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Andrew Pollack-Gray

Nursing Notes

Communication Accommodations

2 min read

Patient Needs

Adapt communication to the resident’s sensory, speech, cognitive, and individual needs while maintaining dignity and independence.

What Should I Assess?

  • Hearing or vision limitations.
  • Difficulty speaking or understanding language.
  • Preferred communication methods.
  • Need for assistive devices or interpretation.

How Do I Provide Care?

Hearing Impairment

  • Face the resident at eye level.
  • Speak clearly at a natural pace and pitch.
  • Keep your mouth visible.
  • Reduce background noise.
  • Use hearing aids or written communication as appropriate.
    Speech & Language Impairment
  • Expressive Aphasia: Difficulty producing language; allow extra time and use communication aids.
  • Receptive Aphasia: Difficulty understanding language; use short, clear statements and confirm understanding.
  • Use picture boards, writing, or assistive technology when appropriate.
    Vision Impairment
  • Identify yourself when entering.
  • Explain before touching or moving objects.
  • Give specific directions (e.g., “2 o’clock on your tray”).
  • Offer your arm when guiding; describe obstacles.
    Cognitive & Neurodevelopmental Differences
  • Use clear, literal language when helpful.
  • Maintain predictable routines when preferred.
  • Allow additional processing time.
  • Respect sensory needs and individual communication preferences.

Safety & Precautions

  • Never assume a communication disability means impaired intelligence.
  • Avoid shouting unless specifically needed.
  • Do not force eye contact.
  • Never move or guide a resident without explanation and agreement.

What Should I Report?

  • New or worsening communication difficulties.
  • Sudden speech or comprehension changes (urgent evaluation needed).
  • Communication barriers affecting safety or care.

Flashcards

What adjustments help residents with hearing difficulty?03-application / patient-care
Answer

Face them, reduce noise, speak clearly, and use aids.

What is important when communicating with someone with receptive aphasia?03-application / patient-care
Answer

Use short statements and confirm comprehension.

Graph View

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