Lesson3-Post Assessment Activiy

Republic of the Philippines
BILIRAN PROVINCE STATE UNIVERSITY

(formerly Naval State University)
ISO 9001: 2015 CERTIFIED
School of Nursing and Health Sciences
NCM 412: Elective Course (Gerontological Nursing)
Lesson 3 Activity: Therapeutic Communication for Older Adult
NAME: Joy-Rena Sabinay Ochondra Year Level & Section: BSN-4A Date: 11/20/2020
I. CRITICAL THINKING EXERCISE
SITUATION: A student nurse on rounds enters a patient’s room and finds out an older woman,
Mrs. Hale, sitting comfortably in a wheelchair in no apparent distress staring out the window
with her back to the nurse. Based on the patient’s position and posture, the nurse may elect to
not speak or say anything. Shortly, the staff nurse enters the room and comments, “Mrs. Hale,
are you waiting for someone? Can I do anything to help you get ready for a visit?” Mrs. Hale
responds, “I’m waiting for my son. He is generally on time. I hope nothing bad has happened. I
would like to go to the bathroom before he arrives so I don’t have to worry about that during
his visit.”
1. What is the nurse’s most appropriate response in this situation?
The staff nurse’s most appropriate response in this situation is to use a simple verbal comment
to clarify the meaning of the patient’s nonverbal behavior and determine her next action. A
patient’s nonverbal communication can provide nurses insight into the person’s feelings and
emotions. Learning to read the patient’s nonverbal gestures is important for nurses.
2. Prior to arrival of the staff nurse, should the student nurse have done anything differently
during his rounds? If so, what must he has done?
The student nurse must be open the ideas of the patient and provide respect during the
conversation. Being silent, showing attentiveness, and listening to the patient are critical. Good
listening starts with allowing time for conversation to occur, when we are rushed it is difficult to
give the time and attention needed to truly understand the meaning associated with the words
spoken. Try to approach each conversation with an open mind and a willingness to listen.
Ground Floor Administration Building, Main Campus, P. Inocentes St., P.I. Garcia Naval Biliran Province, Philippines
6560. Tel. (053) 507-0014. SUC Level III-A (Per DBM-CHED Joint Circular #B dated June 21, 2007.
Website: www.bipsu.edu.ph Email: nursing@bipsu.edu.ph Facebook:
www.facebook.com/Bipsuschoolofnursingandhealthsciences
# WoWBiPSU
3. What nonverbal should the nurse include in her care of this woman?
Nonverbal communication on the part of the patient is also an important factor in therapeutic
communication in a health care setting. The nurse should include in her care by understanding
the patient, to enhanced when we share our interpretation with the patient, asking her to
validate our interpretation or clarify misinterpretations.
II. PERSONAL REFLECTION
1. Discuss how age differences between sender and receiver can have an impact on
communication.
Information and communication are not the same. Information is “What” we share, and
communication is “How” we share it. When interacting with older people, it is important to be
sensitive to how they prefer to communicate, learn and use information. Remember, the way
you communicate and learn may NOT be the same as people from a different generation.
Communication involves sending, receiving, understanding and utilizing information. Attitudes,
feelings and behaviors can cause breakdowns in communication between people of different
generations. Miscommunication can cause people to respond or react negatively. Additionally,
older people are sometimes left out of conversations, even when the issues impact them.
Regardless of the situation, a person may be at risk when information is not communicated well
or fully understood.
Many factors can lead to breakdowns in communication. Be aware of the following age related
issues:
 hearing impairment;
 declining sight or vision;
 declining memory and,
 inability to read or understand.
# WoWBiPSU
Other issues include:
 the type of information being shared,

 understanding of an issue or topic,
 the environment, and
 personal style, such as use of body language, tone of voice, choice of words, speaking
 pace and more.
Three elements of effective communication are:
1. ACKNOWLEDGEMENT- To acknowledge is “to take notice of or reply to.” Sadly, many older
people are not acknowledged when they need to be. Instead, they are overlooked, avoided and
talked down to.
2. PARTICIPATION- To participate is “to have a part or share in.” In addition to the factors listed
above, we need to be aware of issues that could affect a person’s ability to participate in a
conversation. Language and cultural backgrounds can present challenges. Imagine if your
primary language doesn’t match that of the person you are talking with and how disconnected
you might feel.
3. ENGAGEMENT- To engage is “to interest or involve.” We need to speak in a way that

encourages involvement and engages the older person in conversation. Be aware of your tone
and choose your words carefully. If a person feels threatened, embarrassed or offended, they
may shut down.
Older people are individuals with their own unique personalities. Some are quiet and
easygoing, while others are loud and assertive. Some listen and nod; others express concerns
and ask a lot of questions. As a result, do not expect all older people to act or respond the same
way. People also have different learning styles. Many older people are visual learners, meaning
they need to see or read something to understand and utilize it. Some are auditory learners,
meaning they learn by listening or hearing. Others are kinesthetic learners meaning they prefer
hands-on learning where they are taking notes or being shown how to do something.
# WoWBiPSU
2. You are a nurse admitting an 87-year old man accompanied by his wife who is in a
wheelchair. List nonverbal behaviors you may use during the admission interview to enhance
communication.
Nonverbal communication refers to behaviors or gestures that convey a message without the
use of verbal language. Nonverbal communication can either enhance the delivery of a message
or create a barrier to understanding. When we use eye contact in addition to a verbal greeting,
we are using a nonverbal gesture along with words to welcome the individual. When similar
verbal communication and nonverbal gestures are together, they can help us to deliver our
message and improve communications.
Vocal nonverbal communication refers to the tone, pitch, speech rate, or fluency of verbal
communication.
Nonvocal nonverbal communication refers to the use of facial gestures, body posture, eye
contact, and touch as a means of communication.
Open-Ended Questions for Starting a Conversation
Ask questions about the past. “Out of all the places you have lived, what made some better
than others?”
“Tell me about the places you have visited in your lifetime.”
“Tell me what kind of work you did and how you got into that field
of employment.”
“I see you have been coming to this hospital for a number of

years; can you tell me about these visits and how I can
make your stay more comfortable?”
“According to your records you have seen a number of our home

health staff; can you tell me about services you have
received?”
# WoWBiPSU
Ask personal questions. “Tell me about your family.”
“I see you have grandchildren. Can you tell me about them and
where they are located?”
“How did you meet your husband? Tell me about your courtship
and wedding.”
Inquire about what is new and different. “You have been coming to the clinic more often
this year; can you tell me why and what
changes have occurred?”
“Tell me about your session with the physical therapist

yesterday.”
“I see you have a new roommate; can you tell me how

things are working out between the two of you?”
“Tell me about the meals you are receiving.”
Ask about their hopes and dreams. “When you were younger what did you wish for?”
“What do you wish for your family?”
Talk about facts or mutually shared events. “Your physician just left; tell me about your
conversation.”
“I saw you were watching the news at
breakfast; tell me what’s going on in the world
today.”
Ask how and why questions. “I see you had quite a few children; how did you manage raising
them?”
“You are on a number of medications; tell me how you keep

track of what to take and when.”
“What do you do to stay so active?”
# WoWBiPSU
Reference current events that are meaningful to most people.
“This summer is so hot. What’s your favorite summer

experience?”
“Today is Valentine’s Day. Tell me about a special valentine in

your life.”
3. List terms or things that are part of your world but may be unfamiliar to older adults (e.g.
Spotify, Tiktok, MacBook, Androids)
 Older adults face a number of hurdles to adopting new technologies

 Smart phones
 Cell phones (android)
 E-Book
 Tablets
 Broadband
 Social Network Apps
 Other new technology that we use in daily lifestyle.
 Vocabulary
 Gay language
 Social Media terms (such as, OOTD, YOLO, NSBO and etc.)
# WoWBiPSU

Lesson3-Post Assessment Activiy

Hochgeladen von

Dokumentinformationen

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Lesson3-Post Assessment Activiy

Hochgeladen von

Copyright:

Verfügbare Formate

Republic of the Philippines

BILIRAN PROVINCE STATE UNIVERSITY

NCM 412: Elective Course (Gerontological Nursing)

Lesson 3 Activity: Therapeutic Communication for Older Adult

I. CRITICAL THINKING EXERCISE

1. What is the nurse’s most appropriate response in this situation?

II. PERSONAL REFLECTION

Other issues include:

 the type of information being shared,

Three elements of effective communication are:

3. ENGAGEMENT- To engage is “to interest or involve.” We need to speak in a way that

Open-Ended Questions for Starting a Conversation

“Tell me about the places you have visited in your lifetime.”

“I see you have been coming to this hospital for a number of

“According to your records you have seen a number of our home

Ask personal questions. “Tell me about your family.”

“Tell me about your session with the physical therapist

“I see you have a new roommate; can you tell me how

“Tell me about the meals you are receiving.”

“You are on a number of medications; tell me how you keep

Reference current events that are meaningful to most people.

“This summer is so hot. What’s your favorite summer

“Today is Valentine’s Day. Tell me about a special valentine in

 Older adults face a number of hurdles to adopting new technologies

Das könnte Ihnen auch gefallen