What is a general communication adaptation a nurse may use for an older adult who has mild hearing changes?

For an older adult with mild hearing changes, helpful general communication adaptations include facing the client so they can see your face, speaking clearly at a normal-to-slightly-slower pace and lower pitch, reducing background noise, and confirming the client understood. Shouting can distort speech and seem disrespectful, avoiding speaking isolates the client, and relying solely on written notes ignores the individual's needs and literacy. Adapting communication to sensory changes supports effective, respectful care. Understanding these communication adaptations for older adults is a standard health-promotion concept. (Verify against current NCLEX prep materials.)