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NUR1 220 (14)

therapeutics 36 - Responding to Special needs.docx

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NUR1 220
Sonya Laszlo

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