Impaired Verbal Communication
Impaired Verbal Communication
(_)Actual (_) Potential
| (_)
Auditory impairment (_) Cerebral impairment (_) Fear/shyness (_) Lack of privacy (_) Lack of support system (_) Language barrier (_) Laryngeal edema/infection |
(_)
Neurologic impairment (_) Oral deformities (_) Pain (_) Respiratory impairment (_) Speech pathology (_) Surgery (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_) Innappropriate or absent speech or response. |
| Minor:
(May be present) |
(_)
Stuttering. (_) Slurring. (_) Problem in finding the correct words when speaking. (_) Weak or absent voice. (_) Decreased auditory comprehension. (_) Deafness or inattention to noises or voices. (_) Confusion. (_) Inability to speak the dominant language of culture. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Demonstrate improved ability to express self A.E.B.:
(_) Relate findings of decreased frustration and isolation with communication. (_) Other: |
(_)
Assess type of impairment. (_) Decrease environmental stimuli. (_) Be cognizant of possible cultural barriers. (_) Offer alternative forms of communication such as:
(_) Encourage s/o to participate. (_) Validate patient's message by repeating aloud. (_) Use short repetitive directions. (_) Ask simple yes or no questions. (_) Speak on an adult level, speaking clearly and slower than normal. (_) Assess frustration level. Wait 30 seconds before providing patient with word. (_) Initiate health teaching. (_) Referrals:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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