Communication

 Communication 

Category / Primary Body System

• Neurological / Speech and Language

Problem

• Patient has alteration in communication.

Goal

• Patient will continue to communicate basic needs when cued for the next 90 days.

Plan/Approach

1. Simplified Communication

   • Use simple phrases and words when communicating with the patient to enhance understanding.

2. Interpreters and Assistance

   • Utilize an interpreter as needed to facilitate communication for patients with language barriers.

3. Time and Patience

   • Allow the patient ample time to express themselves, ensuring they do not feel rushed.

4. Family Involvement

   • Encourage family participation in the patient’s care to provide additional support and familiarity in communication.

5. Speech Therapy

   • Arrange for a speech therapy consult as needed to address and improve communication difficulties.

6. Non-Verbal Communication

   • Use non-verbal forms of communication (e.g., gestures, pictures, communication boards) as appropriate to aid understanding.

7. Medication Management

   • Administer medications as ordered to manage any underlying conditions that may affect communication.

Rationale

1. Simplified Communication

   • Using simple language reduces confusion and improves the patient’s ability to understand and respond.

2. Interpreters and Assistance

   • Interpreters help bridge language gaps, ensuring accurate communication.

3. Time and Patience

   • Allowing time for the patient to express themselves reduces anxiety and frustration, promoting effective communication.

4. Family Involvement

   • Family involvement provides emotional support and helps the patient feel more comfortable, which can enhance communication.

5. Speech Therapy

   • Speech therapy provides specialized techniques and exercises to improve communication skills.

6. Non-Verbal Communication

   • Non-verbal communication aids can significantly improve understanding and expression for patients with speech difficulties.

7. Medication Management

   • Proper medication management can address underlying health issues that may impact communication abilities.

Actions

1. Simplified Communication

   • Communicate with the patient using simple phrases and words, checking for understanding.

2. Interpreters and Assistance

   • Arrange for interpreter services when needed to facilitate communication.

3. Time and Patience

   • Give the patient ample time to express themselves, actively listening without interruption.

4. Family Involvement

   • Involve family members in the patient’s care and communication, ensuring they are informed and can assist.

5. Speech Therapy

   • Schedule and follow through with speech therapy consultations and sessions as recommended.

6. Non-Verbal Communication

   • Implement non-verbal communication tools such as gestures, pictures, and communication boards, and train staff on their use.

7. Medication Management

   • Administer medications as ordered, monitoring for side effects and effectiveness. Document medication administration and any observed effects.