Table 1

Communication Care Plan
How to communicate with patient How patient communicates
To help her understand you: -has aphasia and some visual field impairment; ↓ attention to right side
- give her time to process what you’ve said
-understands short and more complicated instructions but needs ++ time to respond
To help her express herself:
- has limited speech; has hesitations and incomplete sentences; benefits from time to get her message out
-verify her yes/no responses (use the yes/no sheet in the kit; have her point to yes/no)
- her yes/no answers are not always accurate
-wears glasses for reading
- ask her to point or gesture if she can’t say what she wants to express -can read/understand written words and simple sentences; often needs to re-read to understand better
-or- give her written choices to point to (use the whiteboard in the kit) -can write letters, numbers and simple words
-or-ask her to write a word or the first few letters of a word if she can’t say it (use the whiteboard in the kit)
-make sure she’s wearing her reading glasses if using written cues
-give her time to express herself
Keep materials and written cues on LEFT side.
What patient behaviours mean Patient habits to know to avoid communication problems
-the words & phrases she repeats over and over may not be what she wants to say; use the strategies above to help her express herself. - her communication is worse when she’s tired; discuss important issues when she’s rested.
-in general, she needs extra time to understand you and to express herself
-communication problems interfere with her family and social life
-can’t use the phone because she’s not understood

McGilton et al.

McGilton et al. BMC Geriatrics 2012 12:61   doi:10.1186/1471-2318-12-61

Open Data