Optimizing effective communication while wearing a mask during the COVID-19 pandemic

Mandated face mask use for health care providers, such as during the Covid-19 pandemic, creates an additional communication barrier for older adults with cognitive, communication, and hearing challenges. Face masks can soften a speaker’s voice, conceal vocal tone, and hide facial expressions that relay essential non-verbal information. An inability to understand health care information or words of support can lead to frustration, anxiety, and decreased quality of life. This article reviews current research, provides clinical examples, and highlights communication strategies, supports (i.e., written, gestural, pictures), and modifications to personal protective equipment that health care providers can implement, singly or combined, to improve communication with older adults.