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ASSESSMENT

Subjective

(-)

DIAGNOSIS
PLANNING
INTERVENTIONS
Impaired
verbal After 8 hours of Keep the complications
communication related to the nursing
decline

Objective

muscle

in

speech,

facial interventions

the

of treatment.
Teach clients to use
facial exercises and

stiffness, client will be able

Drooling
Impaired speech

neuromuscular impairment , to maximize the

breathing methods to

decrease in the volume of ability

correct the words,

patterns

speech and delayed speech.

to

communicate and
communicates

volume, and intonation.


Deep breath before
speaking to increase

needs adequately.

the volume and number


of words in sentences

of each breath.
Teach client to speak
slowly and distinctly.

Use hand signals.


Eliminate unnecessary
environmental noise to
maximize the listeners
ability to hear and

understand the client.


Asked client to repeat
words that the listener
does not understand
and the listener
watches the clients
lips and non-verbal
expressions for cues as
to the meaning of

conversation.
Instruct client to
organize his/her
thoughts before

speaking and to use


facial expression and
gestures if possible to
assist with

communication.
If client cannot
communicate verbally,
the use of alternative
methods of
communication such as
communication board
or computer must be

encouraged.
Refer to speech

therapy.
Collaborate with the
speech language
pathologist, health care
team, client and family
in developing a
communication plan.