At some point in their career, nurses will care for a child with a hearing loss. Understanding how to work best with these children necessitates an in-depth knowledge of how the hearing loss impacts both the child and family. Each component is interrelated. Knowing, for example, that the child has a profound sensorineural hearing loss tells the nurse much about the child's potential prognosis for improvement, use of amplification, communication style, and parental and family stress. While many variables impact on these basic features, they set the foundation for a deeper understanding and the formation of a stronger, trusting bond between the nurse and patient. As in all professional fields, issues related to deafness continue to change. There are new and improved forms of amplification as well as various effective communication methodologies. Most importantly, there is a change in attitude. The deaf do not view themselves as disabled. Instead they have a sense of pride in sharing a culture and a common language. Through this understanding, respect for one another can be achieved.