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- W2896061994 abstract "Studies show that hearing loss increases a person's risk of developing cognitive impairment, and accurate cognitive assessment is difficult to perform, as common tests such as the MoCA and Mini-Cog require auditory instruction. Inability to hear instructions then affects cognitive screening performance and scoring. Further, individuals with moderate to severe hearing loss often present to clinical appointments without the hearing aids they need to perform well on a cognitive assessment. The purpose of this study was to develop an evidence-based inter-professional resource for providers following a literature review 1) to understand the effects of hearing loss on cognitive assessment; 2) to evaluate whether adequate hearing is needed for cognitive test instructions and procedures; and 3) to summarize clinical strategies to differentiate communication symptoms of hearing loss from those of dementia. Available research was reviewed to determine the relationship between hearing loss and cognitive testing outcomes. Focusing on the cognitive assessments such as the MMSE and the MoCA and including those recommended by the Alzheimer's Association Cognitive Assessment Toolkit, (the AD8, GPCOG, IQCODE MiniCog, and MIS) an evaluation of procedures for administering and scoring each test was conducted to determine whether hearing loss could impact comprehension of instructions and test items, and/or scoring. Of the seven tests reviewed, five (71%) required some form of word recall in which a patient listened to a series of words and repeated them immediately and again later in the testing. Sound aversion or word/sentence comprehension over background noise are some examples of symptoms that could result from hearing loss, dementia or both. Overlap in communication-related hearing loss and dementia symptoms may confound cognitive screening results. Hearing loss can also go undetected or unacknowledged. Based on current evidence, characterizing an individual's hearing ability is an essential component of holistic and patient-centered cognitive assessment." @default.
- W2896061994 created "2018-10-26" @default.
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- W2896061994 date "2018-07-01" @default.
- W2896061994 modified "2023-10-16" @default.
- W2896061994 title "P1‐563: DEVELOPMENT OF AN INTERPROFESSIONAL RESOURCE ON THE EFFECTS OF HEARING LOSS ON COGNITIVE ASSESSMENT" @default.
- W2896061994 doi "https://doi.org/10.1016/j.jalz.2018.06.575" @default.
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