Impaired Verbal Communication

Published on Saturday March 10th , 2007

Impaired Verbal Communication

(_)Actual (_) Potential

Related To:
[Check those that apply]
(_) 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:_____________________________
____________________________________
____________________________________

 

As evidenced by:
[Check those that apply]
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:

  • gestures or actions
  • pictures or drawings
  • magic slate
  • word board
  • flash cards that translate words/phrases

(_) 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:

  • Translator
  • Speech Pathologist.
  • Psychiatry
  • Other:

 

(_) Other:________________
________________________
________________________
________________________

  

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature

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