3. Types of Hearing Loss Conductive Happens when there is a problem or damage to the outer ear or middle ear including the ear canal, eardrum or ossicles. Sensorineural Caused by damage to the inner ear (cochlea) or the auditory nerve. Mixed Combination of conductive hearing loss and sensorineural hearing loss.
19. Bipolar Disorder and Characteristics Mania Increased energy, activity, and restlessness Extreme irritability Spending sprees Provocative, intrusive, or aggressive behavior Racing thoughts and talking very fast Distractibility Depression Lasting sad, anxious, or empty mood Sleeping too much Decreased energy Feelings of guilt, worthlessness, or helplessness Thoughts of death or suicide, or suicide attempts
21. Facts about Bipolar Disorder Affects approximately 1% of population 4 different types of Bipolar Disorder Bipolar I Disorder Bipolar II Disorder Cyclothymia Bipolar Disorder NOS Symptoms usually occur in late adolescence and young adulthood Genetic and Environmental predisposition Several associated co-occuring disorder such as: Anxiety disorders Borderline Personality Disorder ADHD Substance Abuse
23. Negative Aspects Care-giver burden Psychological distress can be caused by the demands of providing care for someone with physical or cognitive impairments. Many adult children providing care may experience emotional, physical and financial strains. Role conflict A woman who is almost wholly responsible for a dependent elder may feel angry and resentful because she has no time to herself. Risk of Depression
24. Coping Interventions Such as behavior management training, anger management training and cognitive-behavioral therapy can help them sharpen their care giving skills. Personal Time Do what you need to do to make sure you have a day or an afternoon away. Learn to Enjoy the Moments It will be over soon, so learn to enjoy the moments with your elderly family member.
25. End-of-Life Issues Brandon McCollum
26. Grief, Bereavement & Mourning Grief - Intense sorrow caused by the loss of a loved one (especially by death). The normal process of reacting to loss. Reactions to grief: Mental - Anger, guilt, anxiety, sadness, and despair. Physical – Sleeping problems, changes in appetite, illness. Social - Desire to take care of others in family, seeing family and friends, seclusion. Bereavement – The period after a loss during which grief is experienced and mourning occurs. Bereavement times can vary based on how attached the person was to the person who died, and the length of time spent on anticipating the loss. Mourning – Process of how people adapt to the loss of someone or something. Influenced by cultural customs, religion, rituals, and socio-historical influences.
27. Five Phases of Grief Denial - The refusal to acknowledge the existence or severity of unpleasant external realities or internal thoughts and feelings. Anger - A strong feeling of displeasure or hostility that is oriented toward some real or supposed grievance. Bargaining - When an individual attempts to postpone or delay death by negotiating with a higher power or the world at large. Depression - A mental state characterized by a pessimistic sense of inadequacy and a despondent lack of activity. Acceptance – When the individual begins to come to terms with their mortality or that of their loved one.
28. References A growing problem that affects quality of life. (1999). Hearing Loss. Retrieved May 22, 2010, from National Academy On Aging Society website http://ihcrp.georgetown.edu/agingsociety/pdfs/hearing. Causes of Hearing Impairment. (2000-2009, 2010). Retrieved May 22, 2010, from Buzzle.com website: http://www.buzzle.com/articles/causes-of-hearing-impairment.html Izenberg, N., MD. (1995-2010). Teen Health. In Hearing Impairment. Retrieved May, 2010, from The Nemours Foundation website: http://kidshealth.org/teendiseases_conditions/sight/hearing_impairment.html# Migirov, L., Taitelbaum-Swead, R., Drendel, M., Hildesheirmer, M., & Kronenberg, J. (2010, March). Cochlear I mplantationin Elderly: Surgical and Audiological Outcomes. In GALILEO (psychology and behavioral sciences collection). Retrieved May 21, 2010From GALILEO database. (48539252).
29. References Barkley, Russell A., PhD. (2000) Taking Charge of ADHD Revised Edition. New York: The Guilford Press Chakraburtly, Amal, MD (March 01, 2010) Attention Deficit-Hyperactivity Disorder: What is ADHD? WebMD. Retrieved from http://www.webmd.co/add-adhd/guide/attention- Deficit-hyperactivity-disorder-adhd.html Glasser, Howard. (2000). The Nurtured Heart Approach. Nurtured Heart Kids. RetrievedMay 10, 2010 from http://nurturedheartkids.com/research Glasser, Howard. (2000). Transforming the Difficult Child. Retrieved May 10, 2010 from http://difficultchild.com/sp-bin/spirit. Grohol, John M. Psy.D. (Feb 22, 2010). An Introduction to ADHD.PsychCentral. Retrieved May 10, 2010 from http://psychcentral.com/disorders/adhd Wender, Paul H., MD (2000) ADHD: Attention Deficit Hyperactivity in Children and Adults. New York: Oxford Press.
30. References Shives, L.R. (2005). Basic concepts of psychiatric mental health nursing. Philadelphia, PA: Lippincott Williams and Wilkins. Spearing, Melissa. (2003, December 8). NIMH information about bipolar disorder. Retrieved from http://counsellingresource.com/distress/mood-disorders/bipolar-nimh.html Wilson, Holly, Kneisl, Carol, & Laun, Mary. (1995). Phychiatric nursing. Redwood City, CA: Addison-Wesley Nursing.
31. References Sigelman, Carol K. & Rider, Elizabeth A. (2009). Life-Span Human Development. 6th Edition Cengage Advantage Books The Merck Manual of health &Aging. Retrieved May 23,2010, from http://www.merck.com/pubs/mmanuals_ha/sec2/ch15/ch15a.
32. References William, Martin W. M. (2009, September 09). Bereavement, Mourning, and Grief. Retrieved from http://www.cancer.gov/cancertopics/pdq/supportivecare/bereavement/Patient/allpages Boelen, Paul, B.P. (2010). Intolerance of uncertainty and emotional distress following the death of a loved one..Anxiety, Stress & Coping, 8(471), 55-61. Bell, Cynthia, C. B. . (2010). End-of-life experiences in adolescents dying with cancer..Supportive Care in Cancer, 7(18) (n.d.) Retrieved from www.wordwebonline.com
