Table 5.

Practice recommendations for domain 4 “management” with steps to implement the recommendation

PR	Steps, options, or solutions to implement each recommendation
PR 4.1 Management approaches (strategies and devices) for people living with HVC impairment should be person-centred, interdisciplinary, and tailored to the needs of the person	When offering strategies and devices, consideration should be given to the persons communication needs in the context of their HVC impairments - alternate management approaches must be appraised, for example, for hearing loss, can the individual benefit from hearing aids or would other assistive listening devices be more appropriate in their specific circumstance [62] (PC/PPI)
	Strategies to support adherence to devices need to be person-centred to help promote independence  Two contrasting shades for spectacles that are for correction of different prescriptions (TF)  Large/pictoral information may be beneficial, such as a picture of the individual wearing their glasses by the mirror or step-by-step instructions for routines (PC/PPI)  Label devices with owner’s name or initials - ensure that PwD preferences are sought with regard to how items are labelled where possible (PC/PPI)
	Simulation of benefits for patient and care partners may help to facilitate cooperation, that is, asking patient to watch TV with and without the equipment so they can see the difference first hand (PC/PPI)
PR 4.2 People living with HVC impairment and their care partners should have access to accessible information regarding the nature and effect of the overlapping conditions	Acknowledgement of overlapping conditions to people living with HVC and care partners (PC/PPI) (see also PR 1.2)
	Highlight the benefits of undertaking sensory interventions, for example, help to reduce burden due to communication difficulties [42] (PC/PPI)
	Use of simple language with lived examples and clarifying questions to check understanding (PC/PPI)
	Health professionals should explore the scope for providing information in a range of formats (e.g., written hard copies, electronic files such as emails and audio files) (TF)
	Professionals should discuss format preferences with HVC and their care partners, and a note should be kept with their patient record. Where feasible and relevant, explore the scope for sending updates or reminders in the formats preferred (TF)
PR 4.3 People living with HVC impairment and their care partners should have access to accessible information regarding the management approaches (strategies and devices)	Always check the PwD and care partner, understand the instructions, and ask them to repeat the instructions back, to ensure they fully understand how to use it. Provide device information cards with clear written instructions for PwD and care partners to take with them. Where possible these should be laminated matt, not glossy, to reduce glare (TF)
	Clear information regarding maintenance should also be accessible, that is, importance of cleaning hearing aids, replacing batteries, and tubes etc. and steps for troubleshooting, for example, if PwD does not seem to be hearing with hearing aids check for wax in the ear or make sure the battery is live and hearing aid is on (TF)
	Provide checklists to aid all with utilising strategies and devices (PCI/PPI)

PR, practice recommendation; PwD, people living with dementia; PC/PPI, professional consortia and/or patient and public involvement groups.