Hearing Loss & Palliative Care: Supporting Comfort, Connection, & Patient Choice

October 26, 2026
Person showing phone with urn image; another person looks on. Sunlight streams in.

Hearing Loss and Palliative Care: What You Should Know


Palliative care focuses on comfort and quality of life for people living with serious illness. Hearing is an important part of that care, helping patients understand their options, communicate their needs, and stay connected with the people who matter most.


When hearing loss goes unrecognized, patients may have difficulty following conversations about symptoms, treatment options, and personal wishes. These communication barriers can make it harder to participate in care decisions and may leave patients feeling isolated during a time when understanding and connection are especially important.


At Johnson Audiology, we work alongside patients, families, and healthcare providers to identify hearing concerns and explore support that aligns with each patient’s needs and goals. Hearing evaluations, hearing aid support, assistive listening devices, and practical communication strategies can help make important conversations more accessible. Addressing hearing loss as part of palliative care supports patient participation, meaningful connections, and care that reflects what matters to each individual.

Two people are pulling a rope in opposite directions.

How can addressing hearing loss improve quality of life for patients receiving palliative care?

Addressing hearing loss can help patients communicate their needs, express preferences, and share meaningful moments with loved ones and care teams. Hearing support may make it easier to describe discomfort, ask questions, or enjoy familiar voices and favorite music. The goal is to support what matters most to each person while respecting their comfort, energy, and wishes. Depending on the patient’s needs, support might include maintaining existing hearing aids, using a simple assistive listening device, or adjusting how conversations take place.

Two people are pulling a rope in opposite directions.

Why is hearing care important for effective communication in palliative care? 

Palliative care depends on thoughtful conversations about symptoms, comfort measures, treatment options, and personal wishes. Patients with hearing loss may miss parts of these discussions, even when they appear to follow along. Asking about hearing difficulties and checking that hearing devices are available and functioning can make communication more accessible. A quiet setting, clear speech, and written information, when appropriate, can also help. Inviting patients to explain information in their own words allows the care team to check understanding and clarify anything that was missed.

Two people are pulling a rope in opposite directions.

Can untreated hearing loss increase feelings of isolation for palliative care patients? ï»¿

Yes. When conversations become difficult to follow, patients may feel left out or choose to withdraw from interactions. Fatigue and serious illness can make the effort of listening even more demanding, particularly when several people speak at once. Addressing hearing barriers can help patients remain involved in visits, share memories, and maintain relationships with family, friends, and caregivers. Simple changes, such as speaking one at a time and sitting where the patient can see the speaker’s face, can make these moments more accessible and less tiring.

Two people are pulling a rope in opposite directions.

How can hearing support help patients participate in shared decision-making?

Shared decision-making gives patients an opportunity to discuss their goals, values, and preferences alongside the care team’s clinical guidance. Hearing loss can make these conversations harder to follow, especially when information is complex or emotionally difficult. Appropriate hearing support, a quiet environment, and a comfortable pace can help patients access the discussion and ask questions. Care teams should also confirm understanding and provide other communication supports when needed. These steps help patients express what matters to them and participate as fully as they wish and are able.

Two people are pulling a rope in opposite directions.

Why should hearing loss be considered when assessing confusion or cognitive changes? 

A patient who misses spoken questions or instructions may respond unexpectedly, appear disengaged, or seem confused. Hearing loss can contribute to these behaviors and may complicate assessments that rely on verbal communication. Checking hearing devices, reducing background noise, and ensuring the patient can access the conversation can help clinicians interpret responses more accurately. However, hearing loss and delirium or cognitive impairment can occur together. New or worsening confusion still requires appropriate clinical assessment; improving communication helps that evaluation rather than replacing it.

Two people are pulling a rope in opposite directions.

What if hearing aids are financially out of reach for some patients? 

Johnson Audiology's goal is to help all people hear better. If financial need is standing in the way, the Johnson Audiology Hearing Foundation (JAHF), a 501c3 and the charitable arm of Johnson Audiology, is here to help. Since the Foundation's inception in 2019, hundreds of people who would have had difficulty affording hearing aids have been fit with devices. If you know of someone who could benefit from this program, click here to learn more.

Two people are pulling a rope in opposite directions.

What practical steps can palliative care professionals take to address hearing loss? 

Start by asking patients how they hear best and what communication support they prefer. Check that hearing aids or cochlear implant processors are available, comfortable, charged or supplied with working batteries, and functioning as expected. Reduce background noise, provide good lighting, face the patient, and speak clearly without shouting. Allow one person to speak at a time and offer written information when helpful. Ask patients to explain key information in their own words. Consider audiology input when hearing difficulties persist or device support is needed.

See More Posts

Human torso with highlighted kidneys, one glowing red and orange to show pain or inflammation.
October 22, 2026
Hearing loss and chronic kidney disease are closely linked—early hearing checks can support better communication and overall care.
Nurse in blue helping a seated patient drink water in a bright living room
October 22, 2026
Hearing loss may be more common in Parkinson’s disease—early evaluation can improve communication and quality of life.
October 7, 2026
The restaurant was loud. Music played in the background, conversations filled the room and Karen Marcus was seated with a group of coworkers. For much of her life, this was exactly the kind of setting that made communication difficult. But this time, something remarkable happened: Karen could understand the person sitting across the table. “That just blew my mind,” she recalled. It may sound like an ordinary conversation, but for Karen, it represented something much bigger. She was not trying to piece together fragments of sentences or repeatedly asking someone to start over. She was simply sitting at the table, following the conversation and being part of the moment. A Lifetime of Working to Hear Karen was born with hearing loss. As she grew older, her hearing continued to decline, making conversations increasingly difficult. Social situations could leave her feeling uneasy before they even began. She might have to ask “What?” again and again, misunderstand what someone said or miss the conversation completely. “It was frustrating and embarrassing, even though it shouldn’t be,” Karen said. Her family and coworkers understood her hearing loss and tried to help by facing her when they spoke so she could read their lips. That support mattered, but communication still required effort. A restaurant, meeting or group conversation could quickly become overwhelming. Karen wanted to hear more clearly, but she also wanted something deeper: the confidence to participate without constantly worrying about what she might miss. Discovering What Was Possible Karen eventually received a cochlear implant and a compatible hearing aid. Before her implant was activated, she read about the experiences of other cochlear implant recipients and joined several online support groups. She wanted to understand what the process might be like and what she could realistically expect. Once her implant was activated, those possibilities began to become real. “Seeing those expectations come to realization, it has just been an amazing journey,” she said. The change became especially clear during that evening at the restaurant. Surrounded by music and competing voices, Karen could understand someone seated across the table—one of the most challenging listening situations for many people with hearing loss. Karen is careful not to describe the result as perfect hearing. Instead, she measures it against what life sounded like before. “I’m not going to exaggerate and say that it’s perfect,” she said. “But based on what it was before and what it is now, it’s light-years ahead.” Better Hearing in Everyday Life The difference extends beyond one memorable conversation. Karen can stream cellphone calls directly into her hearing devices, making it easier to understand the person on the other end. Television audio can also stream to her devices, helping her follow programs without struggling to catch every word. For conferences, presentations and other situations when a speaker may be farther away, Karen uses a Roger assistive listening device. During one tour, the guide clipped the Roger microphone to their collar. Even from approximately 20 feet away, Karen could hear the guide without difficulty. These features are not simply conveniences. They help Karen stay involved in her work, enjoy everyday activities, and communicate with greater confidence. “My new hearing devices have really helped with my confidence because I can hear so much better,” she said. “Overall, I just feel more normal, if you will.” A Team Celebrating Every Step Technology has played an important role in Karen’s progress, but so has the care surrounding it. Karen describes Dr. Hannah Dearth and Dr. Katie Brown as encouraging, patient, and kind throughout her cochlear implant journey. As her hearing improved, they celebrated each new milestone alongside her. “When I got my cochlear implant, every time I made progress, they were cheerleading me on,” she said. She also remembers what happened after she purchased a new iPhone and could not get it working properly with her hearing devices. The Johnson Audiology team initially emailed instructions, but when Karen still had difficulty, they invited her to come into the office. Christian, a Johnson Audiology, audiology assistant, patiently reviewed the settings on her phone and made sure everything was connected correctly. “He didn’t make this Boomer feel silly that I was needing all this technical help,” Karen said. That experience reflects what Karen values most about the team: she never feels rushed or dismissed. “They always answer all of my questions and make me feel like I am their one and only patient for the entire day,” she said. More Than Hearing Better Karen’s journey has not been about achieving perfect hearing. It has been about discovering how much more may be possible with the right combination of technology, professional care and continued support. For Karen, progress sounds like a phone call streaming clearly into her hearing devices. It sounds like a tour guide speaking from 20 feet away. It sounds like music playing in a busy restaurant—and still being able to understand the person across the table. Most of all, it feels like greater confidence and a renewed ability to participate in the personal and professional moments that matter to her. “I feel so fortunate to have been connected with Johnson Audiology,” Karen said. “Everything has been so wonderful on this journey to better hearing.” Karen will soon share more of her experience in an upcoming Johnson Audiology patient testimonial video. Watch for the opportunity to hear her story in her own words.