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13 Cards in this Set

  • Front
  • Back
Hearing Loss
16 Million Americans with hearing loss
3/1000 newborns deaf or have hearing loss
can be diagnosed at birth
birth defect, illness, injury, age
may try to hide loss/ withdraw
Vision Loss
10 million are blind in USA, or with low vision
all non-verbal clues are lost on blind
presbyopia, macular degeneration
Speech & Language Deficits
neurological trauma
Aphasia - neuro linguistic deficit
feelings of loss & social isolation
Receptive VS Expressive Aphasia
& Global
Receptive - difficulty receiving and processing written and oral messages
Expressive - cannot express thoughts or feelings in words
Global - difficulty expressing and receiving messages
Impaired Cognition or Learning Delay
effective communication between Nurses and Caregivers is very important
approx 35% adults over 70 may have cognitive deficits
Serious Mental Illness
Psychotic - cannot process and respond appropriately
Autism - profound inability to communicate
- poverty of speech, social isolation, impaired coping, low self-esteem, disturbed patterns of perception, thought, emotions and motivation
Environmental Deprivation as Related to Illness
hospital stays can be disorienting
C's are usually frightened, in pain & unable to easily communicate with others
absense of interperstonal stimulation linked to subsequent gradual decline of cognitive abilities
C's w/ Hearing Loss
N's assess age of onset & severity of deficit
occurs before or after development of speech?
auditory amplifiers, text messaging, reading devices, pagers, laptops, pda's
C's w/ Vision Loss
computers with voice synthesizers and braille keyboards, screen enlargers
Clarify visual cues
Use of Touch, books on tape, music
Orientation to Environmental Hazards
Offer your arm to the C
Use Braille
C's w/ Speech & Language Deficits
give enough time and support for C communication
limited short-term memory - supply the missing connections
Use touch, gestures, eye movements and hand squeezing for Global Aphasia
C's fatigue easily
C's w/ Impaired Cognition or Learning Delay
simplify explainations
use comforting touch, familiar objects
Visual Analog Scale - C points to picture to indicate pain level
C's w/ Serious Mental Illness
1/10 older adults are paranoid
C rarely will approach the N
important to keep trying to connect
C's responses to ?'s are likely brief
expanded rational conversation is a good sign of C/N trust
C's Experiencing Environemental Deprivation
hearing is the last sense to go
"never say anything you would not want the client to hear" or your teacher!
give orienting clues
call C by name