Cochlear implants in adults and children

Article Abstract:

Cochlear implants can be very effective in children and adults with profound deafness. These devices work by bypassing the cochlea and stimulating the auditory nerve directly. The technology has improved considerably since their first introduction and their implantation involves few complications. Research shows that they are effective regardless of the cause of deafness. They work best in people who became deaf after they had learned to speak. Adults who learned to speak before becoming deaf respond dramatically to the implants, but there is less research on children. The effectiveness of the implants varies depending on the age of onset of deafness, the age at implant and the method of communication. Adults and especially children require extensive rehabilitation to adjust properly to the devices.

Care and treatment, Usage, Cochlear implants, Deaf, Deaf persons

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Caring at the end of our lives

Article Abstract:

The services provided by hospice programs need to be expanded to cover all elderly people with terminal illnesses. Medicare reimbursement for hospice care requires a statement from a doctor that the patient has less than 6 months to live. However, it is hard to predict when patients with heart disease and other chronic diseases will die. It is likely that current hospice programs will be unable to provide low-cost home care to these patients. And yet every person deserves to have a pain-free, comfortable death.

Editorial, Analysis, Terminal care, Hospice care

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