communication exam 2-communicating w older adults and communication techniques 3

Erikson stage 8- old age

Integrity vs despair

Look back on life and see they’ve done good things

If met wisdom develops

What is old

Young old: 65-74

Old old- 75-84

Oldest old: 85+

Presbycusis

Stiffening/ degeneration of ear structures

Presbyopia

Not being able to see to read

Cannot accommodate between near and far

Age related macular degeneration

Still have peripheral vision but has front blind spot

Aphasia

Unable to speak

Expressive aphasia

Can’t find correct words

Can’t organize words into meaningful phrases

Receptive aphasia

Have trouble processing what they hear

Have problems following directions, reading, writing

Global aphasia

Cannot process or express their thoughts

Dementia behavioral communication interventions

Agitation- remove cause, use simple repetitive activities, music

Aggression- decrease stimuli, respect space, minimize cause

Withdrawal- simple activities, simple socialization

Signs of impending death

Pain intensifies

Fatigue, breathlessness, tiredness

Coma

Palliative care

Not just end of life

Optimize persons quality of life increase quality of life, decrease suffering

Acute grief

Very intense feelings

Usually short lived

Traumatic/sudden death

Anticipatory grief

Occurs before the actual death

Feelings are ampbivalent (roller coaster)

Chronic sorrow

General feeling of being sad

Ongoing living loss that is permanent and cyclic in nature

Complicated grieving

Lasts longer than 12 months

Intense expression of grief

Feel like life has ended

Kubler Ross 5 stages of grief

Denial

Anger

Bargaining

Depression

Acceptance

Kubler Ross 5 stages of grief- denial

Initial thought of this is not happening

Living inn preferred reality

Healing process begins after

Kubler Ross 5 stages of grief- anger

The why me phase

Let them know it’s ok to be mad

Kubler Ross 5 stages of grief- Bargaining-

asking for more time

You change this i change that

Kubler Ross 5 stages of grief- depression

Total reality of yes this is happening to me

Mood swings

“What’s the point”

kubler Ross 5 stages of grief- Acceptance

Come to terms

I know I’ll be ok

Emotions stabilize

Lindeman’s grief work

Grief may occur immediately but it can be delayed

Open communication, honesty, emotional expression

Exaggerated or absent grief symptoms are considered complicated grief

Move thru grief and back into life again

Engles grief constructs

3 phases:

Shock and disbelief (may see/hear things, altered experience)

Developing awareness (slowly, decrease energy

Restitution (become accustomed to life without the deceased)

Disenfranchised grief cumulative effect

Buildup of grief overtime that a person doesn’t express

Minimized/ignored loss

Feel like they can’t mourn

Infants

Trust vs mistrust

Kinesthetic communication

Toddlers development

Autonomy vs shame and doubt

Wants to do it themselves

Preschool development

Initiative vs guilt

They need to try new things

Pre operational thinking

School age development

Industry vs shame/doubt

Concrete operational thinking

Strong sense of justice and rule following

Adolescence development

Identify vs role confusion

Peer influence

Develops a sense of who they are

Young adult development

Intimacy vs isolation

Middle age development

Generativity vs stagnation

Balancing family and career

Authoritarian parenting

Produces fearful children

Authoritative parenting

Produces well adjusted, self-reliant child

Permissive parenting

Delinquency and difficulty coping w adversity

Indifferent parenting

High degree of delinquency; maladaptive coping behaviors

Old age development

Integrity vs despair

Dementia

Aphasia

Catastrophic reactions

Wandering

Withdrawing

Agnosia