How would the nurse communicate with the patient who has aphasia after suffering from a stroke?

What is this article about?

Aphasia is the most common language disorder post-stroke, affecting one-third of all patients diagnosed with stroke. Communication is a complex neural process. It involves a careful sequence of expression, muscle movements, breathing, speaking, and comprehension. When a patient who has had a stroke experiences speech difficulty, word-finding difficulty, or speaks with made-up or inappropriate language, they are highly likely to be experiencing aphasia.

How would the nurse communicate with the patient who has aphasia after suffering from a stroke?

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Posted on January 31st, 2022

When a stroke occurs in the left side of the brain, the part that controls speech and language, it can affect a person’s ability to communicate. This condition is known as aphasia. The inability to think of the right word to express a thought can be frustrating for stroke patients, but there are ways to help them regain many communication skills. Here are a few facts about aphasia and tips for dealing with it.  

IMPORTANT FACTS ABOUT APHASIA 

About 1 million people in the United States are living with aphasia, which is usually caused by a stroke. However, about 86% of the people in the United States are not familiar with the condition. Because communication is difficult for people with aphasia, they often feel isolated and misunderstood. Even though someone with aphasia has difficulty expressing thoughts, they still have thoughts. Aphasia affects communication, not intelligence. People who experience aphasia after a stroke often suffer depression because they are unable to communicate. 

COMMUNICATION STRUGGLES 

Image used licensed under Shutterstock

People who have aphasia want to interact with others, and they still can if they use some new strategies. To begin, they should let others know that it may take time to express an idea. Using pictures or diagrams can often help get the message across. Turning off the television or radio can make it easier to concentrate. It is important not to give up. Progress can be made with intense therapy, but it will take time. Aphasia does not go away, but communication skills can improve. 

HELPING WITH COMMUNICATION BARRIERS 

Communicating with someone struggling with aphasia helps them recover. Remember that aphasia has nothing to do with hearing; speaking loudly is not necessary. Instead, be a patient listener. Allow time for the person to find the words and resist the temptation to say the words for the person. When speaking, look directly at the person so your facial expressions and other nonverbal cues can be seen. Try to use simple sentences and speak slowly. Pictures or diagrams can sometimes help. Some aphasia patients find it helpful to know the general topic before the conversation begins. For example, start the conversation by saying, “I thought we could talk about today’s schedule.” When possible, phrase questions so they can be answered with a simple yes or no.  

THERAPY FOR APHASIA Image used licensed under Shutterstock

Working with a therapist is an effective way to cope with aphasia. The type of therapy used will depend on the communication ability. The therapist may ask the patient to match words to pictures or repeat back words or phrases. Therapy can be repetitive, which can be exhausting but is necessary for progress. Therapists can also suggest alternative forms of communication like pointing to pictures or using gestures to communicate. There are also electronic devices that can play messages for the patient. 

FINDING THE WAY TO RECOVERY 

Strokes happen very quickly but can change a person’s life forever. To be unable to express thoughts or find the right words can be extremely frustrating. The best way to help a stroke patient regain lost words and skills is through targeted and comprehensive therapy with experienced professionals. This level of care can be found at Whitehall of Deerfield, where there is a team of neurological and stroke experts ready to provide exceptional care. After assessing each person’s abilities, a personalized care program is developed that addresses physical and psychological needs. Everything from video swallowing studies to physical and occupational therapy in a state-of-the-art gym is offered up to seven days a week. When a stroke, aneurysm or other brain injury occurs, look to Whitehall of Deerfield for excellent care in a resort-like setting. 

One of the most respected short-term rehabilitation centers on the North Shore is Whitehall of Deerfield where guests can be assured of superior care. With excellent outcomes and one-on-one therapies, Whitehall of Deerfield has consistently received Medicare’s highest rating in Medicare’s five-star rating system of nursing and post-hospital rehabilitation centers. Whitehall of Deerfield is also ranked #4 in Newsweek magazine’s 2022 list of best post-hospital rehabilitation and nursing care centers in Illinois—and has received both U.S. News & World Report’s and Medicare’s top five-star rating. Learn more about the individualized therapy programs, world-class amenities and COVID-19 safety measures by visiting WhitehallofDeerfield.com or calling 847-945-4600. 

Which action would help a nurse to communicate better with a stroke patient with aphasia?

When communicating with a stroke survivor who has communication problems (aphasia), it is helpful to: Be patient. Eliminate distractions. Turn off the TV, limit extraneous noise.

Which cues would the nurse likely observe in a patient with a cerebrovascular accident CVA?

General signs and symptoms include numbness or weakness of face, arm, or leg (especially on one side of body); confusion or change in mental status; trouble speaking or understanding speech; visual disturbances; loss of balance, dizziness, difficulty walking; or sudden severe headache.

What should a nurse anticipate for when a patient presents with signs of a stroke?

(Stoke symptoms include: Sudden onset of numbness or weakness of the face, arm or leg, especially on one side of the body; confusion, trouble speaking or understanding speech; trouble seeing in one or both eyes; trouble walking, dizziness, or loss of balance or coordination; severe headache with no known cause or “ ...

Which instructions would the nurse give a patient about methods to reduce the risk of having a stroke?

The best way to help prevent a stroke is to eat a healthy diet, exercise regularly, and avoid smoking and drinking too much alcohol. These lifestyle changes can reduce your risk of problems like: arteries becoming clogged with fatty substances (atherosclerosis) high blood pressure.