Title: Explain why communication challenges must be overcome.
Course: Nurse Aide I (14051-1) > Section: Communicating in the Healthcare Environment

Explanation should include methods to overcome communication challenges with clients/residents/patients who have cognitive impairments and to preserve the rights of clients/residents/patients who may be

- anxious or frustrated and unable to communicate needs
- in need of pain relief
- uncooperative with care if the client/resident/patient does not know what the caregiver is doing.

Communication skills must be tailored to meet the needs of a cognitively impaired client/resident/patient by

- being sure to have the attention of a client/resident/patient
- explaining the care routine prior to starting the care routine
- allowing the client/resident/patient opportunities to talk
- keeping consistent routines as much as possible
- being honest and reliable
- knowing the likes and dislikes of client/resident/patient
- speaking slowly, softly, and simply.

Refer to Unit II in Nurse Aide Curriculum, Virginia Board of Nursing, Virginia Department of Health Professions, 2018.

Process/Skill Questions:

- What is the importance of a CNA remaining calm when dealing with an agitated client/resident/patient?
- Why is it important to explain care to be given to a client/resident/patient with a cognitive impairment?
- What is the importance of always recognizing client/resident/patient rights?
- What safety concerns must be addressed when caring for a client/resident/patient who may be combative?