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In the modern clinical setting, there is an increasing emphasis on the central importance of effective interpersonal communication. Actively listening and expressing oneself effectively, in the present day hospital situation, is a diffi cult enough task, but when interacting with a person with perceived communication diffi culties, the opportunities for a major breakdown of communication are increased. In this article, a severe communication diffi culty is considered to be such that it signifi cantly affects an individual’s ability to detect, comprehend, or apply language and speech to engage in discourse effectively with others. In addition, these interactions usually take place in a setting compromised by elements including pressure of time, interruptions, and other physical and personal factors. Any combination of these may contribute to inhibiting communication, raising anxiety, and delaying understanding of diagnosis and treatment. These factors are also likely to have knock-on effects for patient progress on admission and at discharge. Effective communication poses not only a diffi culty shared but also a mutual responsibility accepted between physician and patient.

How Can I Help? Improving the Effectiveness of Communication in Hospitals for People with Communication Difficulties