What are 3 strategies to improve communication with this patient who may have sensory loss?
As baby boomers increase in age, the face of the American population will change dramatically. By the year 2030, a projected 71 million Americans will be age 65 or older, an increase of more than 200 percent from the year 2000, according to the U.S. Census Bureau.1 It’s estimated that some 6,000 people turn age 65 every day and, by 2012, 10,000 people will turn age 65 every day.2 Show
Aging health care consumers will increase the demand for physicians’ services. In the United States, people over the age of 65 visit their doctor an average of eight times per year, compared to the general population’s average of five visits per year.3 Physicians should prepare for an increasing number of older patients by developing a greater understanding of this population and how to enhance communication with them. The communication process in general is complex and can be further complicated by age. One of the biggest problems physicians face when dealing with older patients is that they are actually more heterogeneous than younger people. Their wide range of life experiences and cultural backgrounds often influence their “perception of illness, willingness to adhere to medical regimens and ability to communicate effectively with health care providers.”4 Communication can also be hindered by the normal aging process, which may involve sensory loss, decline in memory, slower processing of information, lessening of power and influence over their own lives, retirement from work, and separation from family and friends.5 At a time when older patients have the greatest need to communicate with their physicians, life and physiologic changes make it the most difficult. Because “unclear communication can cause the whole medical encounter to fall apart,”6 physicians should pay careful attention to this aspect of their practice. This article provides suggestions compiled from an extensive review of the literature to help physicians and staff improve communication with older patients. Many of the suggestions can be applied to patients of all age groups; however, they are particularly important with older adults, for whom less-than-optimal communication may have more negative consequences. Communication tips for physiciansIf you walked into a room and wanted to listen to the radio, you would first have to plug it in to a power source. Similarly, when you walk into the exam room to communicate with your older patients, the first thing you have to do is “plug in,” that is, make a connection with them physically and emotionally. Once you’ve made that connection, you can then begin to communicate necessary information and instructions. Below is a list of tips to help you achieve this.
TAKE-HOME MESSAGES FOR YOUR PATIENTSProviding patients with a visit summary such as the one shown here can help them remember the key points of their visit. Click below to download a blank template.
Communication tips for staffUsing the radio analogy again, how nice would it be if, when you wanted to listen to the radio, it was already plugged in and playing music when you entered the room. This is where your staff can help. They can contribute greatly to your communication success by helping older patients feel comfortable and prepared for your consultation. Here’s how:
Communication is not an exact science; you will need to experiment and find which strategies work best for you and your staff. You will also need to remember that different patients have different communication needs, which may require different techniques. However, if you begin with the tips provided and if you train your staff to follow them, you will find increased levels of comfort and satisfaction among your elderly patients, and you will be better able to care for this growing population. What communication strategies can be used for sensory impairment?Turn your face towards the person and ensure your face is well-lit so your lip movements can be easily seen. Don't shout or over-exaggerate words or lip movements. This can actually make it harder for the person to understand you. Speak clearly and slightly slower, but keep the natural rhythms of your speech.
Which strategies is best for communicating with someone with a hearing impairment?Communicating with People with Hearing Loss. Face the hearing-impaired person directly, on the same level and in good light whenever possible. ... . Do not talk from another room. ... . Speak clearly, slowly, distinctly, but naturally, without shouting or exaggerating mouth movements.. How can you make information accessible to people with sensory loss?Braille is only one of several ways in which people with sight loss access information. People who are blind or have visual loss may need: information in large print, braille or audio format. information via email (to enable use of assistive technology such as a 'screen reader' which converts text to speech)
How can sensory loss affect communication?Decreased vision and/or hearing acuity interferes with reception of the spoken message and hence people with sensory loss frequently experience communication breakdown. Many personal, situational and environmental triggers are also responsible for communication breakdown.
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