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Whispered Voice Test (Geriatric) Cheat Sheet by

test     assessment     medical     hearing     voice     whispered

Geriatric Assessment Tools:­Sensory Perception

The Whispered Voice Test is a quick, simple, and accurate test for hearing loss that general practi­tioners can use in a primary care setting. This test can help identify patients who may need to be referred to a specia­list. No special equipment is needed to perform this test; in fact, it compares favorably with using a portable audios­cope.
Author:: Herman Snellen, MD
Source: Macphee GJA, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing. 1988;1­7(5­):3­47-351.

Performing the Whispered Voice Test:

1. Stand behind the patient’s field of vision. This eliminates the possib­ility of lip-re­ading.
2. Gently occlude and rub the external auditory canal of the non-tested ear.
3. Ask the patient to repeat a set of 3 different random numbers (e.g., 6,1,9) presented to the tested ear at four decreasing levels of loudness:
conversational voice at 6 inches and at 2 feet from the ear, and
whispered voice at 6 inches and at 2 feet from the ear. Exhale completely prior to testing with whispered voice.

Scoring:

Passing score is given if the patient can repeat all three numbers correctly at each level of loudness or achieve greater than 50% success over three successive triplet sets.
Failure to pass at each level of voice testing is considered a positive test for hearing impair­ment.
Failure to hear a whisper at 2 feet indicates hearing loss and may be the most discri­minant test of the set.
 

EAR

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