Nursing Care for Impaired Verbal Communication Singapore

Nursing Care for Impaired Verbal Communication Singapore


Impaired verbal communication is a condition among patients in which there is an inability to produce a word or sentences, having difficulty to communicate or speak and or lastly, the thoughts being expressed are a challenge for the patient. This is a health related problem and it is present to several neurological conditions or abnormalities in the brain of such patient with such diagnosis. The nurse caring for a patient with impaired verbal communication must make ways on how to communicate with them.

Causes and Symptoms

There are several causes of speech impairment among adults which in turn, makes them have lesser ability to talk or non audio speech. The first one is spasmodic dysphonia in which there is an abnormality in a part of the brain which is the basal ganglia. Next one is aphasia which is common among stroke patients. This is also present to patients with brain tumor, Alzheimer's disease and lastly those who had brain trauma. Vocal problems specifically in the laryngeal area can also cause speech impairment. Those who undergone tracheostomy and as well as surgery or removal of the voice box can also cause speech or verbal impairment.

Sign and symptoms of impaired verbal function include inability to speak. If there is the ability to speak, the words and sentences become incomprehensible. They cannot also find the right words to say for some cases. For some that don't have a voice box, they cannot produce a sound when speaking.

Nursing Care for Patients with Impaired Verbal Communication

There are several nursing care plan that can be used for patients with such condition, both men and women. First, the nurse must assess and find the type or root cause of the problem. Second, the nurse must be able to teach and help the client about several ways for them to communicate and share their immediate needs. First, the nurse must teach the patient about the use of call bell whenever there are problems. Secondly, the nurse can give the patient (if not impaired) some pen and paper to write his or her concerns. If the patient is a stroke patient, the nurse can provide other tools by showing word cards such as a food when the client wants to eat for example. When there is a tracheostomy, the nurse can teach the patient on how to speak lit tle by little. Lastly, the patient can be refer red to a speech pathologist to help the patient speak with the help of several interventions.


Speech impairment can be a difficult time for both the patient (most especially if it's a child) and the health care worker. The nursing staff must be patient in dealing with them. Furthermore, they must be taught how to be self sufficient in expressing what they want to say. For more information, people can view more information in the internet via post, scribd reports, ads and contact the necessary hospital facilities for more medical intervention.

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