Training activity: 7

Details

Manage care delivery for patients with the following intellectual disabilities or cognitive impairments, using appropriate modifications management techniques:

• Normal age-related cognitive decline
• MCI
• Dementia
• Learning disability

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

• Principles of patient-centred care
• Safeguarding
• Issues of capacity, consent, and best-interest decisions
• Effective communication and counselling
• NHS Accessible Information Standard
• Scope of practice
• Onward referrals
• Patient experience
• Referral information
• Range of management techniques
• Effects of peripheral and central decline in the auditory pathways
• Environmental modifications at home
• Setting of appropriate expectations
• Methods of hearing aid verification
• Hearing aid fitting considerations
• Hearing aid compression ratios and speeds
• Aided detection/recognition measures
• Alternative listening devices
• Home visits
• Formatting of written/pictorial information

Relevant learning outcomes

#	Outcome
# 2	Outcome Apply shared decision-making to develop an individualised management plan and counselling for adults with hearing loss and other auditory difficulties, taking into account differing cultural and social attitudes to hearing care.
# 3	Outcome Evaluate individual patient outcomes and safely manage a range of routine and complex hearing losses.
# 4	Outcome Practice within their own personal and professional scope, identifying where onward referral is appropriate.