I'm not sure if this is the right place to put this request. I have recently started to help at the local Alzheimer's day centre here in Spain. Most of the patients are Spanish and all the staff are Spanish with very limited English; but I assist with the 3 English patients. One patient is profoundly deaf as well as in mid stage dementia. Can you advise any strategies to improve my communication with her, she does not wear a hearing aid. thank you.