Impaired Verbal Communication

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