SPA MIDTERM Flashcards

1
Q

Define Therapeutic Communication and list the 3 main purposes

A

Communication between healthcare professionals and the patients that takes place to advance patients wellbeing
- Support
- Clarity
- Empathy
1. Collect healthcare-related info
2. Provide feedback in the form of healthcare related info education
3. Assess the patient’s behavior and modify it when needed

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2
Q

Define Communication. What are the 5 Steps of the Communication Process?

A

The successful transfer of a message meaning from one person or group to another
- for transfer to be successful both must agree on the meaning and what is being communicated
1. Sender has an idea to communicate
2. The sender encodes the idea into a message
3. message travels across a channel
4. Receiver decodes the message
5. The receiver understands the message and sends feedback to the sender

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3
Q

What is noise as discussed in Communication Skills for the Healthcare Professional? Provide
examples

A

Noise is anything that inhibits communication
- Bad lighting, competing stimuli
- sight or hearing impaired
- pain or discomfort not allowing for active listening

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4
Q

What % of communication is nonverbal?

A

70%

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5
Q

What are the functions of nonverbal communication?

A
  • Reinforces what was said in words
  • Contradict the verbal message
  • Convey emotions
  • Communicates attitudes
  • Reinforces relationship/ provides feedback
  • Regulate flow
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6
Q

What are general tips for improving interactions with older adults?

A
  • Recognize the tendency to stereotype older adults, then conduct your own assessment
  • Avoid speech that might be seen as patronizing to an older person (elder speak)
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7
Q

What are general tips for improving face-to-face communication with older adults?

A
  • Monitor and control your nonverbal behavior.
  • Minimize background noise.
  • Face older adults when you speak with them, with your lips at the same level as theirs.
    -Pay close attention to sentence structure when conveying critical information.
    -Use visual aids such as pictures and diagrams to help clarify and reinforce comprehension of key points.
  • Ask open-ended questions and genuinely listen
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8
Q

What are the tips for optimizing interactions between healthcare professionals and older
patients?

A
  • Express understanding and compassion to help older patients manage fear and uncertainty related to the aging process and chronic diseases
  • Ask questions about an older adult’s living situation and social contacts
  • Include older adults in the conversation even if their companion is in the room
  • Customize care by seeking info about older adult’s cultural beliefs and values pertaining to illness and death
  • Engage in shared decision-making
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9
Q

How is a generation defined?

A

Events/conditions each member of the generation experienced during formative years that help define who they are/how they see the world

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10
Q

What are the names of the 5 most common generational categories?

A

Traditionalists(1928-1945)
Baby Boomers(1946-1964)
Gen X (1965-1980)
Millennials (1981-1996)
Gen Z (1997-2012)

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11
Q

When it comes to communication, what are the preferred forms of communication discussed
for each generational category? Compare and contrast their communication styles.

A

Traditionalists: Face to face, formal letter, landline
Baby Boomer: face to face but willing to text/email, phone
Gen X: email or text
Millenials: online/mobile, text, social media, email
Gen Z: FT, hand held

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12
Q

What are the generational similarities that we discussed in class?

A
  • Wants respect
  • Adverse to change
  • Desire to learn
  • Likes feedback
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13
Q

Is there a relationship between generation and gender roles? If so, how and what effect do they
have? Which generation is the first generation of the so-called ‘digital natives’ who have grown
up with highly interactive digital communication tools? How might that impact this group in the
workplace, specifically in healthcare when caring for people older than them?

A
  • Roles have changed throughout the generation
  • Newer generations are more flexible with gender roles
    -More balance between feminine and masculine thinking
  • Millennials are digital natives, which makes them ambitious and good at multi-tasking in the workforce
    -Impact of using tech and older adults
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14
Q

What is a disability?

A

Any condition of the body or mind that makes it more difficult for a person to do certain activities and interact with the world around them

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15
Q

What are the 6 types of functional disability that affect older adults (per CDC)?

A
  • Mobility: serious difficulty walking/climbing stairs
  • Cognition: Serious difficulty concentrating, remembering, making decisions
  • Independent living: Difficulty living alone

-Hearing: Deafness or difficult hearing

  • Vision: Blindness or serious difficulty seeing

-Self-care: Difficulty dressing and bathing

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16
Q

What is the percentage of adults in the US that have some type of disability?

A

26% or 1 in 4 adults

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17
Q

What is Relocation Stress Syndrome?

A

A set of symptoms that occur when an individual moves from one environment to another, these symptoms can influence behavior, mood, and physiological well-being

  • Pre-mature death
  • Increased depression
  • Psychological distress
    -Dissatisfaction with Move
  • Withdrawal from social interactions
  • Decline in emotional/physical/psych well-being
    -Cognitive decline
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18
Q

Communication Accommodation Theory (CAT)

A

Model for explaining the process behind communicative interaction
(speaker + listener accommodate to each other’s communication pattern)

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19
Q

CAT over and Under accomodation

A

Over: “going too far”
under: speaker does not accomodate

20
Q

How does CAT intersect/apply with intergenerational communication?

A

can lead to disconnect and poor communication between generations
can lead to self-helplessnes

21
Q

What are the elements of Patronizing Speech?

A

-Simplified Grammar
-Simplified Vocabulary
-Endearing terms
-High variable pitch and reduced rate
-Increased volume
- Repetition

22
Q

What is the Communication Predicament of Aging (CPA) Model?

A

Idea of overaccomodation expande d, broader picture of bad communication

23
Q

What are the components of the model and the impacts it can have on older adults?

A

Encounter older adult - recognition of old age cues- stereotyped expectations- modified speech- reinforcement of behavior and strained communication- loss of personal control and self esteem- changes- old age cues

Limits interaction and leads to self helplesness

24
Q

What is Healthy Aging?

A

The development and maintenance of optimal physical, mental, spiritual, and social well-being and function in adults.

25
Q

What is Pathological Aging?

A

Changes that occur because of age-related disease, as distinct from changes associated with normal healthy aging

26
Q

Aging

A

The process of growing old, regardless of chronological age

27
Q

Senescence

A

A term used to describe the group of deleterious effects that lead to a decrease in the efficient functioning of an organism with increasing age and increased probability of death

28
Q

Senility

A

Refers to the physical and mental deterioration often associated with age

29
Q

Elderly

A

Describes a person who is 60-75 years by WHO

30
Q

Old/ very old

A

Old: Describes a person who is 76-90

Very old: 90+ years

31
Q

Gerontology

A

Scientific study of the process of aging

32
Q

Geriatrics

A

health care delivery for the elderly

33
Q

Longevity

A

refers to the duration of the life of an individual

34
Q

Demography

A

Scientific study of the human population

35
Q

What are ADLs and IADLs? Define and provide examples.

A

ADLs: Activities of daily living
- Bathing
- brushing teeth
-dressing
-eating

lADLs: instrumental activities of daily living (independent living)
-shopping
-cleaning
-cooking
-socializing

36
Q

What is Functional Health status? Define it and provide the domains.

A

optimal balance between human domains
- physical
- psychological
-socioeconomic

37
Q

What is primary aging? What is secondary aging? Provide examples

A

Primary: Occurs as a normal consequence of physical aging

Secondary: Common disease conditions that occur with increased frequency

38
Q

Primary Aging

A
  • Loss of muscle
  • Increase of adipose tissue
  • loss of bone minerals
  • decrease in height due to compression of the vertical column
  • decrease weight due to loss of muscle mass
  • loss of elasticity of muscles, ligaments etc
  • loss of joint flexibility
39
Q

Secondary Aging

A
  • Arthritis
  • Bursitis
  • Fractures, dislocations
  • osteopersois
  • rheumatism
  • spinal stenosis
    -tendonitis
40
Q

The GSA discussed changes associated with normal and pathological aging. What are the
primary changes (categories) and provide examples of how aging impacts these changes.

A
  1. normal aging
  2. pomological or disease processes
  3. interplay among these processes with the addition of environmental influence to which one is exposed
41
Q

Presbycusis

A

Bilateral age-related hearing loss
- may make it hard for a person to tolerate loud sounds or to understand what people are saying

42
Q

What are the age related disorders to the visual system? And what are the general/behavioral
implications with changes in vision with aging?

A

-Presbyopia: Cornea becomes thicker and less curved with age affecting its refraction ability
-Arcus semilis: iris color fades
-ptosis: drooping eyelids
-cataracts: cloudy lens
-glaucoma: damage to optic nerve
-Macular degeneration: destroys sharp central vision
Diabetic retinopathy
Myopia

43
Q

What are the 5 tastes currently recognized?

A

-sweet
-salty
-bitter
-sour
-unami

44
Q

What are the age-related changes in taste associated with
aging?

A
45
Q

How do taste and smell work together?

A
46
Q
A