Failure to Implement Communication Interventions for Resident with Aphasia
Penalty
Summary
A deficiency was identified when the facility failed to implement a comprehensive care plan addressing the communication needs of a resident with chronic respiratory failure, cerebrovascular accident, and cognitive impairment. The resident's care plan, revised on multiple occasions, documented a communication deficit related to aphasia and outlined interventions such as lip reading, writing, communication board, gestures, sign language, and translator use. Additionally, the care plan required all staff to converse with the resident during care to support cognitive stimulation and social interaction. However, during an observation, an LPN provided care to the resident, who appeared agitated and expressed fear, without speaking to or addressing the resident, and failed to offer reassurance or directions as required by the care plan.