29.

Nursing Care Plan

(Impaired Verbal Communication)

Cues Nursing Scientific Objective/ Implementation Rationale Expected

Diagnosis Explanation Planning Outcome

Subjective: Impaired verbal Difficulty in Plan:

communication speaking
“Nahihirapan related to function resulting After the provision Establish rapport. To build trusting
siyang magsalita, impaired from injury of the of nursing care, the relationship.
kung minsan significant others Short Term:
cerebral brain centers. It
umuungol din siya, circulation may involve will verbalize
as verbalized by possibly impairment of understanding
To have baseline
Mr. D’s wife.” evidence by ability to read about the disease. Monitor and record After 3 hrs. of N.I
data.
impaired and write as well V/S. the client shall be
Short Term:
articulation. as to speak, able to improved
Objective: comprehend and After 3 hrs. of N.I communication
understand the client will abilities and
Received pt. on gestures bec. of establish methods improved family
lying position on the damage of of communication in copping.
bed, unconscious , the left which needs can be
with ongoing PNSS hemisphere of expressed.
1L regulated @ 10- the brain is
15 gtts./min. (KVO) affected and
200 ml. level where the Establish good
infusing well @ left Maintain eye
Broca’s area relationship, To maintain good
hand. contact
located (principal listening carefully communication
communication.
speech center). and attending to skills with the
➢ (+) difficulty
in speaking client’s verbal and patient.
➢ (+) non-verbal
weakness expressions.
➢ (+)
headache
 ➢ (+) Assist the pt.’s
dizziness need to establish
➢ (+) blurred Keep means of
vision communication communicating.
➢ (+)Paralysis simple, using all
on right part modes of
of the body
accessing
➢ With NGT
inserted information, visual
➢ With Foley auditory and
catheter kinesthetic.
inserted Making
Validate the
assumption to the
Vital Signs: meaning of non-
BP: 140/100 mmHg word maybe
verbal
wrong.
communication.
Be honest if you
don’t understand,
seek assistance
from others.
Using aids in
Plan for alternative communicating
method of promote learning
communication and recovery.
incorporated
information about
type of disability
present.

To limit self-pity
Reinforce that loss and depression.
of speech does
not imply that loss
of intelligence.
To give right
 Provide sufficient manner when
time for client to communicating.
respond.
To clarify
Use confrontation discrepancies
skills, when between verbal
appropriate, within and non-verbal
an establish cues.
nurse-client
relationship.

Long Term:

Long Term: After 3 days of N.I

the pt. shall be
After 3 days of N.I able to indicate an
the client will be understanding of
able to participate the communication
in therapeutic To maintain difficulty and plans
Provide
communication. contact with reality for ways of
environmental
stimuli as needed and to lessen the handling.
Maintain good
or educe stimuli. anxiety that may
environment.
worsen the
problem.

To help the pt.

recover from his
Involve SO/ family condition and limit
in plan of care as deterioration.
Enhance much as possible.
participation and
communication
plan. To help the pt. in
 Recommend a immediate
tape recorder with emergency
pre-recorded assistance.
emergency
massage near the
telephone.
Information may
include name,
address,
telephone number
and type of airway.
Speech therapies
Refer to can help the
appropriate patient to cope
resources (speech from his condition.
therapies).
To stimulate the
Promote rest can muscle to function
improve muscular well.
Maintain adequate strength.
rest.
Sometimes,
Administer medications are
medications on given to stimulate
Medication
time. the brain to
compliance on
function well.
time.