There are different reasons a child may have difficulty hearing, and this can create problems with communication. A child may not even realize they are having trouble hearing. You can help your child by recognizing signs of difficulty, and when you see signs, you can take action to help. Some actions you can complete at home, while others may need the help of your audiologist.

http://heartolearn.org/tutorials/hearing-loss-management/signs-of-difficulty-hearing.html