Assessment Subjective: (n/a) Objective: • Speaks with difficulty • Slurring • Difficulty in forming words or sentences • Difficulty in expressing thoughts verbally

• Difficulty in comprehending or maintaining usual communication pattern • Difficulty in use of facial and body expressions • Disorientation to person, space and time • Use of nonverbal cues • Frustration

Nursing Diagnosis Impaired verbal communication related to cerebral impairment as evidenced by slurring

Planning After 1 hr of nursing intervention the patient will relate findings of decreased frustration with communication

Intervention

Evaluation After 1 hr of nursing interventions, the patient was able to establish method of communication in which needs can be expressed

• Assess td of impairment

• Evaluate degree of impairment • Note parental speech patterns and manner of communicating with child, including gestures • Offer alternative forms of communication such as: gestures or actions o pictures or drawings o magic slate o word board o 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