Nijema Pacijentica Pdf __full__

| Situation | Immediate Action | Follow‑up | |-----------|------------------|----------| | | Offer a communication board; ask “Yes/No” questions first. | Schedule a speech‑language assessment within 24 h. | | No obvious neurological deficit | Consider functional causes; involve mental‑health team early. | Conduct a brief trauma‑focused interview (via gestures or board). | | Family insists on speaking for the patient | Explain patient’s right to self‑determination; obtain consent for surrogate decision‑making only if the patient lacks capacity. | Document the discussion; involve an ethicist if conflict persists. | | Need to obtain written consent | Use a simple illustrated consent form; have a trusted family member witness the signing. | Store the signed form in the electronic health record (EHR) with a note on communication method used. |

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