For those in my care with diabetes, I keep an eye out for complications due to poor blood sugar levels. Anything out of the norm will catch my attention, including sudden numbness or weakness, confusion, chest discomfort and swelling in the ankles and legs. When a resident cannot communicate verbally, I look for changes in facial expression and body language to signal needs and problems. I have found that the more time you spend with someone, the easier it is to understand their (individual) alternative to using language.
