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Unformatted text preview: Communicating Across
the Lifespan: Adulthood
By Veronica Garcia Walker MSN, RN, Certified Nurse
With special thanks to Jan Fox RNC, MSN
And Stella Logan MSN, RN, PMHCNS-BC Review Slides to Last Week’s
Lecture: Trust Develops in an infant
when: 1. The infant _________ the
2. The caregiver __________ in
3. The caregiver ________ in
response. What is this?
What The way an infant responds to
the What kind of temperament is
this? Showing unpredictable patterns
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? Predictable in response patterns
and more positive in mood.
and What kind of temperament is
this? Initially being more the “difficult”
child, but not as intensely
reactive, and more likely to
develop a positive response.
develop What is this?
What During _____
emotionally and in
the use of
3yrs) side by
side play. Each
differently but they
do it next to each
Play _______ play
(6-12 yr) Rules
and goals are
achieved. Adolescence: What age is this?
What stage is this? Adult behaviors
new roles and
limits for safety in
this period of
exploration Adolescence: What age is this?
What stage is this? Role confusion
causes an inability
to resolve core
1. Sexual identity
3. Place in society
withdrawn, What is phase one called?
What Four phases that sustain
adolescents during illness:
Acknowledge the process of illness
(Phase 1) ____________ the extent
to which the patient experiences
mental uneasiness and a desire to
be relieved from it.
be What are two strategies that
adolescents To deal with cognitive
discomfort? What is phase 2 called (that sustain
adolescents during illness?)
(Phase 2) ________ phase: activities
are used to replace disturbing
thoughts with more acceptable
ones. Strategies for ___________:
Do something to keep busy, TV,
Talk on the phone, listen to music,
Complain What is stage 3 and 4 called that
sustain adolescents during illness?
sustain (Phase ________: a period of
(Phase 4) __________: a feeling
of hopefulness plus perception
of the self as resilient,
resourceful, and adaptable in
the face of threat.
the Communicating Across
the Lifespan: Adulthood
Lecture 21 Graham J McDougall Jr
With special thanks to
Jan Fox RNC, MSN
Veronica Garcia Walker MSN, RN, BC
Stella Logan MSN, RN, PMHCNS-BC Young Adulthood: 18-25
years Intimacy/ Solidarity (_______,
union): Makes commitments
to love and work
relationships. Is able to
sustain mutual love
impersonal Major Characteristics
Major Close personal _______ with
adults of both sexes.
Increase in _______
Financial independence from
the family of origin.
the Major Characteristics (cont)
Major Developing Intimate
Parenting/Divorce/______ Concerns of the Health
Professional Some residual of adolescent
sense of immortality with illness,
High risk for drug and alcohol
______, and associated
illnesses & accidents.
Psychosocial stress associated
with the _______ from
dependency to independence.
dependency Middle Adulthood: 25-60
years Generativity: _________,
concern for others,
achievement Versus Self-Absorption/
Stagnation: Self- indulgence, egocentric Concerns of the Health
Professional Patients in this age
group may be
by physical illness.
Image of being “struck
down in the prime of
Response to health
concerns and anxiety
Assistance with stress
solving The Health Care Professional
can: 1. _______ if cause of physical
symptom arises from a stressful
2. ________ may help
3. ________ with problem
solving to decrease stress.
solving Late Adulthood: 60 - Death
Late Ego Integrity: Appreciates past,
present and future with acceptance of
own contribution to others, self worth,
changes in life style, and preparation for
death Versus Despair: Preoccupation with losses,
loss of hope and sense of purpose. “ To be through having been and to
face not being.”
face Concerns of the Health
Professional Central Theme: adjustment to
multiple ______, grief and
Patient’s adjustment to changing
abilities and mobility.
Patient’s adjustment to changing
world and his position in it.
(Jobs, family, technology…)
Maintaining individuality and
dignity of the patient.
Spiritual issues. Challenges facing the Elderly:
Challenges Physical/economic impairments
may ______ access to
friends/family/activities. Availability of formal (community
and social services) and
informal support systems
(friends/neighbors) need to be
explored. Challenges facing the Elderly
Challenges An economically _______person will
not be able to easily access
community services. (Meals on
Wheels??) Informal support systems (friends
and neighbors) are most vital for
maximizing adjustment during old
age and increasing overall wellage
being. Challenge to Former
Self/Image 1. The world has changed so
2. Retirement /disengagement
from work and personal image.
_______ Losses of the Elderly
Losses Friends and Family
Self respect/Independence Other factors to be aware of:
Other Elderly tend to be deprived of
human contact/family members
_________________-_________________-Elderly may still be interested in
dating and courting
Most senior adults live
________, not in nursing
homes. Health Care Provider’s Role
Health Address confused behavior
Be a good listener
Provide _________ information
Concentrate on the elderly as
individuals—do not stereotype!!!
individuals—do Interventions with the Elderly
Interventions Frequently orient
Establish a _______
Address the client by name and
Repeat basic information
frequently during the day.
frequently Interventions with the Elderly
(continued) Do not let the client ramble
incoherently (this may add to
Create a calm, quiet, and
unhurried ________. Avoid
Speak slowly and distinctly. Use
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- Fall '08