Explain why communication challenges must be overcome.

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 Links to an external site., 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?