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23 Cards in this Set

  • Front
  • Back
What is the hearing loss associated with aging called?
Presbycusis
What is the national association for the deaf's websidte?
www.nad.org
Deaf patients who are admitted to in patient facitlities have what?
the right to interpreters or devices to assist w/communication by law
*** THIS IS OUR LEGAL RESPONSIBILITY**
***When pts are under anesthesia or heavily medicated, how is there hearing?
hearing is the last to go.
Be careful what you say around pts.
What are some stratigies to use with the pt with hearing loss?
speak slow
lower your pitch-easier to hear low pitch sounds (manly voice better)
face the pt so they can read your expression and your lips
keep hands away from face
reduce background noice-TV
talk to the "good ear"
avoid shouting
keep pen and pad at bedside
Regarding hearing aids, what is common in the hospital?
What do hearing aids amplifiy?
commonly lost. Pt needs the hearing aid. Hearing aids are not always covered by insurance.
Aids amplifiy all sound, sometimes pt does not want to wear them.
When ppl are under a lot of stress, they produce more?
ear wax- have drops to dissolve -we dont clean out ears. Assess for this in pt.
What is the new law about newborns regarding hearing?
all newborns must be tested for hearing loss-good b/c maybe have earlier intervention
How does vision loss usually occur?
on a continuum, most will have some sight. Pt becomes unable to interpret non-verbal cues and only rely on spoken words.
The diminished ability to focus on NEAR objecs with age is?
presbyopia-believed to be caused by changes in lens.
What is the only treatment for presbbyopia?
corrective lens-recheck every 2 years
What is the medical condition which usually affects older adults that results in a loss of vision in the center of the visual field because of damage to the retina?
Macular degeneration
What is the treatment of macular degeneration?
no known etiology, no treatment
What does macular degeneration make difficult?
seeing faces, reading, but seeing peripheral fields allows pt to get by in daily life
Macular degeneration is the leading cause?
leading cause of vision loss in caucasions over 65 years old
What are some stratigies to improve communication in pt with vision loss?
encourage use of eyeglassess
use large print
make sure there is plently of light
read instructions outlouf to pt and ask them TO REPEAT IT BACK
What are some assistive devices for pts with vision problems?
magnifying glasses
snap on magnifying syringes
pill boxes
What are the 3 different types of aphasia and what is the reason for the different types?
expressive, receptive, and global- depends on where the damage occured in brain
In Brocas aphasia (expressive aphasia) these pts can usually? what hemisphere?
can understand words, but cant form sentences to respond. Will have look of understanding on their face.
Speak slowly.
left hemisphere
What is Wernicke's aphasia (Receptive aphasia), Pt can not?
Can not understand what you are saying and may be able to speak sentences, but words are gibberish.
Can sing
Remember that this aphasia depends on?
brain damage, maybe only a little part of the L hemisphere is damaged, so only a little receptive aphasia, etc.
How should we communicate with aphasic pts?
Dont pretend you understand when you dont
dont use baby talk
write down key words
speak slowly, remain relaxed
have pics of common objects
yes/no card
Give pt at least 5 seconds to respond
Pt on ventillators cant ? and may not be able to do what?
cant talk, not be able to hear very well since its loud, trouble seeing r/t meds.
Pt said they were scared to death.
Use communication boards