The FNP will need to learn Mr. Cruz’s preferences and skills for communication and should involve him in this conversation right from the start. His aide and sister may be able to help with this.
The FNP could review these resources on skillful communication with people with ID:
- Module 2 of this training: Communication Skills Scenario 5- Communication to support self-determination in health https://iddhealthtraining.org/module-2/scenario-5/
- Module 2 of this training: Communication Skills Scenario 6- Use of technology for effective communication by and with people with ID https://iddhealthtraining.org/module-2/scenario-6/
- Communicate Care: http://ddprimarycare.surreyplace.ca/wp-content/uploads/2019/03/1.1CommunicateCare.pdf
Case Continuation
The FNP comes into the room for her visit with Mr. Cruz. As she greets him and starts to ask him questions about his health and about what he needs today, he does not respond at all, but looks around to his sister and aide.
Question 1.3
What are some possible reasons that Mr. Cruz may not be responding to her questions?