00051 Impaired verbal communication

00051 Impaired verbal communication

Definition of the NANDA label

State in which the individual suffers a decrease, delay or lack of ability to receive, process, transmit and use a symbol system that has meaning.

Decreased, delayed, or absent ability to receive, process, transmit, and/or use a system of symbols.

Defining characteristics

• Willful or involuntary refusal to speak.
• Inability to speak the dominant language.
• Difficulty speaking or verbalizing.
• Inappropriate verbalization.
• Difficulty forming sentences or words (aphonia, dyslalia, dysarthria).
• Difficulty verbally expressing thoughts (aphasia, dysphasia, apraxia, dyslalia, dyslexia).
• Stuttering.
• Unclear pronunciation.
• Dyspnea.
• Disorientation in time, space or people.
• Lack of eye contact or difficulty paying attention selectively.
• Difficulty understanding and maintaining the usual communication pattern.
• Inability or difficulty to use facial or body expressions.
• Partial or total visual deficit.

Related factors

• Decreased cerebral circulation.
• Psychological handicaps (psychosis, lack of stimuli).
• Brain tumor.
• Differences related to developmental age.
• Side effects of medication.
• Anatomical defects:
– Cleft palate.
– Neuromuscular disorder of the visual system.
– Neuromuscular disorder of the auditory system.
– Phonation disorder.
• Physical speech impediments (tracheostomy, tracheal intubation).
• Absence of significant people.
• Lack of information.
• Alterations in perceptions.
• Altered self-esteem or self-concept.
• Physiological conditions.
• Stress.
• Environmental obstacles.
• Cultural differences.
• Alteration of the nervous system .
• Weakening of the musculoskeletal system.
• Emotional states.

At risk population

• Absence of significant other

Associated condition

• Alteration in development
• Alteration in perception
• Central nervous system impairment – Oropharyngeal defect
• Physical barrier
• Physiological condition
• Psychotic disorder
• Treatment regimen


• Communication.
• Communication skills.


• Improve communication: speech deficit.
• Active listening.
• Facilitate learning.
• Presence.
• Improve communication: hearing deficit.
• Improve communication: visual deficit.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is
completed to bring it up to a level of evidence 2.1 or higher.