,Care of the older Adult.
#1 Competency 742.1.1: Compassionate and Respectful Care of
OlderAdults
• How do you define Baby
Boomers?Born between 1946-
1964
• What are the five racial groups listed in text?
European Americans, African Americans, Hispanic Americans, Asian
Americans,and Native Americans.
• How would you perform discharge teaching to an Hispanic patient?
Involve family
response to disagreement may be silence and non-compliance
• How would you perform discharge teaching to a European
Americanpatient?
possibly not as many close
family tiestrust in
science/medicine
• How would you perform discharge teaching to an Asian American
patient?more closer to western, with emphasis on science
health philosophy balance between individual and
worldtraditional medicine focuses on regaining
balance
• How would you perform discharge teaching to an African American
patient?
include religion and spirituality, include family, account for distrust of medicalcommunity
,d/t hx of discrimination
, • How would you perform discharge teaching to a Native
American patientNatualistic/magic approach
Issues of trust with providers
• What is the concept of individualized care?
the standard of practice with older adults, considering the right care, at the
righttime, in the right place and by the right provider of care.
• What are some visual changes related to aging?
lens changes in color (more yellow), more opaque, denser, thinner and less
flexible
• pupil/iris- does not dilate as fully (more difficult to see in lower light) or
contractas quickly (prob. sudden illumination
• What are some communication accommodations that can be made for
visualdeficits?
Position objects within visual field
• verbal indications of actions about to impart
• Large print type
• avoiding dim-illumination or glare
• What are some hearing changes related to aging?
decreased sensitivity to pitch, with high-pitched consonants lost first (t, p, k,
f, s,and ch)
• Conductive problems - reduction of sound transmission - wave
blocked fromouter to inner.
• Sesorinueral - sound wave transmission interrupted from inner ear to
auditorycortex (possible damage to choclea and/or auditory nerve).
• What is presbycusis?
Old man's hearing - Presbycusis occurs following loss of hair and supporting
cellsand nerve fibers in the cochlea.