Nursing Diagnosis for Impaired Verbal Communication

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Definition :

Impaired verbal communication is defined as decreased, delayed, or absent ability to receive, process, transmit, and use a system of symbols.

Impaired Verbal Communication Related To :
  • Physiologic conditions
  • Alteration of central nervous system
  • Impaired neurologic development or dysfunction
  • Disturbance in attachment/bonding with the parent/caregiver

As Evidenced 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 Criteria - Impaired Verbal Communication
  • Communicate in words/gestures that are understood by others
Long-Term Goals
  • Communicate to parent/caregiver and peers at least four basic needs (hunger, thirst, fatigue, pain), verbally and/or through gestures and body language
Short-Term Goals
  • Communicate through eye contact, facial expressions, and other nonverbal gestures within 1 month
  • Attempt to use language and begin to communicate with words within 5 to 6 months
  • Increase language skills needed for social and emotional reciprocal interactions within 6 to 8 months
  • Use language or gestures to identify self, others, objects, feelings, needs, plans, and desires within 12 months

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