Date

• February 4, 2020
 CUES
• Subject:
• "Dili mana siya makadungog og
makasturya gud" as verbalized by the
patient's mother.

• Objective:
• -Use of nonverbal cues
• -speaks with difficulty
 Nursing Diagnosis

• Impaired verbal
communication related
to physiological
conditions
 Scientific Basis
• Nanda: Decreased, Delayed and absent ability
to receive, process, transmit and use a system
of symbols.
• Human communication takes many forms.
Persons communicate verbally through the
vocalization of a system of sounds that has been
formalized into a language. They communicate
using body movements to supplement,
emphasize, or even alter what is verbally
communicated.
• Language can be read by watching an
individual's lips to observe words as they are
shaped.
• Humans communicate through intuition,
written means, art, and sometimes a
combination of all of the mechanisms.
• Communication implies the sending of
information as well as receiving of information.
• Nursing Care Plan 6th Edition Nursing
Diagnosis and Intervention, Gulanick/ Myers
• Mosby
• PP 38-39
 Goal of Care
• After 1 hour of nursing interaction,
thr patient will be able to establish
method of communication in
which needs can be express.
 Nursing Interventions
• Independent
•Assess the patient's primary and preferred
means of communication
•Assess ability to understand written words,
pictures and gestures
•Learn patient needs and pay attention to
nonverbal cues
•Place important objects within reach
•Provide alternative means of
communication
 Rationale
• Patients may have skills with many forms
of communication, yet they will favor one
method for important communication.
• A way to be certain if communication has
been productive is to provide for a certified
interpreter to confirm information from both
sides of discussion.
• Care measures may take longer to
compete in the presence of
communication defecit
• To maximize patient's sense of
independence
• Alternative means of communication can
help the patient express ideas and
communicate needs.
 Nursing Interventions
• Dependent
•Facilitate hearing and vision
examinations , obtain necessary
aids
•Consider the use of an electronic
speech generator
 Rationale
• When needed/desired for improving
communication

• Adaptive devices can aid communication

with patients who cannot produce vocal
speech.
 Nursing intervention
• Collaborative
•Involve family and significant others in
plan of care as much as possible
•Refer to appropriate resources
( speech therapist, group therapy,
individual/family and/or psychiatric
counseling).
 Rationale
• Enhances participation and commitment to
plan

• Specialized services may be required to

meet needs
 Evaluation
• After 1 hour of nursing interaction, the
patient was able to established method of
communication in which needs can be
expressed:
• -Used of nonverbal cues/ sign language