ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Subjective: Impaired verbal Short Term: Independent: Short Term:
“ I am so concerned communication
that my husband related to impaired After 1 hour of Assess conditions or When air does not After 1 hour of
cannot speak and motor function of nursing situations that may pass over vocal nursing
vocalize his needs” the muscles of interventions, the hinder the patient's cords, sounds are interventions, the
as verbalized by the speech as client would be able ability to use or not produced. client was able to
client’s spouse manifested by to use alternative understand use alternative
objective cues communication to language communication to
effectively effectively
Objective: communicate needs Fatigue and/or communicate needs
Assess energy level. shortness of breath
+ impaired ability to can make Client was able to
speak communication use the call light
+stuttering difficult or and use gestures to
+ slurring of speech impossible. inform the nurse
+irritability and spouse on his
Individuals who needs
Assess knowledge have no formal
of patient, family, training in sign Goal met
or caregiver language usually
understanding of develop
Long Term: sign language, as mechanisms for Long Term:
appropriate. communication but
After 2 days of since After 2 days of
nursing communication is nursing
interventions, the such a critical interventions, the
patient would be aspect of everyone's patient was able to
able to report life, consider formal report improved
improved training for patient satisfaction with
satisfaction with and caregivers to ability to
ability to enhance communicate
communicate communication.
The patient showed
To maximize no signs of irritation
Place important patient's sense of and agreed to be
objects within independence. more patient in
reach. waiting for his
speech to improve
through nodding
Loud talking does when asked
Do not speak loudly not improve the
unless patient is patient's ability to Goal met
hearing-impaired understand if the
barriers are primary
language, aphasia,
or a sensory deficit
It may be difficult
Give the patient for patients to
ample time to respond under
respond. pressure; they may
need extra time to
organize responses,
find the correct
word, or make
necessary language
translations.
The inability to
Praise patient's communicate
accomplishments. enhances a patient's
Acknowledge his or sense of isolation
her frustrations. and may promote a
sense of
helplessness.
The nurse should set
Anticipate patient aside enough time
needs and pay to attend to all of
attention to the details of patient
nonverbal cues. care. Care measures
may take longer to
complete in the
presence of a
communication
deficit.
Collaborative:
The client may need
Involve family or assistance from
significant others in family and
exercises to assist significant others in
client in his needs times of the absence
and implementing of healthcare
strategies professionals