• Impairments

• Language,Structural & Sensory Deficits; Cognitive Impairments; Paralysis

• Style
Assessing • Verbal (content of the message, themes, verbalized emotions)
• Nonverbal (facial expressions, gestures, body movements, affect, tone of voice, posture, eye contact)

• Impaired Verbal Communication- an individual experiences a decreased, delayed or absent ability to receive, process,
transmit, and use a system of symbols; receptive or expressive
• Fear or Anxiety; Powerlessness; Situational Low Self-Esteem; Social Isolation; Impaired Social
Diagnosing Interaction related to impaired verbal communication

• Client & Nurse work together to determine outcomes and begin planning ways to
promote effective communication
Planning

• Manipulate the Environment (quiet, with limited distractions)

• Provide Support (encouragement, nonverbal support, open ended questions)
• Employ Measures to Enhance Communication (keeping words concrete, simple; discussing topics of interest)
Implementing • Educate the Client and Support Persons

• Client Communication
• Nurse Communication- process recording can be used
Evaluating
 Focus: Completion of a specific task & the format is defined at
the outset by the leader and/or members

Leader: Expert in area of task emphasis; role is to identify the

Task Groups specific task, clarify communication & assist in expressing
(nursing team meetings, staff opinions and offering solutions
meeting, health care planning
committees)

Focus: to impart information to the participants

Teaching Groups Leader: skilled in teaching-learning process
(continuing education, client
health care groups)
Focus: small, voluntary org. composed of individuals who share a
similar health, social or daily living problem.
Nurse: helps clients form such groups by id'ing key people to fascilitate;
share expertise w/ clients; inform clients about existing groups;
participate; help out in times of crisis

Focus: to develop or use interpersonal strengths to improve

a person's functioning in the groupto which they return.

Focus: work toward self-understanding, more satisfactory ways of

relating or handling stress, and changing patterns of behavior toward
health.
*Group chosen by therapist.

Focus: Group of individuals within a certain high-stress field who help one
another buffer stress.