Nursing Care Plan Impaired Verbal Communication

ab 300x240 Nursing Care Plan Impaired  Verbal  CommunicationNursing Care Plan Impaired  Verbal  Communication Definition:Decreased, delayed, or absent ability to receive, process, transmit,and use a system of symbols, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Impaired  Verbal  Communication

Defining Characteristics

  • Disorientation to person, space,Dyspnea time
  • Impaired articulation
  • Difficulty comprehending and Inability or lack of desire to maintaining usual communica-tion pattern speak
  • Inability to speak dominant
  • Difficulty expressing thoughts language verbally (aphasia, dysphasia,
    apraxia, dyslexia)
  • Inappropriate verbalizations
  • Lack of eye contact or poor
  • Difficulty forming words or
  • selective attention sentences (aphonia, dyslalia,
  • Stuttering or slurring Visual deficit (partial or Difficulty using or inability to total)use facial expressions or body language

Related Factors

  • Absence of significant others
  • Differences related to develop-
  • Altered perceptions mental age
  • Alteration in self-concept, self-
  • Environmental barriers esteem, or central nervous
  • Lack of information Physical barriers (e.g.,Anatomical defect )(e.g., cleft tracheostomy, intubation)(palate, alteration of the neuro-muscular visual system,phonation apparatus)
  • Physiological conditions
  • Psychological barriers (e.g.,psychosis, lack of stimuli)
  • Brain tumor
  • Side effects of medications
  • Cultural differences
  • Stress
  • Decrease in circulation to
  • Weakening of the brain musculoskeletal system

Assessment Focus

  • Cardiac function
  • Neurocognition
  • Communication
  • Respiratory function

Expected Outcomes The Patient/Family Will

  • Have needs met by staff members.
  • Express satisfaction with level of communication ability.
  • Maintain orientation.
  • Maintain effective level of communication.
  • Answer direct questions correctly.59

Suggested Noc Outcomes

Cognition; Communication; Communication: Expressive; Communi-cation: Receptive; Information Processing

Interventions And Rationales

Determine: Observe patient closely for cues to his or her needs and desires, such as gestures, pointing to objects, looking at items, and pantomime to enhance understanding. Avoid continually responding to gestures if the potential exists to improve speech to encourage desire to improve.Monitor and record changes in patient’s speech pattern or level of orientation. Changes may indicate improvement or deterioration of condition.Perform: Speak slowly and distinctly in a normal tone when address-ing patient, and stand where patient can see and hear you. These actions promote comprehension.Reorient the patient to reality: Call patient by name; tell him or her your name; give him or her the background information (place,date, and time); use television or radio to augment orientation; use large calendars and communication boards (including alphabet and some common words and pictures). These measures develop orienta-tion skills through repetition and recognition of familiar objects.Use short, simple phrases and yes-or-no questions when patient is very frustrated to reduce frustration.Inform: Instruct family members to use techniques listed above to ease their frustration in communication with the patient.Attend: Encourage attempts at communication and provide positive  reinforcement to aid comprehension.Allow ample time for a response. Don’t answer questions yourself if patient has ability to respond. This improves patient’s self-conceptand reduces frustration.Repeat or rephrase questions, if necessary, to improve communication.Don’t pretend to understand if you don’t, to avoid misunderstanding.Remove distractions from the environment during attempts a communication. Reduced distractions improve comprehension.Manage: Review diagnostic test results to determine improvement or deterioration of the disease process. Adjust the care plan accordingly.

Suggested Nic Interventions

Active Listening; Communication Enhancement: Hearing Deficit; Com-munication Enhancement: Speech Deficit; Learning Facilitation; Touch


Philpin, S. M., et al. (2005, May). Giving people a voice: Reflections on con-ducting interviews with participants experiencing communication impairment. Journal of Advanced Nursing, 50(3), 299–306.

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