Term
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Definition
- prejudice expressed toward elders through attitudes and behavior
- prevalent in US aging viewed with depression
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Term
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Definition
- outgrowth of ageism in which young people alter speak
- assumption that elders have difficulty understanding
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Term
| therapeutic communicating with older adults |
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Definition
- attentive listening
- authentic listening
- nonjudgmental attitude
- cultural competence
- clarifying
- seeking validation of understanding
- using open-ended questions
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Term
| communication: implications for gero nursing |
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Definition
- enhance communication with older adults
- has rewards for both nurse and older person - provides the nurse to share in the elders wisdom and gain insight on life and loves, both elders and nurse's
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Term
| communication with elders with sensory impairments: hearing |
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Definition
- can interfere with communication with others
- can diminish quality of life
- associated with multiple negative outcomes: decreased function, depression
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Term
communication with elders with sensory impairments: hearing - major forms
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Definition
- sensorineural hearing loss: damage to inner ear or neural pathways to brain, presbycusis = related to aging, most common
- conductive hearing loss: abnormalities of external and middle ear, most often impacted with cerumen, sound doesn't get to middle ear
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Term
communication with elders with sensory impairments: hearing aids
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Definition
- amplifying system that includes a microphone, an amplifier, and a loudspeaker
- goal, not to restore normal hearing but to improve communication and quality of life
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Term
communication with elders with sensory impairments: hearing - cochlear implants
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Definition
- treatment for sensorineural hearing loss for those who are profoundly deaf
- surgically implanted in mastoid bone behind he ear - electronically stimulates cochlea, setting the cilia in motion.. stay away from MRI
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Term
communication with elders with sensory impairments: hearing - assisting listening and adaptive devices
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Definition
- enhance face to face communication: text messaging devices for telephones, closed caption TV, alerting devices
- hearing dogs for the deaf
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Term
communication with elders with sensory impairments: hearing - cerumen impaction
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Definition
- most common and easily corrected of all interferences of hearing in elders
- cerumen interferes with the conduction of sound
- individuals at risk of impaction: african americans, elders who wear hearing aids, older men with large amounts of ear hair
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Term
communication with elders with sensory impairments: hearing - implications
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Definition
- inadequate communication: can lead to misdiagnosis, affect adherence to the medical regime
- gero nurse: must be able to assess hearing ability, utilize appropriate communication skills
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Term
communication with elders with sensory impairments: visual - major causes
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Definition
- cataracts
- macular degeneration
- glaucoma
- diabetic retinopathy
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Term
communication with elders with sensory impairments: visual - definition
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Definition
- Snellen worse than 20/40
- legal blindness = Snellen equal to or worse than 20/200
- african americans 2x more likely than whites
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Term
communication with elders with sensory impairments: visual - assistive devices
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Definition
- insulin delivery systems
- talking clocks and watches
- large print books
- magnifiers
- telescopes
- electronic magnification: closed circuit TV, computer software
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Term
communication with elders with sensory impairments: visual - implications
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Definition
- assess for vision changes
- provide appropriate health teaching
- make referrals for prevention and treatment
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Term
communication with elders with sensory impairments: neurological - aphasia
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Definition
- affects a person ability to communicate in one or more ways
- speaking, understanding, reading, writing
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Term
communication with elders with sensory impairments: neurological - types of aphasia
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Definition
- fluent aphasia: nothing makes sense
- non-fluent aphasia: some words make sense
- verbal apraxia
- anomic aphasia
- global aphasia
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Term
communication with elders with sensory impairments: neurological - alternative speech aids
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Definition
- alphabet or picture board
- electronic boards and computers: can be voice activated or have specifically designed switches activated by one finger
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Term
communication with elders with sensory impairments: neurological - dysarthia
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Definition
- speech disorder
- caused by weakness of speech muscles
- lack of coordination of speech muscles
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Term
communication with elders with sensory impairments: neurological - implications
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Definition
- nurse needs to be familiar with techniques that facilitate communication
- patient education: equipment and resources available
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Term
communication with elders with sensory impairments: cognitive - dimentia
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Definition
- affects both receptive and expressive communication components
- alters the way people speak
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Term
communication with elders with sensory impairments: cognitive - reminiscing
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Definition
- any recall of the past
- cultivates a sense of security
- important to personal development
- a very accessible activity
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