Uncorrected hearing loss depresses scores on spoken cognitive tests and can make mild cognitive impairment look worse than it is. In a memory clinic, a quick check — ask about hearing, look for wax, use a whisper test or a simple screening app, and make sure any hearing aids are in and working — should come before the cognitive assessment.
Where hearing is poor, give written instructions for tests that allow it, speak facing the patient in a quiet room, and note the limitation alongside the score.
- Ask about hearing and check the ear canals before cognitive testing.
- Ensure hearing aids are worn and switched on during assessment.
- Test in a quiet room, facing the patient, and note any hearing limitation with the score.
- Refer for audiology when screening suggests hearing loss.
Why it matters
An unheard question is scored the same as a forgotten answer.
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