Communicating With The Older Adult

Question 1

Four steps/goals to therapeutic communication

Answer 1

1. Pre-interaction
2. Orientation
3. Working
4. Termination

Question 2

What happens during pre-interaction phase

Answer 2

• review available data (medical, nursing, history)
• talk to other caregivers who have info abt pt
• anticipate health concerns that may arise
• identify location for interaction
• plan enough time for initial interaction

Question 3

What happens during orientation phase

Answer 3

• set tone for relationship
• closely observe pt (except to be observed too)
• begin to make inferences about pt’s messages
• assess health status
• prioritize problems and identify goals
• clarify roles of nurse and pt
• let pt know when relationship is expected to end

Question 4

What happens during working phase

Answer 4

• encourage/help pt express feelings about health
• encourage/help pt to explore own feelings/thoughts
• provide info to help pt understand and change behaviour
• encourage/help pt to set goals
• take actions to meet goals
• use appropriate self-disclosure/confrontation

Question 5

What happens during termination phase

Answer 5

• remind pt relationship termination is near
• evaluate goal achievement with pt
• reminisce abt relationship with pt
• separate from pt by relinquishing responsibility for their care
• facilitated smooth transition for pt to other care givers

Question 6

ADPIE: assessment communication

Answer 6

Physical/emotional factors
Developmental factors
Sociocultural factors

Question 7

ADPIE: diagnosis communication

Answer 7

Priority problem: ex impaired verbal communication related to body systems and UNs

Question 8

ADPIE: planning communication

Answer 8

-Goals and outcomes (pt) ex: pt will demonstrate effective communication evidenced by verbally telling nurse needs
-setting priorities (tasks/interventions of nurse) ex: nurse will perform hourly rounds during shift and use active listening , ensure call bell is present…

Question 9

ADPIE: implementing communication techniques

Answer 9

16 techniques

Question 10

ADPIE: evaluate plan of care and communication

Answer 10

Determine if plan of care was successful and make personal reflections (nurse)

Question 11

Considerations for communicating with older adults

Answer 11

Sensory changes, neurological deficits (strokes), psychosocial deficits (depression), cognitive deficits