Culture Change for Caregivers

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    Talk to meTalk to me

    nicely, please!nicely, please!

    TThank you.hank you.

    Presented by BonniePresented by Bonnie CauthornCauthorn, Design Source, Richmond, VA, Design Source, Richmond, VA

    Effective communications for caregiversEffective communications for caregivers

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    Caregivers are on the front lines for providingCaregivers are on the front lines for providing

    quality service to elderly persons.quality service to elderly persons.

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    Arent I busy enough withoutArent I busy enough without

    thinking about the way I speak?thinking about the way I speak?

    Why should I care aboutWhy should I care about

    communicating better?communicating better?

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    Nursing Home Residents Bill of Rights (partial)Nursing Home Residents Bill of Rights (partial)

    Right to be fully informed about services, charges and rulesRight to be fully informed about services, charges and rules

    Right to private communicationsRight to private communications

    Right to be treated with consideration, dignity and respectRight to be treated with consideration, dignity and respect

    Right to make independent choicesRight to make independent choices

    Right to receive information in a language he/sheRight to receive information in a language he/she

    understandsunderstands

    Right to present grievances without fear of reprisalRight to present grievances without fear of reprisal

    Right to complain to state agenciesRight to complain to state agencies

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    Obstacles to good communicationsObstacles to good communications

    AND I wasnt very nice eitherAND I wasnt very nice either

    LanguageLanguage

    differencesdifferences

    Viewpoint:Viewpoint:Mars vs. VenusMars vs. Venus

    Personal stylesPersonal styles

    Cultural stylesCultural styles

    GenerationalGenerational

    stylesstyles

    She/he isShe/he is

    stubborn/stubborn/unreasonableunreasonable

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    Special considerations whenSpecial considerations whencommunicating with older adults:communicating with older adults:

    Difficulty hearingDifficulty hearing

    Low vision prevents pickingLow vision prevents picking

    up body language cuesup body language cues Difficulty speaking clearly orDifficulty speaking clearly or

    loudlyloudly

    Memory lossMemory loss Need to grieve or reminisceNeed to grieve or reminisce

    Life experiences varyLife experiences vary

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    Breaking the code: what IT ISBreaking the code: what IT IS NOTNOTsaidsaid

    I dont want to do thatI dont want to do that

    (maybe physically cannot(maybe physically cannotdo it anymore)do it anymore)

    I dont want steak orI dont want steak orsoupsoup

    (cant cut or chew it or I will(cant cut or chew it or I willspill it on myself )spill it on myself )

    I dont want to go to theI dont want to go to thebathroombathroom

    (its too far, or the pull(its too far, or the pull--upsups

    are too cumbersome)are too cumbersome)

    I dont want to go on theI dont want to go on thetrip to the malltrip to the mall

    (too much walking, or I dont(too much walking, or I donthave money for shopping)have money for shopping)

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    Was it something I said? Probably.Was it something I said? Probably.

    Sweetie,Sweetie,

    honey, girlhoney, girl

    Sweetie,Sweetie,

    honey, girlhoney, girl Mr. or Mrs.Mr. or Mrs.NameName

    Mr. or Mrs.Mr. or Mrs.NameName

    DiaperDiaperDiaperDiaperBriefs,Briefs,

    pantiespantiesBriefs,Briefs,

    pantiespanties

    Hes on theHes on thepotpot

    Hes on theHes on thepotpot He isHe is

    unavailableunavailable

    right nowright now

    He isHe isunavailableunavailable

    right nowright now

    You needYou needtoto

    You needYou needtoto Would youWould you

    like tolike to

    Would youWould you

    like tolike to

    FeederFeederFeederFeeder Person whoPerson whoneeds helpneeds help

    with feedingwith feeding

    Person whoPerson whoneeds helpneeds help

    with feedingwith feeding

    NursingNursinghomehome

    NursingNursinghomehome CommunityCommunity

    care, lifecare, lifecentercenter

    CommunityCommunitycare, lifecare, life

    centercenter

    PatientPatientPatientPatientResident, myResident, my

    friendfriendResident, myResident, my

    friendfriend

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    NonNon--verbal cues and body languageverbal cues and body languagesay so much aboutsay so much about YOUYOU

    Facial expressionsFacial expressions

    GesturesGestures Tone, volume, inflections and pitch of voiceTone, volume, inflections and pitch of voice Posture and movementPosture and movement Invading personal spaceInvading personal space

    Blinking, staring, avoidingBlinking, staring, avoiding TouchTouch Personal appearancePersonal appearance

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    PLEASEPLEASE

    THANKTHANKYOUYOU

    EXCUSEEXCUSEMEME

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    Credits:Credits: Growing Elder Population Will Increase Need for Caregivers, www.

    eldercarelink.com Bathing Sparky, by Gwendolyn DeGeest, www.aging-parents-and-elder-care.Com

    National Citizens Coalition for Nursing Home Reform

    How to Have More Effective Communication with the Elderly by Sharon OBrien,

    www.senior-living.about.com Caring for Your Parents: The Complete AARP Guide , Hugh Delehanty and ElinorGinzler, AARP, Sterling Publishing Company, Inc. NY, NY, 2005.

    Mayday, Karen Schoeneman, www.pioneernetwork.net/CultureChange/language.

    How to Communicate: Improve Your Relationships With Effective Communication

    Skills, Elizabeth Scott, http://stress.about.com/od/relationships/ht/healthycomm.htm Fourteen Friends Guide to Eldercaring, Capital Books, Inc. , Sterling, VA @1999.

    Types of Nonverbal Communication by Kendra Van Wagner,http://psychology.about.com/od/nonverbalcommunication/

    Are Your Parents Driving You Crazy?, Joseph A. Ilardo and Carole R. Rothman,

    VanderWyk & Burnham, Acton, MA, 2006.

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