Reminiscence can be therapeutic for the elderly and the caregiver involved in the conversation. This sharing of old time stories is important for self-presentation bring comfort, stimulation and confidence to the elderly patient (Tablonski, 2014). Throughout this discussion post I will discuss the significance of reminiscence to me, my experiences with reminiscence, my thoughts and feelings of the video “See Me, Nurse” and how I would incorporate change within my practice based from this viewing. I will also further discuss difficulties I have encountered with elderly patients from a different background. Reminiscence to me shows respect and human dignity to the older patient. I feel that this is a proactive approach to the elderly showing …show more content…
Sadness because it made me reflect on all the times when EMS or family members bring an old, frail, demented, crunched up elderly patient into the emergency department I hear a few sighs, head shaking and eye rolling coming from the medical staff because they don’t want to take care of “another old patient”. I feel that I would change how we look at the aging population not as a burden but learn to appreciate them for their life experiences and a special kind of wisdom that only comes with age. Learning how to communicate on this level with the elderly with also help improve their affect and decrease the symptoms of depression (Zhou, 2014).
Caring for the elderly who have hearing loss, vision loss and other normal diminishing physical and mental abilities make conversation difficult. And caring for patients from a different ethnicity creates that much more of a barrier. Having a language barrier prevents healthy communication. I have taken care of a patient from Russia, because of the language barrier I felt that I was not able to provide therapeutic care to that patient. I was very upsetting to me because I could see how frustrated and upset he was
For example; If a patient does not speak the language of which country they are in, interpreters or translators may be needed in order to help communicate with people from the local area. These are important to keep the person informed about what is happening and what is going to happen. Supporting individuals to express their needs and
Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.
Class, In our first DQ, we discussed the various cultural barriers that we might see on a routine basis; however there are still many more barriers to effective communication. These might be more associated with physical and psychological barriers. Here are two real-world questions that we most of us will encounter throughout our health care career regularly... How might a provider communicate more effectively with a person who is hearing impaired? Also, how might a provider communicate more effectively with an adolescent versus an adult?
The Purnell Model for Cultural Competence places communication as one of the dominants (Purnell, 2002). Speaking the language of the patients would be the best tool that healthcare worker can use. It helps avoid many misunderstanding that may arise.
In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.
Culturally competent care is more important now than it has been ever before. BY 2020, 35% of the American population will consist of ethnic minorities as compared to today's 28% (Goldsmith, n.d.). This means that in order to best cater to these different patients, doctors and nurses have to speak the language of the different ethnicities, understanding their perspectives of medicine and treatment and catering to these in rode rot provide them with the best intervention.
Jacobs, E. A., Shepard, D. S., Suaya, J. A., Stone, E. (2004). Overcoming language barriers in health care: costs and benefits of interpreter services. American Journal of Public Health, 94 (5), 866-869.
Name calling, condescending words or actions, and irrational personal opinions of the elderly can all cause irreparable damage to your elder’s health and mind. Therefore, as a nurse, I will become more mindful of my words and actions of the older population, and become empathetic with their situation along with educating their caregivers on how they can care better for their parents and
Can you imagine the how the healthcare industry would be without language, what seems to be impossible to imagine is the everyday reality of some patients because of their native language. Language is a major contribution to the health disparities that some populations face, because it makes it difficult for some patients to communicate their problems as well as understand the care they provided. Language contributes to the health disparities that some populations face because it creates a barrier between the patient and the care provider, making it difficult for a patient to receive proper care. Language barriers create a communication gap between a patient and a provider, forcing the patient to feel misunderstood and unable to trust his/her provider to properly care for them. I come from a family that speaks more than one language, so I have seen the impact language barriers can have on someone who doesn’t speak fluent English.
The United States has become a culturally diverse Nation due to the enormous of various ethnic and cultural groups that migrate to the country each day. As a result, patients and families with limited English proficiency (LEP) often are faced with multitude barriers that contribute to difficulty accessing healthcare services as well as understanding and adhering to the treatment plans/recommendations which ultimately place them at increased risk for poorer health outcomes and disparities. Eliminating these language barriers in healthcare services can be achieved by “providing awareness and mediation of cultural differences, current best practice for serving LEP populations in the health care system centers and on the use of qualified medical
To communicate seems easy enough to most of us. We have been doing this from the moment we were born. We expressed ourselves with grunts, moans, crying, smiling and yelling. We started communicating even before we made words with our nonverbal forms of communication. Communication is important. It allows individuals to share information and messages in the form of ideas and feelings (Giger, 2013). It gives us direction and allows us to interact with others. Can you image getting the entertainment system in parts in the mail with no instructions as to how to put it together? It is essential that we all communicate effectivity in order to ensure the best quality of care. Language barriers threaten the patient safety and overall quality of care of these individuals. By having efficient practices in place it will lower those risks and increase quality care.
We must take extreme care to ask non-judgmental, open questions in memory-based work because As with all addressing of painful or traumatic events, a certain amount of careful preparation is needed, including the ‘safe place’ to retreat to. Again, strong emotions are likely. The ‘now’ you can ask questions, offer advice, offer reassurance and above all comfort the ‘old’ you with love and the knowledge that they survive and things get
Effective communication with patients is critical to the safety and quality care. From the last two decades ,number of researches has been conducted on the impact of language barrier on health and healthcare. It is observed that language barriers are the main cause of medical errors, complication and adverse event. But due to data limitations ,limited researches on impacts of language barrier has been conducted in Canadian setting. However, the researches conducted on other countries on the impact of language barrier on quality of care is applicable in the Canadian context. Some researches shows that there are several barrier which affect quality of care and patient safety. Now, researches has begun to know the complexity of language, culture, race, health literacy that may affect patient care. Current approaches are moved towards the knowledge of risk of language barrier rather than implementation of effective, evidence informed strategies.
Dementia, which interferes with daily activities, is not a normal part of the aging process. It is either caused by Alzheimer’s disease or by a stroke, and affects a person’s ability to speak as well as a person’s memory. It is most important to remember that this may be frustrating for the nurse, but it is also frustrating for the patient. At times, the patient may not realize that they are not cognitively aware and cannot hold a conversation, and at others they realize this, but there is nothing they are able to do about it. We must not rush them in conversation or day-to-day activities, but encourage them that they are doing great; we must remember that they are people too, and still desire human
Hope is evident when a person desires to avoid the feeling of despair and emotion that is associated with an uncertain future. Hope also enables a person to overcome difficult stages of their life; it gives the power of endurance and adaptability. In older adults, the values of past experiences are used to sustain their hope. Before nurses can give hope to their patients, it is important to understand what hope is and how to incorporate it in across the life span. Having a positive mindset alleviates emotional and physical pain and makes the recovery process a much pleasant one.