lecture 21 part 1 - Communicating Across the Lifespan:...

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Unformatted text preview: Communicating Across the Lifespan: Adulthood the Nursing 310 Unit VIII Lecture 21 By Veronica Garcia Walker MSN, RN, Certified Nurse By Administrator-BC Administrator-BC With special thanks to Jan Fox RNC, MSN And Stella Logan MSN, RN, PMHCNS-BC Review Slides to Last Week’s Lecture: Lecture: Trust Develops in an infant Trust when: when: 1. The infant _________ the 1. _________ caregiver’s response. 2. The caregiver __________ in 2. __________ response. response. 3. The caregiver ________ in 3. ________ response. response. What is this? What The way an infant responds to The the environment: the What kind of temperament is this? this? Showing unpredictable patterns Showing of response, intense reactions, “negative” or irritable moods. This may be related to a very sensitive nervous system. sensitive What kind of temperament is this? this? Predictable in response patterns Predictable and more positive in mood. and What kind of temperament is this? this? Initially being more the “difficult” Initially child, but not as intensely reactive, and more likely to develop a positive response. develop What is this? What During _____ During children… cope with cope problems, self-esteem, release emotions, release reduce anxiety. reduce Develop physically, Develop cognitively, emotionally and in the use of language skills. language Play Play ______ ______ Play: Children Play Children make something stand for something else something Play Play ________ ________ Play: Play: Watching others play play Play Play _______ _______ Play: (18moPlay: 3yrs) side by side play. Each side child plays differently but they do it next to each other other Play Play _______ play (3-6yr) Shared activity and communication. communication. Play Play _________play _________play (6-12 yr) Rules yr) are followed and goals are achieved. achieved. Adolescence: What age is this? Adolescence: What stage is this? Adult behaviors Adult which foster identity: identity: Allow for Allow experimentation in new roles and activities activities Set reasonable Set limits for safety in this period of uncertainty and exploration exploration Adolescence: What age is this? Adolescence: What stage is this? Role confusion Role causes an inability to resolve core conflicts: conflicts: 1. Sexual identity 2. Occupational 2. identity identity 3. Place in society —may become —may delinquent, depressed, withdrawn, suicidal withdrawn, What is phase one called? What Four phases that sustain Four adolescents during illness: adolescents Acknowledge the process of illness Acknowledge in adolescents: in (Phase 1) ____________ the extent (Phase to which the patient experiences mental uneasiness and a desire to be relieved from it. be What are two strategies that adolescents use>>> adolescents To deal with cognitive To discomfort? discomfort? What is phase 2 called (that sustain adolescents during illness?) adolescents (Phase 2) ________ phase: activities are used to replace disturbing thoughts with more acceptable ones. ones. Strategies for ___________: 1. Do something to keep busy, TV, Talk on the phone, listen to music, read read 2. Complain Complain What is stage 3 and 4 called that sustain adolescents during illness? sustain (Phase ________: a period of (Phase uplifted spirits uplifted (Phase 4) __________: a feeling (Phase of hopefulness plus perception of the self as resilient, resourceful, and adaptable in the face of threat. the Communicating Across the Lifespan: Adulthood the Nursing 310 Unit VIII Lecture 21 By Veronica Garcia Walker MSN, RN, Certified Nurse By Administrator-BC Administrator-BC With special thanks to Jan Fox RNC, MSN And Stella Logan MSN, RN, PMHCNS-BC Young Adulthood: 18-25 years years Intimacy/ Solidarity (__oneness_, __oneness_, Intimacy/ union): union): Makes commitments to love and work relationships. Is able to sustain mutual love relationships relationships Versus Isolation: Superficial, Isolation: impersonal relationships. impersonal Major Characteristics Major Close personal _relationships_ Close with adults of both sexes. with Increase in _societal_ Increase expectations. expectations. Financial independence from Financial the family of origin. the Major Characteristics (cont) Major Developing Intimate Developing Relationships Relationships Marriage/Commitment to Marriage/Commitment significant other significant Parenting/Divorce/_affair_ Concerns of the Health Professional Professional Some residual of adolescent Some sense of immortality with illness, death. death. High risk for drug and alcohol High _abuse_, and associated illnesses & accidents. illnesses Psychosocial stress associated Psychosocial with the _transition_ from dependency to independence. dependency Middle Adulthood: 25-60 years years Generativity: _productive_, creative, procreative, concern for others, responsibility, achievement achievement Versus Self-Absorption/ Stagnation: Selfindulgence, egocentric Concerns of the Health Professional Professional Patients in this age Patients group may be especially threatened by physical illness. by Image of being “struck Image down in the prime of life” _mortality_ _mortality_ Response to health Response concerns and anxiety concerns Assistance with stress management, problem solving solving The Health Care Professional can: can: 1. _Assess_ if cause of 1. _Assess_ physical symptom arises from a stressful situation. stressful 2. _Listening_ may help 2. _Listening_ decrease anxiety. decrease 3. _Assist_ with problem 3. _Assist_ solving to decrease stress. solving Late Adulthood: 60 - Death Late Ego Integrity: Appreciates past, Appreciates present and future with acceptance of own contribution to others, self worth, changes in life style, and preparation for death death Versus Despair: Preoccupation with losses, Despair: loss of hope and sense of purpose. “ To be through having been and to face not being.” face Concerns of the Health Professional Professional Central Theme: adjustment to Central multiple _losses_, grief and mourning. mourning. Patient’s adjustment to changing Patient’s abilities and mobility. abilities Patient’s adjustment to changing Patient’s world and his position in it. (Jobs, family, technology…) (Jobs, Maintaining individuality and Maintaining dignity of the patient. dignity Spiritual issues. Challenges facing the Elderly: Challenges Physical/economic impairments Physical/economic may _limit_ access to friends/family/activities. friends/family/activities. Availability of formal (community Availability and social services) and informal support systems (friends/neighbors) need to be explored. explored. Challenges facing the Elderly Challenges An economically An _disadvantages_person will not be able to easily access community services. (Meals on Wheels??) services. Informal support systems (friends Informal and neighbors) are most vital for maximizing adjustment during old age and increasing overall wellage being. Challenge to Former Self/Image Self/Image 1. The world has changed so 1. much. (computers) much. 2. Retirement /disengagement 2. from work and personal image. from 3.Retirement/reduction in 3.Retirement/reduction _income_ _income_ Losses of the Elderly Losses Friends and Family Physical Abilities Independence _Privacy_ Possessions/Home “Being ‘hot’” Self respect/Independence Other factors to be aware of: Other Elderly tend to be deprived of Elderly human contact/family members _not very accessible_-_not Elderly may still be interested in Elderly dating and courting dating Most senior adults live Most _independently_, not in nursing homes. homes. Health Care Provider’s Role Health Address confused behavior Be a good listener Provide _orientation_ Provide information information Concentrate on the elderly as Concentrate individuals—do not stereotype!!! individuals—do Interventions with the Elderly Interventions Frequently orient Establish a _routine_ Address the client by name and Address title. title. Repeat basic information Repeat frequently during the day. frequently Interventions with the Elderly (continued) (continued) Do not let the client ramble Do incoherently (this may add to their disorientation) their Create a calm, quiet, and Create unhurried _atmosphere_. Avoid sensory overload. sensory Speak slowly and distinctly. Use Speak simple words. simple ...
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This note was uploaded on 12/24/2009 for the course N 310 taught by Professor Fox during the Fall '08 term at University of Texas at Austin.

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