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

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.

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.

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.

Can untreated hearing loss increase feelings of isolation for palliative care patients? 
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.

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.

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.
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.

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.
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