00051 Deterioration Of Verbal Communication

Domain 5: perception/cognition
Class 5: communication
Diagnostic Code: 00051
Nanda label: verbal communication deterioration Diagnostic focus: verbal communication
Approved 1983 • Revised 1996, 1998, 2017, 2020 • Level of evidence 3.2

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « deterioration of verbal communication is defined as: reduced, delayed or absent capacity to receive, process, transmit and/or use a symbols system. >

Definite characteristics

  • Absence of visual contact
  • Agrafia
  • Alternative communication
  • Anarthria
  • Affasia
  • Increaseive communication
  • Decreased speech productivity
  • Decrease in speech range
  • Decreased desire to participate in social interaction
  • Difficulty understanding communication
  • Difficulty to establish social interaction
  • Difficulty to maintain communication
  • Difficulty using bodily expressions
  • Difficulty using facial expressions
  • Difficulty with selective attention
  • Show negative emotions
  • dysarthria
  • Dysgraphia
  • Dyslalia
  • Dysphonia
  • Fatigue with conversation
  • Deterioration of the ability to speak
  • Deterioration of the ability to use bodily expressions
  • Deterioration of the ability to use facial expressions
  • Inability to speak the language of the caregiver (a)
  • Inappropriate verbalization
  • I am stubborn to speak
  • Unclear pronunciation

Related factors

  • Self -concept alteration
  • Cognitive dysfunction
  • Dyspnea
  • Emotional lability
  • Limitations of the environment
  • Inadequate stimulation
  • Low self -esteem
  • Vulnerability perception
  • Psychological obstacles
  • incongruous values ??with cultural norms

Risk population

  • People who face physical barriers
  • People in the immediate postoperative period
  • People unable to verbalize
  • People with communication barriers
  • People without a significant person

Associated problems

  • Alteration of perception
  • Central nervous system diseases
  • Disabilities of development
  • Flacid facial paralysis
  • Hemifacial spasm
  • Motor neuron disease
  • Neoplasms
  • Neurocognitive disorder
  • oropharyngeal defect
  • Diseases of the peripheral nervous system
  • Psychotic disorder
  • Weakness of the respiratory muscles
  • sialorrhea
  • Speech disorders
  • Language diseases
  • Tracheostomy
  • Therapeutic regime
  • Velopharyngeal insufficiency
  • Dysfunction of the vocal strings

This diagnosis will be withdrawn from the Nanda-I taxonomy in the 2024-2026 edition unless related factors are developed.

Suggestions of use

Use this diagnosis for patients who want to communicate but have difficulty doing so. If communication problems are caused by psychiatric diseases or coping difficulties, a diagnosis of fear or anxiety could be more appropriate. It should be considered that communication problems can be receptive (for example, difficulties in hearing) as well as expressive (for example, difficulties in speaking).

Suggested alternative diagnostics