Candidate card · Medicine

You are the doctor

A memory referral and fear of losing control

Setting: A general practice follow-up

A patient has memory concerns and an initial cognitive screen affected by hearing difficulty. No diagnosis is established. The agreed next step is a memory-clinic assessment with fuller history.

Task

  • Explore what the patient fears the referral means.
  • Explain assessment versus diagnosis.
  • Clarify how family information can help while preserving direct patient involvement.
  • Check consent and next steps.
Memory assessment referral information
  • The screen was affected by hearing difficulty in two instructions and is not a confirmed diagnosis.
  • The clinic will gather a fuller history and consider the screening findings in context.
  • Contacting the son for examples requires consent; this does not give him authority to make all decisions.
  • Bring hearing aids. Request a large-print appointment letter and record any companion preference.
  • If appointment details are unclear, contact the GP referral coordinator on the practice card.

Fictional scenario information supplied by the treating team; not medical guidance for real patients.