Week 6 - Communication with Persons LWD

Question 1

What should you recognize when communicating with persons LWD?

Answer 1

• impaired communication can lead to misinterpretation

Question 2

What can persons LWD experience in terms of communicating? (3)

Answer 2

• experience both receptive and expressive communication
• Have difficulty word finding
• Understand more than what health professionals think

Question 3

What does the nurse need to do when communicating with people LWD? (2)

Answer 3

• Have special skills to communicate with a person LWD (see text)
• recognize that they are trying to impart an important message

Question 4

What are 4 useful strategies for communication?

Answer 4

• simplification
• facilitation
• comprehension
• supportive strategies

Question 5

What are some simplification strategies? (5)

Answer 5

• step by step directions
• give them time
• speak slowly
• allow time for response
• reduce distractions

Question 6

What are some facilitation strategies? (4)

Answer 6

• helping them
• not just taking over
• using who you are to help them; sharing yourself
• let them guide (ie. discussions)

Question 7

What are some comprehension strategies? (3)

Answer 7

• making sure you recognize they have cognition issues
• keep them aware of where they are in the world
• listen to them (ie. upset bc they have not seen daughter might mean they are lonely)

Question 8

What are some supportive strategies?

Answer 8

• ensure hearing aides, glasses on, introduce yourself

Question 9

Receiving a life story from an older adult is important. What are the benefits of reminiscing? (3)

Answer 9

• A sense of security through recounting the comforting memories
• sense of belonging through sharing
• self esteem through the confirmation of uniqueness

Question 10

Why are life stories an important psychological task for the older adult? (3)

Answer 10

• provides a pleasurable experience
• increases socialization
• provides cognitive stimulation and improves communication

Question 11

Conveying personhood is person-centered values. Person centred care = VIPS. What does it stand for? (4)

Answer 11

• Values the person regardless of age or health status
• Is individualized care
• emphasizes the Perspective of the person
• Creating a positive social environment and care that promotes building relationships

Question 12

What is the goal of therapeutic communication? (3)

Answer 12

• important part of healing process
• goal is to recognize personhood
• recognize personhood is person-centered care

Question 13

What are important qualities of therapeutic communication for personhood? (4)

Answer 13

• staying close to the patient
• using touch that is comfortable to the patient
• focusing on care and the person’s experience
• being flexible ans adjusting to the resident

Question 14

What are person-centered care goals in caring for the older adult with dementia?(6, 8)

Answer 14

1. Nurture the personhood of the individual
   - supports the needs they have as social beings
2. Maintain quality of life
3. Maintain function and
4. Prevent excess disability
5. Maintain an stable environment and relationships
6. compensate for losses associated with diseases
   - more sensitive to rreal environments

Question 15

What principle can we use to promote personhood in person-centred care?

Answer 15

focus on how care is done, not on what is done