ASSESSMENT

EXPLANATION OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

EVALUATION

Subjective:

Short term Objectives: Within 8 hours of nursing intervention the client will demonstrate understanding of daily treatment even if not able to speak.

Objective:
abnormalities in language development including muteness odd or inappropriate prosody persistent echolalia reference to self as you, she or he beyond three years unusual vocabulary for childs age/social group limited use of language for communication and/or tendency to talk freely only about specific topics

>Involve a familiar person when attempting to communicate with a client who has difficulty with communication, if accepted by the client.

>Listen carefully. Validate verbal and nonverbal expressions particularly when dealing with pain. Long term Objectives: Within a week of nursing intervention the client will use effective communication techniques by the time of discharge and continue using effective communication techniques through rehab and speech therapy.

Nursing diagnosis: Impaire Verbal Communication

>Conversation partners of Short term objectives: the individual with aphasia, including healthcare Afte r 8 hours of professionals,families, and nursing interventions others, play a role that is and medical important for intervention the client communication for was able to individual s with aphasia. demonstrate understanding of daily > Listening to a client was treatment identified as a caring Goal met. behavior of nurses: Nonverbal indicators of pain observed by nurses of Long term objectives: clients with intellectual disabilities: moaning, After a week of crying, painful facial nursing and medical expression, swelling and intervention the client screaming during was able to use manipulation, not using effective (affected) body part, and communication and moving the body in a communication specific way of behaving. techniques . Goal met.

>establish an alternative method of communication such as writing or pointing to letters, word phrases, picture cards, or simple

lternative methods of communication are

drawings of basic needs. >Use presence. Spend time with the client, allow time for responses, and make the call light readily available.

necessary when the client is unable to speak verbally.

>Explain all healthcare procedures.

>Attentive presence makes explicit that the other is cherished; it is a universal lived experience that is important to health and quality of life, Time with the nurse had a positive effect on the healing process and recovery. >Clients who were nonvocal and ventilated were attuned to everything occurring around them, and they appreciated explanations from the nurse. >Alternative methods of communication are necessary when the client is unable to use verbal communication. >Alternative methods of communication are necessary when the client

>Teach the client and family techniques to increase communication, including the use of communication devices. >Teach the client and family techniques to increase communication, including the use of communication devices.

is unable to use verbal communication.