You are a nurse caring for a wide variety of patients in a medical-surgical unit. Understanding the importance of effective communication in developing a helping–trust relationship with your patients, you continually strive for optimum communication. Today, you are providing care for a 32-year-old teacher who is blind from birth, and just had surgery for the creation of a temporary colostomy. Using Berlo’s description as the template, which aspects of communication are most impacted by this patient’s challenge? 2 Which channels of communication are available to facilitate communication in this case? 3. Describe how this challenge would impact communication throughout treatment.

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