1. Pick the best spot to communicate by avoiding areas that poorly lit and very noisy.
  2. Do not bluff!.
  3. Pay attention to the speaker
  4. Provide feedback that you understand or fail to understand.
  5. Look for visual clues to what is being said.
  6. Anticipate  difficult situations and plan how to minimize problems.
  7. Tell others how best to talk to you.
  8. Provide feedback to speakers by saying how well they are doing.
  9. Try not to interrupt too  often.
  10. Arrange for frequent breaks if discussions or meetings are long.
  11. Set realistic goals about what  you can expect to understand.
  12. Ask   for written clues of  key words if needed.

  1. Get the person's attention before you speak.
  2. Speak clearly and at a moderate pace.
  3. Don't shout.
  4. Avoid noisy background situations.
  5. Rephrase when you are not understood.
  6. Give clues when changing the subject.
  7. Use facial expressions and gestures.
  8. Be patient, positive and relaxed.
  9. Don't put objects in front of your face.
  10. Do not have objects in your mouth such as gum, cigarettes or food.
  11. When in doubt, ask the hard of hearing person for suggestions to improve communications.
  12. The person who begins a conversation must go to the listener