A hearing aid missing during an explanation

Setting: A surgical ward

A patient has repeatedly agreed to instructions but later says they did not hear them. The patient has a hearing aid in a labelled locker; the nurse can offer a quieter conversation and written reinforcement.

Task

Explore the concern behind the opening: "I keep saying yes because everyone looks so busy, but I missed most of that."
Clarify the specific barrier and acknowledge its effect on the patient.
Explain the supplied next steps and respond to this possible question: "Please do not shout. That makes me feel as though the whole ward is listening."
Check the patient can distinguish what is agreed from what needs confirmation.

A hearing aid missing during an explanation supplied plan

A patient has repeatedly agreed to instructions but later says they did not hear them. The patient has a hearing aid in a labelled locker; the nurse can offer a quieter conversation and written reinforcement.
With the patient's permission, the nurse can help locate the labelled hearing aid and arrange a quieter face-to-face discussion.
The nurse can provide the agreed written summary and check understanding after discussing one point at a time.
Do not assume that louder speech alone solves the problem or claim the hearing aid works without checking with the patient.
With your permission, I can help locate the hearing aid in your labelled locker. Then we can sit facing one another somewhere quieter and check whether you can hear me comfortably.
We can discuss one point at a time and use the written summary to support it. I will ask you to explain each point back so I can check my explanation, rather than assume a nod means you heard it.

Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..