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Cognitive Screening Model Expands Health Care Delivery

12 The Hearing Journal June 2017 A ge-related cognitive decline can negatively impact many aspects of hearing health care, including assessment, counseling, intervention, and outcome. Cognitive impairment can range from mild to severe, and affects memory, learning, and concentration. These types of impairments in older adults are often a result of medication side effects, disruption of normal metabolic and/or endocrine processes, illness, depression, and dementia. Approximately 5.1 million Americans 65 years or older have Alzheimer’s disease, which is one of the most well-known forms of cognitive impairment. According to the Centers for Disease Control and Prevention (CDC), only 19 percent of adults aged 60 and older report memory loss or confusion to health care providers (CDC & Alzheimer’s Assoc, 2013). A literature review by Beck et al. suggests that administration of cognitive screening tools and appropriate referrals are important components when evaluating older adults (Hearing Rev. 2016:23[2]:36).