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It depends on the degree of their hearing loss. Some patients who are hard of hearing may have been taught to lip-read. Others may have been taught to use sign language. And others may prefer to communicate by writing notes, or even by using a computer. First assess the degree of hearing loss, and find out what the patient's preferred method of communication is. For those who can lip read, making eye contact and speaking clearly will be important. For those who only have mild hearing loss but still maintain some hearing and/or use a hearing aid, they may ask you to speak a little louder when talking to them. In other words, there is no "one size fits all" response, so assess the patient and then use the techniques that are most suitable for that person.

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