Sensory Health for Residents with Dementia in Care Homes in England: A Knowledge, Attitudes, and Practice Survey

Leroi, Iracema; Chauhan, Nisha; Hann, Mark; Jones, Louise; Prew, Sandra; Russell, Gregor; Sturrock, Roger-Angus; Taylor, Joanne; Worthington, Mark T.; Dawes, Piers

doi:10.1016/j.jamda.2021.03.020

Cited by 8 publications

(10 citation statements)

References 30 publications

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“…[11][12][13] Previously, we undertook an exploration of knowledge, attitude and practice in relation to hearing/vision support for people with dementia in 117 English LTC facilities. 14 Although staff recognised the impact of hearing/vision impairment, they lacked knowledge, skills and training to support hearing/vision needs. Considering global demographic shifts and rising need for LTC worldwide, 15 we extended our investigation to include five additional countries, representing high, middle and lower socioeconomic strata with different experiences and numbers of LTC.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Hearing and vision health for people with dementia in residential long term care: Knowledge, attitudes and practice in England, South Korea, India, Greece, Indonesia and Australia

Dawes

Leroi

Chauhan

et al. 2021

Int J Geriat Psychiatry

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Objectives Up to 90% of people with dementia in long term care (LTC) have hearing and/or vision impairment. Hearing/vision difficulties are frequently under‐recognised or incompletely managed. The impacts of hearing/vision impairment include more rapid cognitive decline, behavioural disturbances, reduced quality of life, and greater care burden. This research investigated LTC staff knowledge, attitudes and practice regarding hearing/vision care needs for residents with dementia. Methods A survey of staff in LTC facilities in England, South Korea, India, Greece, Indonesia and Australia. Respondents used a five‐point scale to indicate agreement or YES/NO response to questions regarding sensory‐cognitive care knowledge (what is known); attitudes (what is thought); practice (what is done). Results Respondents reported high awareness of hearing/vision care needs, although awareness of how to identify hearing/vison difficulties or refer for assessment was low. Most felt that residents were not able to use hearing/vision devices effectively due to poor fit, being poorly tolerated or lost or broken devices. A substantial minority of respondents reported low confidence in supporting use of assistive hearing/vision devices, with lack of training the main reason. Most staff did not undertake routine checking of hearing/vision devices, and it was rare for facilities to have designated staff responsible for sensory needs. Variation among countries was not significant after accounting for staff experience and having received dementia training. Conclusions There is a need to improve sensory support for people with dementia in LTC facilities internationally. Practice guidelines and training to enhance sensory‐cognitive knowledge, attitudes and practice in professional care teams is called for.

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Section: Introductionmentioning

confidence: 99%

“…Previously, we undertook an exploration of knowledge, attitude and practice in relation to hearing/vision support for people with dementia in 117 English LTC facilities 14 . Although staff recognised the impact of hearing/vision impairment, they lacked knowledge, skills and training to support hearing/vision needs.…”

Section: Introductionmentioning

confidence: 99%

Hearing and vision health for people with dementia in residential long term care: Knowledge, attitudes and practice in England, South Korea, India, Greece, Indonesia and Australia

Dawes

Leroi

Chauhan

et al. 2021

Int J Geriat Psychiatry

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“…However, the successful delivery of cognitive screening in adult audiology services relies upon audiologists being sufficiently trained and feeling comfortable enough to deliver and discuss such tests with a patient. Yet, a survey of hearing professionals in the United Kingdom on managing sensory and cognitive impairment in older adults highlighted limited awareness of cognitive screening tests and a lack of adequate training [76]. This clearly impacts practice as, in another UK survey, although 90% of audiologists reported a willingness to conduct cognitive assessments only 4% did so, due to lack of training, time and resources [77].…”

Section: A Role For Audiologists In Screening Cognition?mentioning

confidence: 99%

When Hearing Loss Co-occurs with Dementia: Challenges and Opportunities in Diagnosis and Management

Broome,

Burgon,

Heffernan

et al. 2023

Updates on Hearing Loss and Its Rehabilitation

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Both dementia and hearing loss are highly prevalent in older adults and often co-exist, increasing the complexity of diagnosis and management of both conditions. As the population ages, an increasing number of people will experience both long-term conditions. The cause of the association is unclear, although there are several commonly proposed mechanisms. Within this chapter, we explore current challenges that exist in discriminating between symptoms and complications of hearing and cognitive difficulties, and how these factors can impact the identification and management of both conditions. Management options, including the role of audiology services and care, will be presented, and explored in context. As hearing loss has been identified as a potentially modifiable risk factor for dementia, contemporary research evidence will be highlighted, including the challenges associated with research study design and interpretation. We conclude by exploring opportunities in care, research, and knowledge exchange, offering new approaches to improve the quality of life of those living with both dementia and hearing loss and those who care for them. Throughout this chapter, we provide the perspectives of individuals who have personally dealt with these conditions, as well as the viewpoints of their caregivers. This helps us connect concepts and evidence with real-life experiences.

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“…Despite residents with dementia needing assistance with their hearing devices, staff knowledge in this tended to be low. 7,15,17,21,25,45,46,49 Numerous recommendations to improve care staffs' knowledge of hearing rehabilitation have been published, 2-5 but these are not yet widely implemented, 23,31,32 and there remains no mandatory training on hearing nor regulated standards set for hearing care in the UK or USA.…”

Section: Barriers To Hearing Rehabilitation For Residents With Dementiamentioning

confidence: 99%

“…Providing hearing rehabilitation in care homes is particularly challenging due to excess background noise levels in communal areas 30 and variations in staff knowledge of hearing loss and hearing device maintenance. [30][31][32][33][34] Existing work 3,4 has systematically reviewed the negative impacts of hearing loss on…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Hearing Rehabilitation for Care Home Residents With Dementia: A Systematic Review

Cross¹,

Dawes²,

Hooper³

et al. 2022

Journal of the American Medical Directors Association

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Sensory Health for Residents with Dementia in Care Homes in England: A Knowledge, Attitudes, and Practice Survey

Cited by 8 publications

References 30 publications

Hearing and vision health for people with dementia in residential long term care: Knowledge, attitudes and practice in England, South Korea, India, Greece, Indonesia and Australia

Hearing and vision health for people with dementia in residential long term care: Knowledge, attitudes and practice in England, South Korea, India, Greece, Indonesia and Australia

When Hearing Loss Co-occurs with Dementia: Challenges and Opportunities in Diagnosis and Management

Effectiveness of Hearing Rehabilitation for Care Home Residents With Dementia: A Systematic Review

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