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37 Cards in this Set

  • Front
  • Back
gereontology
the study of aging and older adults
gerentologicial nursing
medical care of the elderly. involves advocating for the health of older persons at all levels of prevention. subspecialty of nursing. may involve many roles: provider of care, teacher, manager, advocate, and research consumer
geriatrics
associated with the medical care of the elderly.
long term care/ extended care facility
objective is to provide a place of safety and care to attain optimal wellness and independence for each individual. are now often multilevel campuses that include independent living quarters for seniors, assisted living facilities, skilled nursing facilities, and extended care facilities that provide levels of personal care for those who are chronically ill or are unable to care for themselves without assistance.
skilled nursing facility
for elders who require a higher level of nursing care because the acuity level of the client requires a greater nurse-to-client ratio. Gerontological nurses working in SNFs often care for clients with tube feedings, IVs, chronic wounds, and ventilators.
Therapeutic communication
promoting understanding and can help establish a constructive relationship between the nurse and the client. the therapeutic helping relationship is client and goal directed.
using silence
listening; Gives patient time to assess their thoughts.
Giving recognition
Acknowledging what patient is saying/feeling
Offering self
make yourself available; patient must feel that nurse will stay there regardless of behavior
Broad openings
Encourage patient to talk and determine direction of the conversation; patient will have to elaborate
Acceptance
empasizes neither approval nor disapproval. nurse willingly receives the client's honest feelings. an accepting attitude allows clients to express personal feelings freely and to be themselves.
General leads
lets the patient know you're listening and you want them to continue
making observations
Verbalize what is perceived to call it to patients awareness
Reflecting;Restating
Reflecting: Repeat all or part of patients statement
Restating;Paraphrase main idea...don't change meaning.
Giving information
Make available the facts the patient needs or asks for
Presenting Reality
Therapeutic Tecnique
False Reassurance
"Don't worry, you'll be fine"
Giving Approval
Don't just agree with whatever patient says. Encourage Paient to make up their own mind.
Rejecting
"I can't talk about that"
Disapproving
Non therapeutic
Agreeing and Disagreeing
Imply that the client is either right or wrong and that the nurse is in a position to judge this. These responses deter clients from thinking through their position and may cause a client to become defensive.
Advising
Telling the client what to do. These responses deny the clients right to be an equal partner. Note that giving expert rather than common advice is therapeutic.
Probing
Ask pertinent questions. Don't be nosey.
Challenging
Requesting an explanation. These responses indicate that the nurse is failing to consider the clients feelings, making the client feel it necessary to defend a position.
Defending
Acknowledge feelings but dont be defensive. Attempting to protect a person or health care services from negative comments. These responses prevent the client from expressing true concerns.
Belittling
Denies importance or uniqueness of a persons feelings. "Lets talk about your feelings. Are you upset?"
Communication
Interchange of info, thoughts and feelings.
sender
initiates the message
receiver
receives message
message
information expressed by sender
feedback
reveals whether meaning of message is received
Purpose of communication
establish and maintain healthy relationships among people
Perceptions
the process of becoming aware through our senses
Levels of communication
1.cliche conversation- small talk, introduce self
2. Reporting facts-objective conversation (measurements, etc.)
3. Sharing personal ideas and judgements
4. Sharing Feelings
5. Peak communication
Types of non-verbal body language
fear
happiness
sadness
anger
disgust
surprise
Verbal communication-spoken/written word
simplicity, clarity, timing, adaptability, credibility
Nonverbal communication
body language