Exam Pass Notes

Download (Word)

Memory spine

• Notice: observe communication, access, memory, orientation and signs of distress.
• Slow: allow extra time; avoid rushing, quizzing or correcting harshly.
• Simplify: use plain language, give one instruction at a time and offer fewer choices.
• Support: involve companions when appropriate, provide written reminders, quiet space and reasonable adjustments.
• Record: note what helps, who was involved and what information was passed on.
• Escalate: follow local routes for sudden change, acute distress, safeguarding, consent or safety concerns.

Key points

• Dementia is not a normal part of ageing; support staff should not attempt to diagnose it.
• Dementia can affect memory, language, planning, judgement, perception, mood, behaviour and daily function.
• A diagnosis of dementia does not automatically remove a person's right to make choices, consent or speak for themselves.
• Communication improves when staff gain attention, reduce distractions, use short sentences and allow processing time.
• Vision and hearing problems, glare, reflections, shadows, clutter and noise can reduce understanding and confidence.
• Booking notes, quieter appointment slots, clear reminders and team handover help prevent avoidable distress.
• Explain optical tasks step by step, especially during pre-screening, measurements, imaging, frame selection and collections.
• Carers and companions can assist, but they do not automatically receive clinical information or replace the patient's decision-making role.
• Record adjustments, concerns and handovers factually in the approved record.
• Sudden confusion or delirium requires immediate medical assessment; use local urgent, A&E or 999 routes as appropriate.

Assessment focus

Questions will cover dementia basics, respectful communication, sensory barriers, dementia-friendly booking, optical workflows, carer involvement, consent and privacy, recognising sudden confusion, safeguarding and escalation routes.