Teaching HOH/Blind/Mild Dementia

[lkraft]

First time poster: I have worked with the HOH community quite successfully as a CNA over the years. Especially, the geriatric population. Now as a nursing student, I am challenged in working with a postop, day two hip replacement and humerus fracture. The pt is 93, doesn't speak sign language, can barely see, and with assistive devices I have to yell at the top of my lungs. The pt maybe hears one out of every 10 words I say. Pleasant, but confused to what is happening.

He cannot read my notes, or see pictures, or answer questions, or communicate meaningfully in a verbal fashion. I am treating his pain by observation, but I need to try and teach him about his new hip, etc.

Any ideas on ways to communicate that I haven't thought of?