-
communication
- categories of impaired communication include reception, perception and articulation
- reception- is impaired by anxiety and an altered LOC or related to specific disorder such as hearing
- preception- is distorted by stroke, dementia, and delirium
- articulation is a mechanical difficulty
-
Articulation
- speech is affected by articulation as a result of:
- - dysarthria
- - respiratory disease
- - destruction of the larnyx
- - stroke
- Specific difficulties occur with
- - anomia
- - aphasia
- - dysarthria
-
Aphasia
- is a disorder after the stroke
- affects a person's ability to communicate with speech and his or her understanding of language, reading, writing, gesturing
- forms of aphasia:
- - fluent aphasia
- - nonfluent aphasia
- - verbal apraxia of speech
- - anomic aphasia
- - global aphasia
-
Dysarthria
- is caused my a weakness or incoordination of the speech muscles
- is characterized by weakness, slow movement, and lack of coordination of the muscles associated with speech
- speech appears as slow, jerky, slurred and quiet with a lack of expression
- treatment includes alternative and augmentative speech aids
be honest when u don't understand them. repeat back to make sure u got it, does not affect a person's intelligence
-
Implications of geron nursing and healthy aging
- communication with older adults experiencing aphasia and dysarthria can be frustrating
- geron nurses have to be educated on the techniques to facilitate communication skills with older adults who have difficulties
- knowledge of the nurse needs to include equipment and resources available for effective communication
|
|