This paper is basically about communication and language in hospitals, whereby the main focus is on the occurring barriers of those two aspects. First of all it was essential to get aware of such barriers through elucidation of functioning language methods and comware. In the course of this it was found that the beginning of all language and communication obstacles is about cognitive and motoric restrictions, or rather about non-existing basic language skills. Therefore the research was about finding already existing supporters for a reduction of language and communication troubles and furthermore for new possibilities, which had not been applied so far. That was why the explorers of this project tried to find answers, with the assistance of an interview and a ‘Go-Along’, in the hospital social work. Currently an attempt with various types of interpretation and translation is made, to overcome the emerged difficulties. But troubles still occur in this area, although creative effort of numerous agents has been applied. Through observations and surveys of experts, they expose that the major challenge in terms of language and communication is due to migration. Therefore the project develops new ideas for the reduction of barriers in language and communication as well as the lack of a basic language skills. One of these ideas has been elaborated for a finished pilot project.