Communication With Older Adults/ Motivational Interviewing Flashcards

1
Q

True or false: Disease and Pain are inevitable with old age

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

True or False: Older adults are abandoned, mistreated and lonely

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or False: Depression, Cognitive Impairment are to be expected

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True or False: Receiving 12 medications are Normal for older adults

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

True or False: Older Adults are chatty and will talk your ear off

A

Stereotype

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 Physiologic Barriers when communicating with Older Adult

A

1- hearing impairment
2- vision impairment
3-Cognitive impairment ( memory and learning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

3 Physiologic barriers regarding vision changes with Aging

A
  • reduced color sensitivity
  • ⬆️sensitivity to glare
  • reduce Visual field and Acuity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why does perception of colors and texture changes

A

Because LENS opacity changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What color range do older older have difficulty discerning

A

Green- blue-violet range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name 3 strategies for visually impaired adults

A

1- large type for RX labels ( leave of glossy tape)
2- handouts - large print
Contrasting background
Non glare finish ( black print on pastel paper)
3- Read aloud instructions on OTC labels
Key instruction larger font

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What can you do specifically if you give written information to visually impaired elders to help reinforce information?

A

Pair a Sense with a Sense - written format ( seeing) with verbal (hearing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is smallest font size you should use in power point presentation

A

18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do we need for visual acuity ( ability)?

A

More light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

3 points for visual acuity

A

⬇️ability to see fine detail
⬇️ability to distinguish depth
⬇️ability to adapt to brightness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the difference between aging eyes and disease of cataracts

A

A healthy lens allows ALL of incoming light to generate clear image and cataracts scatter the incoming light resulting in hazing and lack of light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4 strategies for reduced visual field and acuity

A

1- bright light
2-color code medication container
3- encourage divided pill containers
4-introduce yourself each time you meet facing them directly

17
Q

With hearing loss which pitch do we lose first and who represents that pitch

A

High pitch is lost first ( women have high pitch voices)

18
Q

Memory and learning decline with age mostly do to what

A

Slowing of cognitive processes ; it takes longer to learn new information and respond to questions

19
Q

3 strategies for memory and learning

A
  • categorize info
    First, then next
    -make info as concrete w/ specific instructions ( visual aid, demonstration)
    -help identify events that occur consistently in Daily routines that can be CUES when to take medication
20
Q

Which type font is best for Older population and why and 2 examples

A

Serif typeface -because it has an illusionary tail which guides the reader from one letter to the next
Examples:Times New Roman and Georgia

21
Q

What 3 color to avoid in formatting

A

Yellow, blue and green

22
Q

Limit use of what 3 things in formatting

A

Bold , italics, underlining

23
Q

What to consider with letters

A

Do not use all CAPITAL LETTERS or all small letters

24
Q

Name 7 things which motivational interviewing is successful

A

1-Medication adherence
2-Entering in, staying in and completing Rx
3-adherence to glucose monitoring and improve glycemic control
4-⬆️exercise
5- reduce sodium intake, unprotected sex, and needle sharing
6-decrease alcohol and illicit drug use
7-quit smoking

25
How does motivational interviewing works?
By activating patients' Own motivation for change and adherence to tax
26
Define motivational interviewing
A GENTLE, Client-centered counseling approach that uses Patients' OWN motivation and commitment to explore and resolve their Ambivalence about the behavior change
27
Name 4 principles of motivational interviewing
R- resist the righting reflex ( resist the thought to correct a misgiving and Listen instead)/ Roll with resistance U - understand the patients motivations L- listen with empathy E- empower the patient/ support self sufficiency
28
With Motivational interviewing Who is the primary source in finding answers and solutions ?
The patient
29
What type of listening that causes you to listen to the patient rather than formulate a plan
Reflective listening
30
How many levels of reflective listening and name each on
3 Level 1 : repeat Level 2: rephrase Level 3: paraphrase
31
Name 4 paraphrasing techniques and example of each
1- continuing 2- amplified reflection ( use this one with caution) 3- double sided reflection 4- metaphor and simile - COPD patient says he have a hard time breathing and you say " it feels like you're climbing up a mountain
32
Who is responsible for CHOOSING and carrying out change
The patient
33
Name an important patient motivator of change
A patients belief in the possibility of change
34
Motivational interviewing involves what % patient and what % provider
70% patient | 30% provider
35
Is sympathizing with patient good and why?
It can be dangerous because changes the focus from patient to yourself
36
3 concepts of readiness ruler and scale
Readiness - how ready are you Importance- how important is it to you Confidence-how confident are you that you can make this change Scale from 1 to 7
37
What purpose do we listen with empathy
To elicit CHANGE TALK