She has communication difficulties and is unlikely to be able to deal with the matter herself.
"I doubt if they've made those decisions, because they are having some communication difficulties."
I know we've had communication difficulties lately, but you've got to speak to them.
The communication difficulties involved between these two traditions are well known, not helped by differences in language.
"I take it that you have been having some persistent communication difficulties."
Particular skills may be needed with elderly people if there are communication difficulties.
Nothing in my life could have prepared me for communication difficulties of this magnitude.
English is not always widely spoken and British patients may face communication difficulties.
In time, that generally happens and, with few communication difficulties, everything lives happily after.
Therefore, I feel it is essential to continue exploring, despite the communication difficulties.