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    Impaired Verbal Communication

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    Desiree Deleon Guerrero
    The nursing care plan addresses impaired verbal communication in a patient who experienced a cerebral infarction resulting in left sided body weakness and slurred speech. The goal is for the patient to establish an alternative method of communication within 1 hour of nursing intervention. Interventions include establishing rapport, providing alternative communication methods, speaking directly to the patient, and encouraging family to communicate. The objectives are met if after intervention the patient can communicate without slurred speech, has control of extremities, and no difficulty forming words, expressing thoughts, or making appropriate verbalizations.

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    Impaired Verbal Communication

    Uploaded by

    Desiree Deleon Guerrero
    4K views3 pages
    The nursing care plan addresses impaired verbal communication in a patient who experienced a cerebral infarction resulting in left sided body weakness and slurred speech. The goal is for the patient to establish an alternative method of communication within 1 hour of nursing intervention. Interventions include establishing rapport, providing alternative communication methods, speaking directly to the patient, and encouraging family to communicate. The objectives are met if after intervention the patient can communicate without slurred speech, has control of extremities, and no difficulty forming words, expressing thoughts, or making appropriate verbalizations.

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    The nursing care plan addresses impaired verbal communication in a patient who experienced a cerebral infarction resulting in left sided body weakness and slurred speech. The goal is for the patient to establish an alternative method of communication within 1 hour of nursing intervention. Interventions include establishing rapport, providing alternative communication methods, speaking directly to the patient, and encouraging family to communicate. The objectives are met if after intervention the patient can communicate without slurred speech, has control of extremities, and no difficulty forming words, expressing thoughts, or making appropriate verbalizations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views3 pages

    Impaired Verbal Communication

    Uploaded by

    Desiree Deleon Guerrero
    The nursing care plan addresses impaired verbal communication in a patient who experienced a cerebral infarction resulting in left sided body weakness and slurred speech. The goal is for the patient to establish an alternative method of communication within 1 hour of nursing intervention. Interventions include establishing rapport, providing alternative communication methods, speaking directly to the patient, and encouraging family to communicate. The objectives are met if after intervention the patient can communicate without slurred speech, has control of extremities, and no difficulty forming words, expressing thoughts, or making appropriate verbalizations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The patient experienced sudden onset of left sided body weakness and slurred speech due to a cerebral infarction (stroke). Nursing care focused on establishing alternative methods of communication and anticipating the patient's needs since they had difficulty speaking.

    The nursing diagnosis for the patient is 'Impaired verbal communication related to left sided body weakness as manifested by slurred speech'.

    The goals of nursing intervention for the patient were for the patient to establish a method of communication to express their needs without slurred speech or difficulty forming words/sentences within 1 hour.

    FAR EASTERN UNIVERSITY

    NURSING CARE PLAN

    Nursing Analysis Goal & Intervention Rationale Evaluation


    Diagnosis Objectives
     Cerebral Goal:  Establish rapport  It conveys interest After 1 hr. of
    Impaired verbal infarction, also After 1 hr. of with the client, and concern. nursing
    communication known asnursing listening intervention, the
    related to left ischemic intervention, the carefully and client established
    sided body stroke, occursclient will be able attending to method of
    weakness as when the bloodto establish client’s verbal communication in
    manifested by vessels thatmethod of and non-verbal which needs can
    slurred speech supply thecommunication in expressions. be
    brain arewhich needs can  Provide Expressed.
     ” disturbed sobe  Provide communication
    O: that blood flowexpressed as alternative needs or desires Met___
    is interrupted.manifested by: methods of based on individual Partially met___
     patient Blood supply communication, situation or Not met___
    experienced can be- Absence of like pictures underlying deficit.
    sudden onset interrupted in a slurred speech or visual cues,
    of left sided number of - Having control gestures or Objectives:
    body ways, such as to movement demonstration.
    weakness blockage of a of extremities  Helpful in
    associated supplying - Absence of  Anticipate and decreasing  Absence of
    with slurred artery, Difficulty provide for frustration when slurred speech
    speech mechanical forming patient’s needs. dependent on Met___
     limitation to compression of words/sentence others and unable Not met___
    movement of an artery by a s to communicate
    extremities tumor or - Absence of desires.  limitation to
     Difficulty hernia, or Difficulty  Talk directly to movement of
    forming rupture of an expressing patient. Speaking It reduces confusion extremities
    words/senten artery due to thoughts slowly and or anxiety and Met___
    ces trauma. Brain verbally directly. Use yes having to process Not met___
    infarction is- appropriate or no question to and respond to
     Difficulty
    often verbalization begin with. large amount of  Absence of
    expressing
    associated with- good eye
    thoughts atherosclerosis contact  Validate meaning information at one Difficulty
    verbally or high blood of non-verbal time. forming
    pressure. communication;  To avoid false words/sentence
    Symptoms of do not make impression/misconc s
    VS: cerebral assumptions. Be eption. Met___
    infarction are honest; if you do Not met___
    fairly not understand,
    distinctive. seek assistance  Absence of
    Interruption of from others. Difficulty
    the blood expressing
    supply to the  Speak in normal thoughts
    brain can tones and avoid verbally
    cause muscle talking too fast.  Patient is not Met___
    weakness in Give patient necessary hearing Not met___
    the face and ample time to impaired and raising
    other parts of respond. voice may irritate or  appropriate
    the body, anger the patient. verbalization
    tingling or Met___
    numbness,  Encourage family Not met___
    inability to members and  It is important for
    speak or visitors to persist family members to  Good Eye
    understand efforts to continue talking to contact
    speech, communicate the patient to Met___
    confusion, and with the patient. reduce patient’s Not met___
    memory isolation, promote
    disturbances. establishment of
    effective
    Reference: communication and
    medlineplus maintain sense of
    medical connectedness or
    encyclopedia bonding with the
    family.
    Reference: Nurse’s
    pocket guide 11th
    edition pg.166-170

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