Assessment Subjective: “hindi siya makapagsalita” as verbalized by his daughter
Nursing Diagnoses Impaired verbal communication related to neuromuscular impairment as evidenced by absence of responding
Scientific Explanation Sudden vascular compromise causing disruption of the blow vessels in the brain
Planning After 4 hours of nursing intervention the client will be able to communicate by writing
Thrombosis
Intervention •
Rationale
Review history for neurological condition
•
•
Encourage the patient to communicate
•
•
Advise other healthcare providers of the client to communicate using a writing pad
•
To minimize client’s frustration and promote understanding
•
Give the necessary medications for the client
•
To over calm the illness of the patient
It could affect the speech
Aneurysm Embolism Hemorrhage Ref: Nurse’s Pocket Guide by Marilynn E. Doenges, Mary Frances Moorhous, Alice C. Murr
Impaired verbal communication
Ref: Medical Surgical Nursing
After 4 days of nursing intervention the client will be able to improve his communication skills
Achieved
After the nursing diagnoses the client’s skills in communication had improve by To express the client’s feelings and expressing thoughts using non-verbal actions emotion
Trauma Objective: • Cannot speak because of ruptured blood vessels in the brain • Difficulty in expressing thoughts verbally • Difficulty in use of facial/body expression
Evaluation
Ref: Nurse’s Pocket Guide