Unformatted text preview: Communicating Communicating Geriatric –Friendliness in Your Practice
Lisa Z. Killinger, DC
Palmer College of Chiropractic Issues in “Geriatric Friendliness”
Issues in “Geriatric Friendliness”
Communications and You!! Facilities
• Carpeting issues no deep pile, caution •
• with ‘runners’ or area rugs
Marking steps up/down
Handrails, esp. in restrooms
Well lit halls and other areas
Easyopen doors, flat, smooth thresholds
Others? You tell me! Surroundings
• Location, Location, Location!!! •
• On a bus route?
Near a senior housing facility?
Near their other healthcare facilities? Is parking close by and safe?
Sidewalks and parking lot (repair unevenness, cracks, potholes, etc.)
Stairs? Clearly marked with hand rails Equipment
• Tables (wider/softer = better/safer)
• Chairs (not too low/deep)arm rests
• Bathrooms, slipproof, handrails
• Paper towels and wet floorsdesign facilities to reduce slippery floors Equipment –cont…
• Easy open doors (& can be opened from outside, in case of emergency) • Massage equipment, heat, ice, adaptable to older pts. (Toweling avail; lower settings, etc) • More? Communication
The bigger picture
• Barriers to good communication
Taking a history successfully
Communication with hearing impaired pts
Helping visually impaired patients give you the info you need
• Redirecting the verbal wanderer Barriers: Lighting and Sound
Barriers: Lighting and Sound
• Remember: 1/3 to 1/2 of older pts are •
• visually or hearing impaired
“Mood lighting” is not for seniors
Background music makes hearing impossible for hearing impaired pts.
No music in patient interview area!
Be aware of outdoor/traffic noise, air conditioning noise, etc. Helping the visually impaired Helping the visually impaired patient get you the info you need.. Forms
Forms • LARGE
is easier to
(FRUSTRATING, eh?) ! see
see List any auto accidents List any auto accidents or injuries you have had in the last 5 years: ________________________
List any auto accidents or injuries you have had in the last 5 years:
___________________________ Have your staff Have your staff (You can do this before you get .
• busy in practice!) print a separate set of large print forms forms for your older/visually impaired patients. Your patients will thank you! Be AWARE of GLARE With hearing impaired patients…
With hearing impaired patients…
• Can you slow down/speak clearly?
• Will you face pts when you speak?
• Will you be patient while pts answer?
• Can you listen,... then talk? For good reason, we have…
For good reason, we have…
2 of these & only 1 of these Communication
• Can you, politely and kindly, redirect a “verbally wandering” patient? • Will you be able to (comfortably) support your patients, assist them in getting up, etc? • Will you be able to talk about death/dying? How do you redirect verbal How do you redirect verbal wanderers? Be a wealth of information!
Be a wealth of information!
• Provide community resource directories for aging patients
• Know the hot topics in aging: www.aarp.org or www.nihseniorhealth.gov
• Find college courses, exercise classes, restaurants geared towards seniors, aging services centers etc. Be an Advocate of Healthy, Be an Advocate of Healthy, Successful Aging
• Communicate re. preventive screenings
• Assess and educate about home safety, health promotion & prevention
• Reward healthy behaviors (Walk a 1,000 mile campaigns, etc)
• Provide opportunities for older pts. to interact/play with younger patients
• Consider a “bartering network” Encourage older patients to Encourage older patients to volunteer!
(Volunteering improves health)
Be a good role model…
Volunteer yourself! ...
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- Summer '09
- auto accidents, older/visually impaired patients, impaired pts, Geriatric Friendliness, Lisa Z. Killinger