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When verbal communication is absent, nurses fail to adequately use alternative strategies so that the standard of nurse\/patient communication is frequently poor.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold>This is a discursive paper which reviews relevant literature and uses the Theory of Human Scale Development as a framework for discussion.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold>The Theory of Human Scale Development is introduced. This theory emphasises that quality of life depends as much upon self\u2010actualisation and relation building as on physical health. The theory is used within the discussion to highlight the significance of communication to quality of life and how its loss has profound psychological and social consequences.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold>Aphasia results in \u2018loss of self\u2019. The situation is exacerbated by inadequate healthcare communication strategies. Suggestions are offered regarding more appropriate strategies. Efficacy of family input is considered; nursing competence regarding language practice therapies is discussed, and the \u2018quest approach\u2019 is explored. Aphasia has a negative impact on relationships by denying access to support networks, which results in isolation. The individual\u2019s predicament is worsened by negative nursing responses. Positive nursing strategies, which alleviate effects of aphasia on individuals\u2019 social health, are investigated. Concept analysis and self\u2010awareness exercises as methods of enhancing compassion skills are explored. The social model of disability is discussed to highlight the benefits to individuals of environmental adaptations. The social benefits of aphasia\u2010group affiliation are discussed.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold>The paper concludes by emphasising that fundamental human needs involve social and psychological as well as physical aspects.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold>Nursing interventions must address all needs to provide holistic care in its fullest sense.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2012.04237.x","type":"journal-article","created":{"date-parts":[[2012,11,19]],"date-time":"2012-11-19T01:18:57Z","timestamp":1353287937000},"page":"410-420","source":"Crossref","is-referenced-by-count":10,"title":["The impact of stroke aphasia on health and well\u2010being and appropriate nursing interventions: an exploration using the Theory of Human Scale Development"],"prefix":"10.1111","volume":"23","author":[{"given":"Juliana","family":"Thompson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margo","family":"Mckeever","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/02674648766780021"},{"key":"e_1_2_10_3_1","unstructured":"Archbishop of Westminster(2010)Fear cannot be our guide.Mass in Honour of Our Lady of Lourdes. 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