Nursing Care Plan
(Impaired Verbal Communication)
CuesNursing DiagnosisScientific ExplanationObjective/ Planning ImplementationRationaleExpected Outcome
Subjective:“Nahihirapansiyang magsalita,kung minsanumuungol din siya,as verbalized byMr. D’s wife.”Objective:Received pt. onlying position onbed, unconscious ,with ongoing PNSS1L regulated @ 10-15 gtts./min. (KVO)200 ml. levelinfusing well @ lefthand.
(+) difficultyin speaking
(+)headacheImpaired verbalcommunicationrelated toimpairedcerebralcirculationpossiblyevidence byimpairedarticulation.Difficulty inspeakingfunction resultingfrom injury of thebrain centers. Itmay involveimpairment of ability to readand write as wellas to speak,comprehend andunderstandgestures bec. of the damage of the lefthemisphere of the brain isaffected andwhere theBroca’s arealocated (principalspeech center).
After the provisionof nursing care, thesignificant otherswill verbalizeunderstandingabout the disease.
After 3 hrs. of N.Ithe client willestablish methodsof communication inwhich needs can beexpressed.Maintain eyecontactcommunication.Establish rapport.Monitor and recordV/S.Establish goodrelationship,listening carefullyand attending toclient’s verbal andnon-verbalexpressions.To build trustingrelationship.To have baselinedata.To maintain goodcommunicationskills with thepatient.
After 3 hrs. of N.Ithe client shall beable to improvedcommunicationabilities andimproved familycopping.