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Communication & Documentation

Communicating with Clients Who Have Hearing or Vision Loss

๐Ÿ“… June 25, 2026 ✍️ By Piewy Team

Good communication is the heart of caregiving. When a client has sensory loss, you adapt your approach so they stay informed, respected, and connected.

Hearing Loss

  • Face the person and make sure they can see your lips.
  • Speak clearly at a normal pace — don't shout.
  • Lower the pitch of your voice; high tones fade first.
  • Reduce background noise.
  • Check that hearing aids are in and working.

Vision Loss

  • Say who you are when you enter the room.
  • Describe what you're doing before you do it.
  • Don't move their belongings without telling them.
  • Offer your arm to guide, and describe the path.

Speech Difficulties (Aphasia)

  • Give the person time — don't finish their sentences.
  • Use simple questions they can answer yes or no.
  • Watch gestures and expressions.
  • Use pictures or writing if it helps.

Always Remember

Sensory loss is not a loss of intelligence. Speak to the person, never about them as if they aren't there.

๐Ÿ”‘ Key Takeaways

  • Hearing loss: face them, lower pitch, don't shout.
  • Vision loss: announce yourself and describe actions.
  • Aphasia: give time, use yes/no questions and gestures.
  • Always speak to the person with respect.
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About the Piewy Team

Piewy study guides are written and reviewed by Canadian healthcare educators and experienced PSW instructors. Our content is based on the NACC PSW competency framework and current best practices in personal support work.