SIGNS OF HEARING LOSS:
These are common signs of hearing loss – a child:
- Does not respond when called
- Constantly says “what?” or asks for speech to be repeated
- Watches faces/lips intently
- Doesn’t always follow instructions straightaway
- Often misunderstands or ignores instructions
- Makes little or no contribution to group or activities or discussions
- Watches what others are doing before doing it themselves
- Complains about not being able to hear
- Tires easily
- Talks louder or softer than expected
- Becomes easily frustrated
- Seems startled when people come into their line of vision
- Appears inattentive or as though daydreaming
Remember: a mild or slight hearing loss may be difficult to identify. Children may respond to questions easily when asked one-to-one and in a quiet environment whilst at the same time not respond to questions asked at a distance and to the whole class. In addition, temporary hearing loss can fluctuate, meaning that children may display some of the signs above on some days but not others.
WHAT TO DO IF YOU SUSPECT A HEARING LOSS
The National Deaf Children’s Society has also produced guidance on steps staff should take if they suspect that a child or young person may have a hearing loss:
Discuss any concerns that you may have with the family. Some families may already have concerns whilst to others it may be a complete shock. You should suggest that they ask their GP or health visitor for a referral to the local audiology clinic for a hearing test.
Undiagnosed hearing loss can cause or contribute to a child’s speech and language delay and difficulties with learning and reading, and can cause difficulties communicating and socialising with others. There can be an overlap with the signs or symptoms of other language or developmental disorders in childhood. It is therefore good practice to consider a referral for a hearing test if a child is being referred to other professionals, such as a speech and language therapist or educational psychologist. This should help to either diagnose the cause of the problem, or rule out additional difficulties.
Recording your observations can be helpful in identifying if there seem to be particular situations which the child finds challenging.