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What are some Barriers to Communication?
- Sensory Impairments
- Dementia
- Depression
- Physical Discomfort
- Noise/Distractions
- Too much information
- Too many people speaking at once
- Interviewer judgmental
- Sociocultural factors: Biases
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Normal vision age-related changes?
- Presbyopia
- Poor Visual acuity
- Increased sensitivity to light and glare
- More opaque lens
- decreased tear production
- decreased night vision
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Common visual pathology
- senile cateracts
- glaucoma
- diabetic retinopathy
- age-related macular degeneration
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Normal age-related hearing changes
Presbycusis= decreased sensitivity to pitch w/ high frequency consonants
poor word recognition
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Common pathology hearing losses
- Total hearing loss
- loss of low frequency tones
- tinnitus
- exposure to ototoxic substances
- Disease that may cause hearing loss
- .HTN
- .Diabetes Type II
- . Hx of Measles, Mumps or Meningitis
- .Cigarette smoke
- . Chronic middle ear infections untreated
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Define Immunosenescence
Aging of the immune system
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Define Lentigo
A condition marked by small brown patches on the skin, typically in elderly people.
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What are the three S's that you assess for?
Safety, Social Support, and Spirituality
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Living Will is an Advanced Directive that?
States the type of medical care wanted if unable to make decisions
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Decision specific capacity
When an individual can no longer handle a particular task such as finances but otherwise can manage his/her affairs
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decision making capacity
a yes or no situation where patients have the ability understand the nature and consequences of their choices; able to make a choice between options; and able to communicate that choice.
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IADLs
refer to those tasks needed to enable a person to live independently in a house/apartment (home maintenance, meal prep, finances, etc. )
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AADLs
refer to those tasks needed to enable a person to interact in family, social and community roles (hobbies, recreational activities, community involvement, etc).
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HOPE
spiritual assessment tool
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DPAHC
- Durable Power of Attorney for Healthcare
- appoints a surrogate (who may be a spouse but who can be anyone) to make decisions for the patient.
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