Situations and the environment they are used in. Presence of severe speech discrimination problems Result from the use of hearing aids is marginal to very good. Loud background noise such as restaurants can render the hearing aid all but useless. Deaf and hard of hearing people are not automatically good lip-readers. Vision does not improve to compensate for the hearing loss.
Visual information is vital, but as a result there is an increase in stress and fatigue.
If it is to be learned by the person with hearing loss, their family, coworkers, church and others must be involved. The majority of our community does not know sign language. It takes time for a person with a hearing aid to process what the brain receives. If the person does not respond immediately give her time to make the response. When an individual is without the hearing aid communication is almost nonexistent.