Sensory impairment can mimic or worsen cognitive impairment, and uncorrected hearing loss is among the largest modifiable risk factors for dementia. At every memory assessment, ask about hearing and vision, look in the ears for wax, check near and distance vision with current glasses, and ask when the last eye test was. Use large-print testing materials and a quiet room so poor sight or hearing does not lower a cognitive score. Refer for audiology or optometry as part of the plan, not as an afterthought.
- Ask about hearing and vision at every cognitive assessment.
- Check for ear wax and test vision with the patient's current glasses.
- Use large print and a quiet room for cognitive testing.
- Refer to audiology and optometry as part of the memory plan.
Why it matters
Sensory deficits are common, treatable, and easily mistaken for cognitive decline.
Read the rest in the app
You have read your two free briefings this month. The app carries all 27 specialties, every morning, free — and this finding is waiting in it.
Scan to keep reading on your phone. No account needed to start.
Tomorrow morning, before your first patient
One edition a day for geriatrics, written by the desk, every claim tied to its paper. Six minutes.
Get the app — free