International Journal of Speech and Audiology

One common chronic illness affecting older adults is hearing loss, which has a major effect on their ability to communicate, feel emotionally, interact with others, and think clearly. Because of its subtle onset, symptom normalization, stigma, lack of awareness, and failure to incorporate hearing screening into standard geriatric practice, it goes undiagnosed or untreated despite its high prevalence, especially in low-resource areas like rural India. Many elderly people decide not to use hearing aids or do not disclose the issue because of the cost, difficulty, or social embarrassment. Untreated hearing loss is associated with loneliness, depression, and social isolation. This article clarifies these complex issues and serves as a reminder of the importance of early discovery and comprehensive management. Interventions recommended include community education, regular hearing screening, enhanced access to audiological services, reduction in stigma, subsidization of hearing aids, and follow-up care. A multidisciplinary and culturally appropriate approach is necessary to counteract the effects of hearing loss and enhance the general well-being and quality of life among the elderly.