“It’s Not Just About a Cup of Tea”: Communication Supports in Aged Care 

“It’s Not Just About a Cup of Tea”: Communication Supports in Aged Care 
Content

Jennifer Winstone

Published

When someone says or gestures “a cup of tea,” they might mean Earl Grey, with just a little milk – just like always. For people experiencing cognitive-communication changes, these everyday details aren’t small. They’re anchors to self and comforts that aren’t otherwise in their control. Aged care teams see these moments unfold every day – moments where connection is possible, but the tools often fall short. And with growing needs, limited resources and new standards coming into effect, the question becomes: How do we keep communication truly sustainable and person-centred without burning out the workforce? 

Communication Isn’t Lost. It Just Needs the Right Support. 

Many older adults live with dementia, Parkinson’s, stroke, acquired brain injury or intellectual disability. When expressive language, comprehension or memory decline, the impacts aren’t just functional – they’re deeply emotional. People lose not only their words but also their sense of control, clarity and agency. 

What’s often missing in our systems is not care, but the right adjustments that teams can use in a practical sense. The types of tools and strategies that help someone feel safe, seen and understood. 

As one Clinical Nurse Specialist told us after introducing MyComms on their ward: 

“We weren’t guessing anymore. We could see what she wanted to say and that changed everything.” 

Families have noticed the difference too: 

“Mum could finally show us which meal she wanted, instead of just nodding. It gave her voice back.” 

Why Not Always Robust AAC? 

For younger people or those with stable conditions, robust AAC systems can be life changing. But in later life – when cognitive-communication decline and high support needs are common, introducing a complex device may not always be effective. 

Research shows that for people living with progressive conditions like dementia, communication supports need to be simple, flexible and adaptable. The cognitive load of learning and sustaining a robust AAC system can outweigh the benefits. Instead, visual supports, low-tech tools and partner-assisted strategies often have greater impact in preserving agency and dignity (Beukelman & Light, 2020; Wallace et al., 2019; Fried-Oken & Fox, 2015). 

This reflects a broader shift in speech pathology practice, including at Speech Pathology Australia, which is moving towards framing AAC as communication supports – spanning the full range of strategies, tools and approaches that enable people to connect across their lifespan. 

MyComms aged care communication 1

What MyComms Offers 

MyComms is a clinician made mobile-based communication supports platform designed to be practical, respectful and fast. It’s not a replacement AAC system – it’s something different: a tool that supports real-time comprehension and engagement, especially during routines, transitions and everyday choices. 

Using the app, teams and families can: 

  • Create step-by-step routines using real photos (e.g., a resident’s own bathroom setup or preferred products) 
  • Build visual calendars that show who’s visiting or what’s coming up in their week 
  • Design preference boards for meals, basic needs and leisure activities 
  • Export supports as PDFs for printing or sharing across teams 

It’s designed for dynamic environments – where shift work, documentation and high workloads are a daily reality. 

What Happens in Practice 

When visual supports reflect real life, not generic symbols, the difference is clear: 

  • A resident who forgets the day can still smile when they see a photo of their son visiting after lunch or the doctor coming to check in. 
  • A visual lunch menu helps someone choose what they actually want – not just nod at the first option. 
  • A visual calendar allows a nurse to gently orient someone to the week ahead without a long explanation. 
  • A breakdown of a familiar daily task helps someone remain independent – replacing instructional language with dignified visual guidance. 

For staff, this means: 

  • Less repetition and fewer misunderstandings. 
  • A consistent approach across shifts and relief staff. 
  • Smoother onboarding for new workers, who can use ready-made visual supports from day one. 

These aren’t complex interventions. They’re small shifts with deep impact for residents, families and the workforce. 

What the Research Shows 

Visual supports aren’t just practical – they’re backed by strong evidence across aged care and cognitive-communication research: 

  • Visual tools aid comprehension of routines and health information. 
    Photos and visual prompts reduce confusion and help people remain involved in their care. (Fisk et al., 2022; Munro et al., 2023) 
  • Pictures enhance decision-making. 
    When offered photos of meals, clothing or activities, people with dementia or communication disabilities share clearer preferences. (Smebye et al., 2024) 
  • Life story work supports identity and wellbeing. 
    Memory books and personalised visuals improve mood, orientation and engagement. (Subramaniam & Woods, 2012; Marston et al., 2021) 
  • Communication supports sustain participation. 
    Reviews highlight that visual and partner-assisted strategies increase involvement in care conversations. (McMaster Optimal Aging Portal, 2023; Wallace et al., 2019) 
  • AAC must be adapted in degenerative conditions. 
    Experts emphasise that low-tech and simplified tools can be more sustainable than complex systems in later-life care. (Beukelman & Light, 2020; Fried-Oken & Fox, 2015) 

Looking Ahead: The Strengthened Aged Care Quality Standards 

With the Strengthened Aged Care Quality Standards coming into effect on 1 November 2025, the call for inclusive, person-centred care is louder than ever. 

MyComms directly supports the intent of several core standards: 

  • Standard 1: The Person – Preferences represented visually, reinforcing individual identity. 
  • Standard 5: Clinical Care – Step-by-step visuals support orientation, safety and understanding in care routines. 
  • Standard 6: Food and Nutrition – Photo menus support choice and dignity in mealtime decisions. 
  • Standard 7: The Residential Community – Visual calendars strengthen belonging and engagement through consistent schedules. 

📄 We’ve attached a one-page summary that maps communication supports, including MyComms, directly to the new Standards. 

Funding Options in Aged Care 

Implementing visual supports doesn’t need to be costly. MyComms is a low-cost assistive technology that can be accessed in multiple ways: 

  • For aged care organisations: As a service-level subscription, easily scaled across teams to support compliance with Standards. 
  • For NDIS participants in residential or community aged care: Funded as low-cost AT when communication supports are included in their plan. 
  • For families: Direct subscriptions via the App Store or Google Play, providing continuity between home and care settings. 

This flexibility means services can adopt MyComms without major investment, while still ensuring equity of access for residents. 

Meeting People Where They Are 

MyComms wasn’t built in a boardroom – it was built in response to what clinicians, carers and families have been saying for years: 

  • “We need something simple.” 
  • “I don’t have time to make this from scratch.” 
  • “We can’t keep using cartoon visuals – they don’t match the people we support.” 

MyComms helps teams act on those needs. It reduces the guesswork. It supports onboarding. It brings calm into conversations that might otherwise become frustrating. 

Ready to Try It? 

  • Book a professional learning session with us to explore embedding communication supports in your service 

Whether you’re in a residential facility, respite service or home care setting – MyComms offers a low-cost, high-impact way to honour the preferences, agency and lived experience of the people you support. 

References 

  • Beukelman, D. R., & Light, J. C. (2020). Augmentative and alternative communication: Supporting children and adults with complex communication needs (5th ed.). Paul H. Brookes Publishing. 
  • Fisk, C., Ballantyne, A., Beringer, A., & Munro, N. (2022). The impact of visual supports on communication for people with dementia: A systematic review. International Journal of Language & Communication Disorders, 57(5), 896–913. 
  • Fried-Oken, M., & Fox, L. (2015). Effective AAC supports for adults with neurodegenerative disease. Seminars in Speech and Language, 36(3), 185–192. 
  • Marston, H. R., Smith, S. T., & Morgan, D. (2021). Living and ageing with dementia in place: The use of visual life story tools to promote identity and wellbeing. Gerontology, 67(6), 679–691. 
  • McMaster Optimal Aging Portal. (2023). Visual communication strategies in aged care: Evidence review. Hamilton, ON: McMaster University. 
  • Munro, N., Ballantyne, A., & Fisk, C. (2023). Using visual strategies to support communication and decision-making in dementia care. Dementia, 22(2), 355–372. 
  • Smebye, K. L., Kirkevold, M., & Engedal, K. (2024). Decision-making in dementia care: The role of visual and communication supports. Health Expectations, 27(1), 132–144. 
  • Subramaniam, P., & Woods, B. (2012). The impact of life story work on people with dementia: A systematic review. Journal of Alzheimer’s Disease, 31(1), 87–101. 
  • Wallace, S. E., Dietz, A., & Hux, K. (2019). Supporting communication for adults with acquired cognitive-communication disorders: Current AAC practices and future directions. American Journal of Speech-Language Pathology, 28(2), 927–943. 

icon-7797704_1280

Latest from us

blog-half-image-half-content

The MyComms difference

We believe visual supports are a universal language that can be used by everyone. By empowering families, carers and professionals, MyComms ensures that we all feel informed, understood and connected.