Effective communication with elderly people living in residential care is the keystone to the delivery of high quality care; care that not only meets the physical needs of patients, but also mental, emotional, social and even spiritual care needs. This high quality program examines the basic elements of communication and how it can be enhanced to meet the care needs of older people who are living with hearing, vision, speech and cognitive losses. This program also looks at effective communication methods for those from culturally diverse backgrounds.