Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
CNA - Nursing Assistant Discussions /

Communicating with the Elderly



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,426 members! Join today to network with other nurses, laugh, share, and much more.

May 21, 2009 08:12 PM

Communicating with the Elderly


I am a brand new nurse's aide, I finished school 3 weeks ago and my state exam is on May 31. I work at the LTC facility where I did my clinicals, in a really awesome private pay unit portion of the campus. I love everyone I work with, and I love how much I am learning.

Yesterday was my second day of training in my unit. I work the night shift, and when it came time to begin the morning tasks with the residents, I was given 3 residents to get up, washed and ready for their day. Most of the 22 residents on our unit have some degree of dementia, and I am still getting a handle on where everyone is at, because they are sleeping for most of our shift and my interaction with them is fairly limited. What I have noticed is that the patients seem a bit perplexed when I am asking them questions, like, would you like to wear the pink or the blue today? etc. I got that feeling on two of the three residents I worked with, and I am wondering if perhaps I am overwhelming them My question is, do any of you have some tried and true communication tips for me? Are there any books that I could read to help me communicate better with the residents? Is this more a deal where I need to be patient and get to know the residents better and then I will better understand each individuals limitations?

Thanks for reading!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
4 Comments
No. 1
Old May 21, 2009, 08:21 PM

Default Re: Communicating with the Elderly
Sometimes they can not decide for them selves what they want to wear. I know it teaches you in class to ask them. But some of the residents i had when i worked at the nursing home could not decide. So we basicly decided for them. I know what you mean about trying to talk to them. Like ones who can't speak. You can only think of so much stuff to say. Anyway i wish you luck on your test.
Top

1 Reader Gave Kudos
 
No. 2
from fuzzywuzzy
Old May 21, 2009, 11:46 PM

Default Re: Communicating with the Elderly
Yeah, a lot of them can't handle making a decision like that. It's too overwhelming. Just ask rhetorical questions- "How about the blue shirt today?" and then put it on.

Same thing goes for if you want to get anything else done. New aides always say, "Do you want to go to the bathroom/shower/whatever?" Seasoned ones say, "It's time for your shower now" with much better results.
Top

1 Reader Gave Kudos
 
No. 3
Old May 26, 2009, 09:37 AM

Default Re: Communicating with the Elderly
I work on a unit with residents with dementia. & one thing I've learned is that generally, confused patients respond better to closed directions rather than open ended questions. When I'm choosing their clothes for the day I'll generally pull them out of the wardrobe/draw and say something like, "this is a pretty shirt. Why don't you wear this one today?" If they're exceptionally confused, they'll look at me blankly and comply or just nod and if they're got some of their wits about them, they might tell me what they really think!
Top

2 Readers Gave Kudos
 
No. 4
from Qbert
Old May 27, 2009, 06:33 AM

Default Re: Communicating with the Elderly
It always helps to assess your resident, even when waking up. Ask a couple simple questions like, (Do you know where you are right now?) (What year is it?). Try to orient them to the time and date and where they are.
It will help YOU determine if they are able to make simple or complex decisions at all.Ask yes/no questions instead of from a selection. Giving too many options can confuse them.

Sometimes you need to be assertive (some people always answer no to your questions).
(would you like me to clean your mouth?) vs (OK, I'm going to clean your mouth out now.)
insist your care will be quick and wont hurt. to help with compliance.

Hope this helps
Top

1 Reader Gave Kudos
 
Reply




Thread Tools


Who's Online
300 members
3,208 guests
3,508

2

Interesting article on ThedaCare's Collaborative Care Model

6

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

6

High-Tech Pump Does What Her Heart Can't

4

Air Force RN Found Not Guilty

7

California Imposes Stricter Rules Regarding Drug Abuse In...

48

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: