* using visual cues/planners (we ring a bell and the children all raise their hands and freeze, thus providing an additional cue to one of our children who has hearing impairment)
* ensuring a child can see your face when you are talking, especially if you do a circle time, as they may rely on lip reading and facial expression to some extent (I always ensure the sun is not shining on my face or in the child's face so they can see clearly)
* working with speech therapists, the family and hearing specialists to ensure support given in an appropriate way
* use carpets/cushions to absorb background noises as these can be very distracting for a child with hearing impairment (and be very loud for those with hearing aids thus difficult for them to pick up speech)
* speak very clearly model language back to help promote language development
hope these help! Sam
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