NUR1 220 Lecture Notes - Hearing Aid, Dementia, Eye Contact

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Responding to Special Needs
Strategies with Hearing Changes
- Use patient’s name
- Hearing abilities of both ears
o Speak to one side if it’s better
- Speak distinctly but in a normal voice
- Don’t speak too fast
- Lower if high pitched
- Gestures and facial expressions should be used
- Help adjust hearing aids
- Don’t talk with hands in from of mouth/ with food/with gum in
the mouth
- Decreases background noises
- Get feedback
Vision:
- Have eyeglasses in place
- Id yourself by name/ initial conversation
- Stand in front of the client and use head movements
- Explain all written info
o Ask for feedback
- Provide appropriate lighting and other visual aids
- Remove hazards
- Transporting a client = tell client and describe where you are
going and verbally describe landmarks
Assessing functional ability:
- By explaining and clarifying values, make choices and take
action = they get a better understanding of the client
- Give client responsibility for choices and goal setting in health
care
- Help client link principles of coping in the past = individual care
- Promote independence
o Choice about their bedtime
o Respecting choices in food selection
o Chair risers
o Safety modifications
o Include them in decision-making
Acting as the Client’s Advocate
- Introducing the need for external supports without first
building rapport and helping the client establish a sense of
his/her personal strengths
o It is counterproductive
o Therefore you must reframe
- NB: Freedom and protection
o Storytelling = learn about their early life and important
relationships
Blocks to Communication
- Offers problems by communication mistakes:
o Offering cliché reassurances
Instead: I have some time, would you like to talk?
o Offering advice
Instead: explore options
o Answering your own question/not waiting for an
answer
Remember: they are still cognitively intact
o Giving excess praise/reprimands
Doesn’t allow the older adult to ask
questions/raise concerns about their treatment
Instead: ask if they have further concerns
Don’t reprimand /scold
o Depending against a complaint
Discover the underlying meaning of the
comment
o Using parenting approaches/behaviour
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Document Summary

Hearing abilities of both ears: speak to one side if it"s better. Gestures and facial expressions should be used. Don"t talk with hands in from of mouth/ with food/with gum in the mouth. Stand in front of the client and use head movements: ask for feedback. Provide appropriate lighting and other visual aids. Transporting a client = tell client and describe where you are going and verbally describe landmarks. By explaining and clarifying values, make choices and take action = they get a better understanding of the client. Give client responsibility for choices and goal setting in health care. Promote independence: choice about their bedtime, respecting choices in food selection, chair risers, safety modifications. Introducing the need for external supports without first building rapport and helping the client establish a sense of his/her personal strengths. It is counterproductive: therefore you must reframe. Nb: freedom and protection: storytelling = learn about their early life and important relationships.

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