Communication with Older Adults: Best Practices for Nurses

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GERIA REVIEWER MIDTERMS

COMMUNICATION WITH OLDER ADULTS One. What is Communication? Communication is a two-way process. It is not simply the nurse talking to the patient.

The nurse must also: Listen

Observe Understand

Respond

Give the patient an opportunity to speak

- The lecture emphasizes that nurses should recognize the challenges the older adult may experience during communication.

Easy way to understand:

Communication equals Send plus Receive plus

Understand plus Respond

For example:

Nurse: "How are you feeling today?"

Patient: "My chest feels uncomfortable."

Nurse: listens carefully and asks appropriate follow-up questions.

The nurse should not just hear the words. The nurse should also observe the patient's facial expression, tone, posture, and behavior.

Two. COMMUNICATION WITH OLDER ADULTS

Three. HEARING LOSS - PRESBYCUSIS

Four. VISION CHANGES

Five. ALLOW EXTRA TIME

Six. AVOID DISTRACTIONS

Seven. SIT FACE-TO-FACE

Eight. EYE CONTACT

Nine. USE SIMPLE WORDS

Ten. ONE TOPIC AT A TIME

Eleven. WRITE DOWN INSTRUCTIONS Written instructions are useful because patients can review them later.

Twelve. USE PICTURES AND MODELS

Thirteen. TEACH-BACK METHOD

Fourteen. VERBAL COMMUNICATION

Fifteen. THERAPEUTIC COMMUNICATION

Sixteen. NONVERBAL COMMUNICATION

Seventeen. TONE OF VOICE

Eighteen. BODY LANGUAGE

Nineteen. PERSONAL SPACE

Twenty. GESTURES

Twenty-one. FACIAL EXPRESSIONS

Twenty-two. TOUCH

Twenty-three. COMMUNICATION WITH A PERSON WITH DEMENTIA

IMPORTANT PHILIPPINE LAWS

One. Republic Act No. three hundred forty-four

Two. Republic Act No. seven hundred forty-three two

Three. Republic Act No. eight hundred forty-two five - Social Reform and Poverty Alleviation Act

Four. Republic Act No. nine hundred ninety-nine four - Expanded Senior Citizens Act of twenty ten

Five. Republic Act No. ten thousand one hundred fifty-five - General Appropriations Act of twenty twelve

Six. Republic Act No. ten thousand six hundred forty-five - Mandatory PhilHealth Coverage for Senior Citizens

Seven. Republic Act No. ten thousand eight hundred sixty-eight Centenarians Act of twenty sixteen

Eight. Presidential Proclamation No. four hundred seventy, Series of nineteen ninety-four

Nine. Presidential Proclamation No. one thousand forty-eight, Series of nineteen ninety-nine

Ten. Executive Order No. one hundred five, Series of two thousand three

Important terms:

Eleven. Philippine Plan of Action for Senior Citizens twenty eleven to twenty sixteen

Two. PHARMACOLOGY AND OLDER ADULTS

Three. FACTORS AFFECTING MEDICATION RESPONSE

Examples:

Six. Race or ethnic background

Four. AGE-RELATED PHARMACOLOGICAL CHANGES

Five. MEDICATION ERRORS

Six. ADR versus ADE

Seven. FACTORS INCREASING THE RISK OF ADE

Eight. OTHER FACTORS THAT INCREASE ADE RISK

Nine. BEERS CRITERIA

Ten. ANXIOLYTICS AND HYPNOTICS

Eleven. LONG- AND SHORT-ACTING

Twelve. ANTIDEPRESSANTS

Tricyclic antidepressants (TCAs)

Fourteen. THE THREE D's FOR ANTIPSYCHOTIC USE

Fifteen. CARDIOVASCULAR MEDICATIONS

Sixteen. ANTIMICROBIALS

Seventeen. NONPRESCRIPTION / OTC

Eighteen. SLEEP AND OLDER ADULTS

XIX. BIOLOGIC BRAIN FUNCTIONS RESPONSIBLE FOR SLEEP

XX. AGE-RELATED CHANGES IN SLEEP

XXI. ADDITIONAL AGE-RELATED SLEEP CHANGES

XXII. NERVOUS SYSTEM CHANGES AND SLEEP

XXIII. SLEEP REQUIREMENTS

XXIV. CAUSES OF SLEEP DISRUPTION

XXV. STAGES OF SLEEP

Stage Two - Medium/Deeper Sleep Characteristics:

Stage Three - Medium Deep Sleep Characteristics:

XXVI. REM SLEEP

XXVII. FACTORS AFFECTING SLEEP

XXVIII. MEDICATIONS AND SLEEP

XXIX. SLEEP DISORDERS

Overview

The document outlines essential communication practices for nurses dealing with older adults, focusing on overcoming common challenges like hearing and vision impairments. It emphasizes techniques such as active listening, the use of visual aids, and the importance of allowing extra time for responses.

Key Points

1Effective communication with older adults requires active listening and respect for personal space
2Nurses should adapt their communication style to accommodate age-related challenges such as hearing loss
3The teach-back method is a valuable technique to ensure patient understanding
4Nonverbal cues are critical in establishing rapport and trust with elderly patients
5Written instructions and visual aids can significantly enhance patient comprehension

Details

Category: Health and Medicine

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