Listen for errors in conversation andprovide feedback.
Ask patient to follow simple commands(“Close and open your eyes,” “Raise yourhand”); repeat simple words or sentences;
Point to objects and ask patient to namethem.
Have patient produce simple sounds(“Dog,” “meow,” “Shh”).
Ask patient to write his name and a shortsentence. If unable to write, have patientread a short sentence.
Write a notice at the nurses’ station andpatient’s room about speech impairment.Provide a special call bell that can beactivated by minimal pressure if necessary.
Provide alternative methods ofcommunication: writing, pictures.
Talk directly to patient, speaking slowly anddistinctly. Phrase questions to be answeredsimply by yes or no. Progress in complexityas patient responds.
Speak in normal tones and avoid talkingtoo fast. Give patient ample time torespond. Avoid pressing for a response.
Discuss familiar topics, e.g., weather, family,hobbies, jobs.
Respect patient’s preinjury capabilities;avoid “speaking down” to patient ormaking patronizing remarks.
Consult and refer patient to speechtherapist.