Louisiana Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss

State:
Multi-State
Control #:
US-01935BG
Format:
Word
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Description

An affidavit is statement of facts which is sworn to (or affirmed) before an officer who has authority to administer an oath (e.g. a notary public). The person making the signed statement (affiant) takes an oath that the contents are, to the best of their knowledge, true. It is also signed by a notary or some other judicial officer that can administer oaths, affirming that the person signing the affidavit was under oath when doing so. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction

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  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
  • Preview Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss

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FAQ

Degrees of Hearing Loss Degrees of Hearing LossHearing Threshold in Decibels (dB)Mild Hearing Loss25-40 dBModerate Hearing Loss40-60 dBSevere Hearing Loss60-80 dBSevere-to-Profound Hearing Loss80-90 dB2 more rows

Let your family and friends know you have a hearing problem. Ask people to face you and to speak louder and more clearly. Ask them to repeat themselves or reword what they're saying. Pay attention to what is being said and to facial expressions or gestures.

Untreated hearing loss may affect your social life, lower your quality of life and cause mental anguish. Hearing aids do not cure hearing loss, but in most cases they can help hearing impaired people live normal lives. For many hearing impaired people hearing aids open up a whole new world.

Speak clearly, slowly, distinctly, but naturally, without shouting or exaggerating mouth movements. Shouting distorts the sound of speech and may make speech reading more difficult. Say the person's name before beginning a conversation.

Many people with hearing loss experience a drop in self-esteem and confidence because of their impaired ability to communicate with other people. Having hearing loss can also limit one's ability to learn to speak a new language.

For some people, power hearing aids might not be the best option. Other treatments for severe-to-profound hearing loss include bone-anchored hearing systems and cochlear implants. Contrary to common perception, cochlear implants can be used in older adults.

Reduce background noise. Ensure the room is well lit, so that the patient can see your face or any written information they may be given. Ask the patient to wear their hearing aids (if they have them and find them helpful) and sit closer to them than you would to another patient.

Use simple sentences rather than complex ones which can be hard to follow. Make sure to speak clearly and slowly and at a natural volume. If you raise your voice too much, it might be more difficult for your spouse to hear and understand since the sound can be distorted.

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Louisiana Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss