Box 1.

‘AEIOU’ guide to communicating with patients with hearing loss12,21–23

Ask!

  • How does the patient wish to communicate?

  • Do their notes or GP records indicate their preferred language (eg British Sign Language)?

  • Do they have hearing aids, and are they working?

  • Is there a cognitive barrier that needs assessment?

Environment

  • Minimise background noise.

  • Ensure the interviewer's face is well lit and unobscured if possible.

  • Dedicate time to the consultation; it may take longer than with hearing patients.

Interaction

  • Speak clearly, avoiding exaggerated pronunciation.

  • Use an interpreter when possible, making sure to address the patient not the interpreter.

Outline

  • Prepare the patient for the topic of conversation.

  • Signpost changes in topic clearly.

Understanding

  • Check patient comprehension and ask for periodic summaries.

  • Repeat or rephrase unclear information.