Nursing Care Plan – Impaired verbal communication r/t loss of facial or oral muscle tone control
Definition
Decreased, delayed, or absentability to receive, process, transmit, and use a system of symbols

Related Factors
- Decrease in circulation to brain, brain tumor
- Anatomic deficit ( e.g. cleft palate, alteration of the neurovascular visual system, auditory system, or phonatory apparatus)
- Difference related to developmental age
- Physical barrier ( tracheostomy, intubation)
- Physiological conditions (e.g. dyspnea ); alteration of central nervous system (CNS); weakening of the musculoskeletal system
- Psychological barriers (e.g. psychosis, lack of stimuli); emotional conditions (depression, panic, anger); stress
- Environmental barriers
- Cultural difference
- Lack of information
- Side effects of medicaiton
- Alteration of self-esteem or self-concept
- Altered perceptions
- Absence of SOs