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Impaired verbal communication is defined as decreased, delayed, or absent ability to receive, process, transmit, and use a system of symbols.
Related to :
- Physiologic conditions
- Alteration of central nervous system
- Impaired neurologic development or dysfunction
- Disturbance in attachment/bonding with the parent/caregiver
Characterized by :
- Language delay or total absence of language
- Immature grammatic structure; pronoun reversal; inability to name objects
- Stereotyped or repetitive use of language (echolalia, idiosyncratic words, inappropriate high-pitched squealing/giggling, repetitive phrases, sing-song speech quality)
- Lack of response to communication attempts by others
Outcome :
- Communicate in words/gestures that are understood by others
Interventions and Rationales
- Use one-on-one interactions to engage the client in nonverbal play.
R/: The nurse enters the client’s world in a nonthreatening interaction to form a trusting relationship. - Recognize subtle cues indicating the client is paying attention or attempting to communicate.
R/: Cues are often difficult to recognize (glancing out of the corner of the eye). - Describe for the client what is happening, and put into words what the client might be experiencing.
R/: Naming objects and describing actions, thoughts, and feelings helps the client to use symbolic language. - Encourage vocalizations with sound games and songs.
R/: Children learn through play and enjoyable activities. - Identify desired behaviors and reward them (e.g., hugs,treats,tokens,points,or food).
R/: Behaviors that are rewarded will increase in frequency. Desire for food is a powerful incentive in modifying behavior. - Use names frequently, and encourage the use of correct pronouns (e.g., I,me,he). R: Problems with self-identification and pronoun reversal are common.
- Encourage verbal communication with peers during play activities using role modeling, feedback, and reinforcement.
R/: Play is the normal medium for learning in a child’s development. - Increase verbal interaction with parents and siblings by teaching them how to facilitate language development.
R/: Play is the normal medium for learning in a child’s development.
Impaired verbal communication is defined as decreased, delayed, or absent ability to receive, process, transmit, and use a system of symbols.
Related to :
- Physiologic conditions
- Alteration of central nervous system
- Impaired neurologic development or dysfunction
- Disturbance in attachment/bonding with the parent/caregiver
Characterized by :
- Language delay or total absence of language
- Immature grammatic structure; pronoun reversal; inability to name objects
- Stereotyped or repetitive use of language (echolalia, idiosyncratic words, inappropriate high-pitched squealing/giggling, repetitive phrases, sing-song speech quality)
- Lack of response to communication attempts by others
Outcome :
- Communicate in words/gestures that are understood by others
Interventions and Rationales
- Use one-on-one interactions to engage the client in nonverbal play.
R/: The nurse enters the client’s world in a nonthreatening interaction to form a trusting relationship. - Recognize subtle cues indicating the client is paying attention or attempting to communicate.
R/: Cues are often difficult to recognize (glancing out of the corner of the eye). - Describe for the client what is happening, and put into words what the client might be experiencing.
R/: Naming objects and describing actions, thoughts, and feelings helps the client to use symbolic language. - Encourage vocalizations with sound games and songs.
R/: Children learn through play and enjoyable activities. - Identify desired behaviors and reward them (e.g., hugs,treats,tokens,points,or food).
R/: Behaviors that are rewarded will increase in frequency. Desire for food is a powerful incentive in modifying behavior. - Use names frequently, and encourage the use of correct pronouns (e.g., I,me,he). R: Problems with self-identification and pronoun reversal are common.
- Encourage verbal communication with peers during play activities using role modeling, feedback, and reinforcement.
R/: Play is the normal medium for learning in a child’s development. - Increase verbal interaction with parents and siblings by teaching them how to facilitate language development.
R/: Play is the normal medium for learning in a child’s development.
Source : http://free-nursingcareplan.blogspot.com/2011/08/nursing-care-plan-for-impaired-verbal.html
