This review paper selectively examines the problem of age-related hear
ing loss. Drawing on specialist audiological research, nursing researc
h and patient anecdotes to make a case for nursing intervention. The l
imitations of national prevalence estimates are highlighted with regar
d to dependent elderly people, and are challenged as political underes
timations of need, Despite the evidence of an exceptionally high level
of potential demand only a minority of elderly people who might benef
it from amplification possess a hearing aid. Factors to explain the lo
w levels of hearing aid ownership and use are discussed, Through consi
derable reference to the author's own research the potential for nurse
s to lead practice developments and initiate service reform in the man
agement of age-related hearing loss is debated.