Impaired Verbal Communication related to deficit anatomy and physical barriers (tracheotomy tube).
characterized by: Inability to speak, changes in voice characteristics.
Goal: Communication will be effective.
Outcomes: Identify or plan the preferred method speaks right after recovery.
Interventions and Rationale:
Independent
1. Assess or discuss preoperative, why talking and breathing is interrupted, use the anatomical description or model to help the explanation.
Rational: to reduce fear in the client.
2. Determine whether the patient has other communication disorders, such as; hearing and vision.
Rationale: Another problem affecting the choice plan for communication.
3. Provide appropriate communication method of choice for the patient's needs such as boards and pencils, alphabet boards or pictures, and sign language.
Rationale: allows the patient to express a need or problem.
4. Allow sufficient time for communication.
Rational: loss of speech and stress disrupt communications and cause frustration and obstacles expression, especially when nurses look too busy or working.
5. Give non-verbal communication, for example; touch and physical movement.
Rational: communicating problems and meet the needs of contact with other people.
6. Advise for constant communication with the outside world, for example; newspapers, TV, radio and calendar.
Rational: to maintain contact with the pattern of a normal life and continue communication with other ways.
7. Tell a temporary loss of speech after laryngectomie partially, and or depending on the availability of voice aids.
Rationale: provide encouragement and hope for the future by thinking about the meaning of choice and speech communication.
8. Remind patient not to speak until the doctor gives permission.
Rational: promotes healing of the vocal cords and limit the potential of permanent vocal cord dysfunction.
9. Set up a meeting with other people that have experience with proper procedures.
Rational: providing role models, increase motivation for solving problems and learn new ways to communicate.
Collaboration
10 Consult with the appropriate members of the health team or therapist or rehabilitation agency (eg speech pathology, social services, group laryngectomie) for basic rehabilitation hospital, appropriate communication resources (if any).
Rationale: The ability to use voice and choice method of speech (eg esophageal speech) vary widely, depending on the extent of the surgical procedure, the patient's age, and motivation to return to an active life. Rehabilitation takes a long time and require a source of support for the learning process.
1 Comment for "Impaired Verbal Communication - NCP for Laryngeal Cancer"
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