RESIDENT_____________________________________

DATE

PROBLEM

GOAL

TO DATE

INTERVENTIONS

RESP

DISC

Communication deficit:

Hearing Impaired

As evidenced by:

Adequate - No difficulty in normal conversation, social interaction, listening to TV

Minimal Difficulty - Difficulty in some environments

Moderate Difficulty - Speaker has to increase volume and speak distinctly

Highly Impaired - Absence of useful hearing 

Hearing aid or other appliance used/not used

Understanding verbal content, however able (with hearing aid or device if used)

Understands - Clearly comprehends the speaker and demonstrates comprehension by words or actions.

Usually Understands - Misses some part/intent of message BUT comprehends most conversation.

Sometimes Understands - Responds adequately to simple, direct communication only. Demonstrates frequent difficulties integrating information. Understands better when speaker rephrases / simplifies message or uses gestures.

Rarely/Never Understands - Demonstrates very limited ability to understand communication.

Staff has difficulty determining whether or not resident comprehends messages, based on verbal and nonverbal responses.

Resident will demonstrate improved ability to understand speech

Reduce background noise when speaking to resident

Speak distinctly, adjusting tone appropriately

Make eye contact with resident when conversing

Ask simple yes or no questions

Use clear, direct, and simple terms

Supplement words with gestures, actions, pictures, and other nonverbal communication as needed

Refer to Audiologist as indicated

Assist with hearing aid placement and maintenance

Check residents ears monthly for cerumen build-up

Keep call light within reach

Anticipate needs

Be aware of resident’s frustration with communication – come back later or get other staff member if necessary