Solutions
Know how nurses should manage communication with patients
with deficits. Speech/language deficit
-Use simple terms, touch, gestures, eye movement, squeezing of
the hand, speak slowly, give extra time to process and formulate
a response, do not interrupt, ask yes or no questions, use visual
cues, AAC devices, avoid continuous conversations.
Know how nurses should manage communication with patients
with deficits. Treatment related deficit
-Encourage patient to display pictures, reorient them to the
environment/time/place, ask many questions, provide
information about condition/process, reassure that cognitive and
psychological disturbances are common, give explanations
before procedures, make communication assistive devices
available, assess if your communication was successful by
having them signal back.
-If the patient is in a coma, never say what you wouldn't say in
front of them because hearing is the last sense to go and they can
still hear you!
How do children cope with hospitalizations, and how can a
nurse best communicate with children and different ages.
-Children cope by seeking cognitive understanding about their
disease, employing distractions, drawing, listening to music,
watching television, using electron devices, and playing.
, -Communication strategies: Let the child know you are
interested in them, convey respect and authenticity, let the child
know how to summon you, develop trust, used transitional
objects, respect their privacy, and accept their emotions.
-Age appropriate strategies:
*Infant/toddler: Touch.movement, soothing, voice, distraction,
nonverbal cues, and kinesthetics.
*Preschooler: Play, storytelling, and kinesthetics.
*School age: Mutual decisions and school work.
*Adolescent: Peer groups and appeal to interests.
What are learning needs of an older adult?
-Assess for cognitive changes, functional status, and pain.
-Empower and encourage older adults.
-Story sharing, life review, and reminiscence are communication
strategies.
-Health promotion needs to be modified to meet the unique
requirements of aging adults:
*Health promotion (flu shots)
*Health prevention (home assessments to prevent falls)
*Health education (healthy eating/exercise)
*Health preservation (Promoting optimal levels of function by
increasing control)
Review chapter 8, and understand communication in groups.