(3), 141–245.
2 World Health Organization (WHO) (2012). Promoting ear and hearing care through CBR Community-Based Rehabilitation. World Health Organinzation. Retrieved from, accessed July 26th 2019.
3 Carlsson P, Hjaldahl J, Magnuson A, Terneval E, Eden M, Skagerskarand A, & Jonsson R (2014). Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation. Disability & Rehabilitation, Early Online: 1-8.

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