The deterioration of vision and hearing are inevitable as we get to reach a certain age. Unfortunately, these are also the two senses that allow us to operate effectively in the outside world. We count on both these senses so much that when one starts to decline, we begin to rely more heavily on the other. When both start to recede, it can make everyday social interactions more challenging. The concurrent weakening of these two senses is referred to as Dual Sensory Loss (DSL). If left untreated, DSL can end up causing other issues such as depression, mental deterioration, and other health concerns due to its isolating nature.


Vision and Hearing in Seniors

There are many conceivable elements that can cause hearing loss. Some possible examples are:

  • Head Trauma
  • Virus or disease
  • Genetics
  • Auto-immune inner ear dysfunction
  • Presbycusis
  • Exposure to loud noise

There are two main types of hearing loss – conductive and sensorineural. Conductive hearing loss occurs when there is problem conducting soundwaves along the path through the outer ear, eardrum, or middle ear. A build up of fluid can produce this result. Sensorineural hearing loss occurs when the root cause lies within the inner ear or auditory nerve.


Like hearing loss, vision failure can also be the result of numerous determining factors:



Any type of vision loss can result in decreased mobility, confidence, and desire to engage in activities outside the home.

Assessment and Treatment

Early detection of aliments affecting hearing and vision can aid in managing and treating certain conditions. Some conditions may require medications or surgery as a means of treatment, while others can be handled with assistive devices.

Assistive Devices

One example of an assistive device is the hearing aid. Hearing aid technology is expanding very quickly, and custom designed equipment can be provided to meet an individual’s particular needs. Wireless devices are currently available that are capable of connecting to smartphones, computers, and microphones. Cochlear implants are also available for treating hearing loss. Rather than amplify sounds like a hearing aid, a cochlear implant does the work of the damaged parts of the inner ear.

Assistive devices for vision loss can include hand-held telescopes, magnifiers, magnified lamps, and portable readers. Closed-circuit televisions (CCTV) can also be used to assist the visually impaired by displaying larger images. New technologies such as Google Glass, which is a head-mounted device designed to increase vision, will be available in the near future.

Improving Home Environment

Many steps can be taken to increase functionality for DSL sufferers to make their surroundings safer, more manageable, and even more comfortable. Some suggestions include:


  • Automatic light sensors
  • Bright, consistent lighting
  • Contrasting colors to help distinguish between objects in the home
  • Blinds to prevent glare
  • Sound-absorbent furnishings to provide better acoustics



Again, strategies to improve communication will differ with each unique situation. Some common practices used in aiding communication are:


  • Speak clearly an slowly, remember to annunciate
  • Avoid sitting with your back to a window or a light
  • Try different rooms or areas of the house to see which works best
  • Gently initiate physical contact when beginning a conversation and make it clear when you are getting ready to depart


Physical Contact

Touch is very important for people with DSL to feel a connection with their environment. For example, allow them to take your arm to guide them when you are walking together. You can briefly stop when entering a new room, approaching the stairs, or preparing to sit down to allow time to adapt and adjust. For people with vision loss, you can provide a narrative of the surrounding environment. Simple hand-holding or hugging can provide invaluable reassurance.

For those with more pronounced DSL, a structure of touch-based communication can be implemented. An example of this is a system called 2-Hand Manual fingerspelling.

Figuring out the most helpful and effective care plan for your loved one with DSL can go a long in improving mental and physical health, as well connection to the surrounding environment. Copious benefits can be provided from home care services in situations like these.