F. Comprehensive Geriatric Assessment & G. Communicating with Older Persons Flashcards

1
Q

is a complex process of sending and receiving verbal and non-verbal messages

A

Communication

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2
Q

it allows for an exchange of information and an expression of feelings, needs and preferences

A

Communication

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3
Q

_ is a two-way street

A

Communication

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4
Q

the speaker and listener are both responsible for improving the way they communicate with each other

A

Communication

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5
Q

Types of Communication

A

Verbal
Non-verbal

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6
Q

conscious use of spoken words

A

Verbal

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7
Q

characterized as simple, brief, clear, well-timed, relevant & credible

A

Verbal

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8
Q

use of gestures, expressions and behaviors or body language

A

Non-verbal

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9
Q

we communicate non-verbally through:

A
  1. Physical Appearance
  2. Posture gait
  3. Facial expression
  4. Gestures
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10
Q

are complex issues even under the most well-meaning circumstances

A

Information sharing

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11
Q

Information sharing:

A
  1. Elders & caregivers have different perspective
  2. Unintended consequences from family access to medical information
  3. Proper use of information
  4. Gradual transfer of control depending on health & functional status
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12
Q

involves a specialized approach used by healthcare providers and caregivers, ensuring their emotional well-being.

A

formal or therapeutic communication

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13
Q

examples of therapeutic communication

A
  1. Active listening and validation
  2. Non-verbal comfort
  3. Using simple language
  4. Reminiscing
  5. Offering choices
  6. Reassurance
  7. Art and creativity
  8. Sensory Stimulation
  9. Reality Orientation
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14
Q

this is casual communication between coworkers and patients to form social interaction outside the normal comfort zone

A

informal or social communication

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15
Q

Changes in _ and _ are most likely to affect communication, but other losses may affect how we think about older adults.

A

hearing and vision

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16
Q

five senses that tend to decline:

A

Hearing
Vision
Smell and taste
Touch
Reaction time slows

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17
Q

a medical term that is used to mean that a person has difficulty speaking because they aren’t able to form (articulate) the words

A

Dysarthria

18
Q

Loss of teeth may impair speech; medication effects that decrease saliva can cause “dry mouth” may interfere

A

Oral health

19
Q

several different types of brain disease and injury may result in loss of language

A

Brain Injury

19
Q

inadequate “wind” or respiratory capacity to speak can make the person difficult to hear or understand

A

Lung Disease

20
Q

the medical term that is often used for disease-related loss of language; may be either receptive and expressive; type of impairment includes the loss of ability to name items, put together sentences, understand and act on what is heard and read or write

A

Aphasia

21
Q

involves the loss of ability to express oneself through speech

A

Expressive aphasia

22
Q

involves the loss of ability to understand the spoken word

A

Receptive aphasia

23
Q

cardiovascular accident (CVA), commonly called _, destroys the brain cells in specific areas of the brain; losses tend to be stable; may create either receptive or expressive aphasia

A

stroke

24
Q

injury that causes the brain cell death; losses tend to be permanent and stable

A

Head Trauma

25
Q

_ and other types of _ destroy brain cells gradually with loss of language occurring over time losses are permanent and interfere with every aspect of person’s ability to communicate

A

Alzheimer’s, dementia

26
Q

brain diseases, particularly dementia cause many different types of disability along with loss of language; taking time to understand and declining memory

A

Multiple factors

27
Q

Skills and Techniques

A
  • Acknowledgement
  • Participation
  • Engagement
28
Q

is accomplished by interviewing the client and observing his or her behaviors

A

Mental Health Screening

28
Q

Comprehensive Geriatric Assessment include three assessments:

A
  1. Mental Health Screening
  2. Assessment of Activities of Daily Living
  3. Assessment for Depression
29
Q

important verbal and behavioral clues about mental status can be assess throughout the entire duration of your interaction with the client

A

Mental Health Screening

30
Q

Assessment of Mental Health Status include:

A
  • Biographical Data
  • History of Present Health Concern
  • Lifestyle and Health Practices
31
Q

Assessment of Mental Health Status uses:

A

Mental Status (SLUMS) Examination

32
Q

is an evaluation of the persons ability to carry out the basics self care activities of daily living, such as bathing, eating, grooming and toileting

A

Functional Assessment

33
Q

focus primarily on household chores such as, cooking, cleaning, laundry

A

Instrumental Activities of Daily Living

34
Q

mobility related activities such as, shopping and transportation

A

Instrumental Activities of Daily Living

35
Q

Cognitive abilities such as money management, using the telephone and making decisions affecting basic safety and social needs

A

Instrumental Activities of Daily Living

36
Q

Assessment of Activities of Daily Living uses:

A

Kaltz Basic Activities of Daily Living (ADL) Scale

37
Q

_ is the most common mental health problems among older adults and it goes undetected because clinicians attribute depressive symptoms to age associated changes, chronic physical illness, medication side effects

A

Depression

38
Q

is widely used by nurses to assess symptoms of depression

A

Geriatric Depression Scale (GDS)

39
Q

A score of 0-30 is possible
0-9 being normal
10-19 indicating mild depression
20-30 indicating severe depressive symptoms

A

Geriatric Depression Scale (GDS)