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13 Cards in this Set
- Front
- Back
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Hearing Loss
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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 |
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Vision Loss
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10 million are blind in USA, or with low vision
all non-verbal clues are lost on blind presbyopia, macular degeneration |
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Speech & Language Deficits
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neurological trauma
Aphasia - neuro linguistic deficit feelings of loss & social isolation |
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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 |
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Impaired Cognition or Learning Delay
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effective communication between Nurses and Caregivers is very important
approx 35% adults over 70 may have cognitive deficits |
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Serious Mental Illness
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Psychotic - cannot process and respond appropriately
Autism - profound inability to communicate Schizophrenia - poverty of speech, social isolation, impaired coping, low self-esteem, disturbed patterns of perception, thought, emotions and motivation |
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Environmental Deprivation as Related to Illness
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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 |
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C's w/ Hearing Loss
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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 |
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C's w/ Vision Loss
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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 |
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C's w/ Speech & Language Deficits
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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 |
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C's w/ Impaired Cognition or Learning Delay
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simplify explainations
use comforting touch, familiar objects Visual Analog Scale - C points to picture to indicate pain level |
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C's w/ Serious Mental Illness
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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 |
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C's Experiencing Environemental Deprivation
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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 |
