Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Be Realistic but Hopeful:Nurses who work with the elderly often deny the problems of later life. School Age Developing ability to Include child in concrete explanations about comprehend condition, treatment, protocols. Clipping is a handy way to collect and organize the most important slides from a presentation. Attitudes toward the Elderly:It is quite common to find fears of aging and death among members of our youth oriented society. But neither the client nor thenurse believe phrases like “You’ll live to be a hundred”, or “It’s nothing to worry about”, and the nurseshould avoid using them.
Use child’s own verbal skills vocabulary words for basic are activities (urinate = pee pee, tinkle), learn and use self name of child. This website has practice exams for various nursing classes as well as videos, presentations, notes, nclex help, and many other tools that already are helping me. Therecognition of such fears and of the nurse’s personal feelings about these issues is of utmost importancein establishing effective communication with the elderly.B. The nurse should never abandon all hope for an elderly client, but shouldwork in the here and now.


Thus, the increased stress of a new situation may lead to intense arousal, impairing the elderly person’s ability to communication effectively. Avoiding unrealistic expectations, three pain free days may be mostrewarding to the client dying of cancer, a fact too often overlooked. Nurse: You have difficulty sleeping?Reflecting Client: Do you think I should tell the doctor? For example, the labeling andstereotyping of the elderly may be a significant barrier to communication.
The elderly are especially sensitiveto being labeled “senile”, “mentally ill”, or “hypochondriac”.
Putting your self in the other person’s shoes is ability not easily taught by text books and canonly be learned through personal experiences.II.
Techniques of Effective CommunicationApproach the Elderly Client with Respect:The nurse should knock before entering the client’s room and approach the client from the front.
Confidentiality Reassure about confidentiality of your discussion, but clearly state limits of confidentially. Cautiousness: Older clients tend to make few errors of commission but are likely to make errors of omission.
Allow child to express anger and to protest about his care (Example: Say “it’s OK to cry when you are angry or hurt).


When taking a history, the nurse must be aware that elderly clients may omit important aspects of their illnesses. Allow to sit up or walk, as often as possible and as soon as possible after intrusive or hurtful procedures, say, “It’s all over and we can do something more fun”).
The elderly are not, asa rule, uncomfortable with silences, which give them an opportunity to formulate answers to questions,and to elaborate on certain points.
At a time when friends and loved ones have died and sensory input is decreased, the body, in many ways, keeps the client company. Use distraction if another child wants the same item or toy rather than expect child to share. Loss Reactions: The elderly client may spend considerable time discussing the many losses experienced in later life. This is a normal process brought about by disillusion and realization that death is approaching. Fear of Losing Control: Many elderly clients agonize over the loss of physical and mental functions, including physical strength, bowel and bladder control, motor functions, and especially, the ability to regulate one’s thoughts and emotions.



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