Aging Changes that Effect Communication 9 10 2010 HANDOUT

Aging Changes that Effect Communication 9 10 2010 HANDOUT -...

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Aging Changes that Effect Communication With Older Adults Barbara A Heise, Ph.D., APRN, BC Assistant Professor BYU College of Nursing
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Thought for the Day No matter how old we become, we can acquire knowledge and use it. We can gather wisdom and profit from it. We can grow and progress and improve - and, in the process, strengthen the lives of those within our circle of influence." President Gordon B. Hinckley in Standing for Something (p. 69)
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Objectives Identify changes in older adults that create barriers to communication Identify cognitive & sensory changes and their impact on communication Differentiate between normal changes of aging and pathological changes Discuss specific challenges to communication: aphasia, dysarthria, visual, hearing and cognitive impairments Identify the nurse’s role/responsibility in communication Identify nursing interventions to communicate effectively with older adults. Recognize cultural considerations in communication and discuss the use of interpreters to communicate.
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High Comfort Level Trust Good Faith Respect All of the above important in order to communicate well and understand each other Seek first to understand then be understood… Stephen Covey, Habit 5
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All Sensory Losses Impact communication Which leads to Reduced ability and desire to communicate Isolation Frustration leading to aggression or withdrawal
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Barriers to Communication Sensory Impairments Dementias Depression Physical Discomfort Noise/Distractions Too much information Too many people speaking at once Interviewer w/ Poor listening skills Interviewer judgmental Sociocultural factors: ie biases
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Barriers to Communication Key Terms Anomia Aphasia Apraxia Dysarthria Presbyopia Presbycusis
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Sensory Modalities Involved in Communication Vision Hearing Movement Gustation Touch
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Normal Age-related Changes that Affect Communication SENSORY Vision Presbyopia Poor visual acuity Increased sensitivity to light and glare More opaque lens Decreased tear production Decreased night vision
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Common Visual Pathology Senile Cataracts Glaucoma Diabetic retinopathy Age-related Macular Degeneration
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11 Vision Loss Communication Consequences . Inability to identify doors, stair edges, light switches Avoidance of light sources which cause glare. Patient will stay in a dimly lit room – social isolation. Stares at television; inability to talk about
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This note was uploaded on 03/31/2011 for the course NURSING 291 taught by Professor Barbaraheise during the Fall '10 term at BYU.

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Aging Changes that Effect Communication 9 10 2010 HANDOUT -...

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