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MED-EL
Published Jan 12, 2022
Self-advocacy is about being aware of your needs, desires, and feelings and being able to effectively communicate these to others. The ability to speak up for yourself to get what you need and want is a skill that will enable you to feel more confident and independent in daily life and when communicating with others.
You know your hearing loss and how it affects your communication with others better than anyone else, so you are the best person to communicate your needs. For adult and teen cochlear implant recipients, self-advocacy skills are vital for managing challenging listening and communication situations. Here are some everyday examples of ways you can practice self-advocacy:
Friends and family will be curious about your hearing devices. What is hearing with a cochlear implant like? Can you fly with a CI? Let the people around you know that you have hearing loss and explain how you hear with your devices. If some listening situations, such as busy restaurants or large-group meetings, are difficult for you, let others know.
Tell others exactly what communication strategies they can use to help you understand them. In meetings, for instance, ask for:
Explain the impact background noise has on your ability to listen and communicate with others. Request that background noise be reduced as much as possible (close doors and windows, turn off unnecessary music, use a microphone) for clear access to the speaker’s voice. If the listening environment is still challenging for you, request to turn on captions for presentations or online meetings.
Self-advocacy skills are especially useful when looking for employment and career opportunities. If you’re applying for a job and going to interviews, don’t be afraid to talk about your hearing loss. You might also talk about any workplace needs you have. However, keep the focus of the discussions on your abilities and skills.
Effective communication is an important element in maintaining social relationships and achieving your goals. If you don’t feel confident about making an important phone call or going to an important meeting, role-play and practice the scenario at home with a family member or a friend. You can create scripts for workplace or social situations to be prepared for how to respond and practice requesting what you need.
Being active socially will offer you the opportunity to participate in discussions and share information about your hearing loss. It will also let you interact with new people and gain confidence in initiating conversations or asking about things you need or want in an unfamiliar environment. Studies have shown that cochlear implantation improves social engagement and quality of life for patients over the age of 65. [1] [2]
Connect with other people with hearing loss through social media or communities like Hearpeers. Meeting other hearing implant recipients will allow you to exchange experiences, tips, and strategies for communication and living with a hearing implant.
Find out more about relevant laws and services you are eligible for in your country and region. Local government websites might include important information and tips about pre-employment services, vocational or rehabilitation programs, or financial support that you’re entitled to receive.
References
Hori K, Shah R, Paladugu A, Gallagher TJ, Jang SS, Weinfurter EV, Wee CP, Choi JS. Social Outcomes Among Adults With Hearing Aids and Cochlear Implants: A Systematic Review and Meta-Analysis. JAMA Otolaryngol Head Neck Surg. 2025 Aug 1;151(8):806-816. doi: 10.1001/jamaoto.2025.1777. PMID: 40608327; PMCID: PMC12232266.
Issing, C., Loth, A. G., Sakmen, K. D., Guchlerner, L., Helbig, S., Baumann, U., … & Stöver, T. (2024). Cochlear implant therapy improves the quality of life and social participation in the elderly: a prospective long-term evaluation. European Archives of Oto-Rhino-Laryngology, 281(7), 3453-3460.
References
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The content on this website is for general informational purposes only and should not be taken as medical advice. Please contact your doctor or hearing specialist to learn what type of hearing solution is suitable for your specific needs. Not all products, features, or indications shown are approved in all countries.
Roger Glockling
March 04, 2026
Hi, just a quick observation. I have a Rondo3. Following your recommendation to change the plastic cover every 3 months, I find that there is no discernible difference in sound quality when doing so. I also consider replacement covers @ $25.00 a piece, rather excessive. (Especially for a senior veteran)
Carol Craig
March 05, 2026
I am grateful for the Single CI that I have which is the Rondo 3. It has enhanced my life. But it has not given me back a full life. I cannot enjoy movies, plays, bridge, or a real social life. At the bridge table I am ignored when it comes to conversations, in restaurants, it’s too noisey to communicate, I can’t participate in a book club discussion; i have lived in my neighbourhood for 22 years and don’t know my neighbours because I’ve isolated myself because I cannot participate in a group conversation; I could go on. My government pays for one CI for adults. I do not have the funds to get one privately.
MED-EL
March 06, 2026
Hi Carol, thank you for reaching out and for sharing your feedback with us. Every hearing journey is individual and depends on multiple factors, including the correct fitting of the audio processor as well as listening training. Therefore, we recommend getting in touch with your local MED-EL team and audiologist to adapt your audio processor to your needs. You can contact them directly via https://www.medel.com/contact-med-el. We also recommend checking out these useful tips and tricks on improving your hearing with a CI: https://www.medel.com/support/rehabilitation/rehabilitation-downloads Kind regards, Gordana
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© MED-EL Medical Electronics. All rights reserved. The content on this website is for general informational purposes only and should not be taken as medical advice. Contact your doctor or hearing specialist to learn what type of hearing solution suits your specific needs. Not all products, features, or indications are approved in all countries.
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