Final answer:
The CMA should speak directly to the hearing impaired patient, using eye contact and possibly gestures or written communication to aid with lip-reading. Caregivers can be involved but the focus must remain on the patient's needs.
Step-by-step explanation:
When communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the patient.
It is important to maintain eye contact and ensure that the patient can see the CMA's lips, which may help with lip-reading.
The CMA can also use gestures or write down information to aid understanding. If the patient prefers, the CMA should involve the caregiver in the conversation, but always with the patient's consent and while remaining focused on the patient's needs.
Sometimes, if communication is particularly challenging, the use of certified interpreters or communication devices may be necessary to ensure accurate and respectful interactions.