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

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

24
injury that causes the brain cell death; losses tend to be permanent and stable
Head Trauma
25
_ 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
Alzheimer's, dementia
26
brain diseases, particularly dementia cause many different types of disability along with loss of language; taking time to understand and declining memory
Multiple factors
27
Skills and Techniques
- Acknowledgement - Participation - Engagement
28
is accomplished by interviewing the client and observing his or her behaviors
Mental Health Screening
28
Comprehensive Geriatric Assessment include three assessments:
1. Mental Health Screening 2. Assessment of Activities of Daily Living 3. Assessment for Depression
29
important verbal and behavioral clues about mental status can be assess throughout the entire duration of your interaction with the client
Mental Health Screening
30
Assessment of Mental Health Status include:
- Biographical Data - History of Present Health Concern - Lifestyle and Health Practices
31
Assessment of Mental Health Status uses:
Mental Status (SLUMS) Examination
32
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
Functional Assessment
33
focus primarily on household chores such as, cooking, cleaning, laundry
Instrumental Activities of Daily Living
34
mobility related activities such as, shopping and transportation
Instrumental Activities of Daily Living
35
Cognitive abilities such as money management, using the telephone and making decisions affecting basic safety and social needs
Instrumental Activities of Daily Living
36
Assessment of Activities of Daily Living uses:
Kaltz Basic Activities of Daily Living (ADL) Scale
37
_ 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
Depression
38
is widely used by nurses to assess symptoms of depression
Geriatric Depression Scale (GDS)
39
A score of 0-30 is possible 0-9 being normal 10-19 indicating mild depression 20-30 indicating severe depressive symptoms
Geriatric Depression Scale (GDS)