Summary of Intrapersonal aspects of hearing loss in persons who are older

3 physchological levels of hearing:
1 - Primitive: This is the primitive hearing where one is able to unconsciously hear the body's noises such as breathing, heart rate etc. This gives the sense of feeling within an environment. Without it you feel lost, dead, depressed. 
2 - Signs of warnings Level: You are able to be aware of the environment that is outside your visual field. 
3 - Symbolic level: This is the part of hearing which allows us to communicate with hearing, and is most associated with hearing loss. (PSS)

Response to Loss
Shock, Realisation, Denial, Acknowledgement, Adaptation (SRDAA)

Requirement for energy
Basically because of the hearing impairment people are needing more energy to compensate for it. Thus more energy is being devoted to the compensatory mechanisms, less energy available for normal functioning of the body. Thus we have a case of decreased availability of energy. This means, it affects the interaction between family and friends, interaction between self. The total energy requirement for a hearing impaired individual is dependent on the other factors such as other diseases they suffer, personal and psychological factors involved.