A client with hearing loss: a visual stop signal and a written plan

Do not guess how a client hears or which communication method they prefer. Before eye protection and device noise limit communication, agree the channels, verify understanding and make the stop signal visible.

Ask which communication channel the client prefers

The client may use speech, lip-reading, a hearing aid, written text, sign language or a combination of methods. Ask the client directly which method they prefer. If an interpreter is needed, their role, confidentiality and qualifications must be agreed in advance; an available relative is not necessarily an appropriate interpreter for informed consent.

Lip-reading requires the practitioner's face to be visible, adequate lighting and one speaker at a time. Before treatment, provide a concise written plan covering the stages, expected sensations, stop signal and aftercare. Written information should support the conversation, not become a dense document handed over without checking understanding.

Agree and test a visual stop signal

The signal must be simple and physically possible in the chosen position: a raised palm, movement of a free finger or an agreed button. Ask the client to demonstrate it before treatment and stop immediately whenever they use it. If the client's hands will be out of sight, choose another communication method.

The practitioner can also agree visual cues for “look”, “change position” and “pause”. Do not rely on a device's flashing indicator for communication unless the device is designed for that purpose. Before any unexpected touch, establish eye contact, show or write the intended action and wait for the client's response.

• Confirm the client’s preferred language and communication method before the visit.
• Provide a short written outline and verify understanding.
• Select, demonstrate and test an accessible visual stop signal.
• Move into the client’s field of view before giving an instruction or touching.

Do not compromise eye protection to communicate

Laser protective eyewear is selected for the wavelength and hazard and remains in place. It is not removed so that the client can see the practitioner’s face more clearly. Give important instructions before donning the eyewear, then use agreed cues and safe pauses throughout treatment. Ordinary glasses and closed eyelids are not substitutes for laser eye protection.

A hearing aid or implant must not be assessed using a general rule from a blog article. Compatibility with positioning, protective equipment and the laser device must be checked against reliable documentation and, where necessary, by a suitably qualified professional. Do not ask a client to remove a medical device without explaining why and providing a safe place to store it.

Finish with written aftercare

Provide aftercare in an accessible written format. Highlight common short-term responses, warning signs that require action and the appropriate contact channel. Then ask the client to explain, in their own words or by selecting from clear options, what they would do if they developed unusual pain, blistering or visual symptoms.

Document the preferred communication method, tested stop signal, interpreter, materials provided and any communication difficulties. Confirm these preferences again at the next visit. The goal is not merely to tick “instructions provided”, but to ensure the client can participate safely in treatment and know how to seek help afterwards.