March 25 Communicating With Older Adults


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  • March 25 Communicating With Older Adults

    1. 1. Age-related Disorders & Communicating with Older Adults
    2. 2. Treatment of Depression <ul><li>Cognitive Therapy </li></ul><ul><li>Interpersonal Therapy </li></ul><ul><li>Reminiscence therapy and life review </li></ul>
    3. 3. Cognitive therapy <ul><li>Client: I feel all alone in the world. My husband is dead, and since we never had children, I don’t have anyone to look after me. </li></ul><ul><li>Therapist: Who do you see on a day-to-day basis? </li></ul><ul><li>C: Well, my neighbors in the apartment, but they have problems of their own. </li></ul><ul><li>T: Do you see any of your relatives? </li></ul><ul><li>C: I talk to my brothers every week and my niece comes to take me out nearly every week. But they have their families. </li></ul><ul><li>T: Do you do anything in the community? </li></ul><ul><li>C: I want to go to Senior Citizens, but I haven’t gotten there yet. When the weather is good, I go to church. </li></ul><ul><li>T: So it sounds as if you really are lonely for your husband, but when you look at your day-to-day life, there are a number of people you are in contact with. </li></ul><ul><li>C: I guess I’m not completely alone. </li></ul>
    4. 4. Cognitive therapy <ul><li>Cognitive therapy focuses on the role of _____________ </li></ul><ul><li>What does this therapy want to correct? </li></ul><ul><ul><li>_____________________________ </li></ul></ul>
    5. 5. Interpersonal Therapy <ul><li>Focus on ____________________________ </li></ul><ul><li>Initial stage __________________________ </li></ul><ul><li>Identify problem areas: </li></ul><ul><ul><li>Grief: </li></ul></ul><ul><ul><li>Interpersonal disputes: </li></ul></ul><ul><ul><li>Role transitions: </li></ul></ul><ul><ul><li>interpersonal deficits: </li></ul></ul><ul><li>Social Skills training: </li></ul>
    6. 6. Reminiscence therapy <ul><li>Describe one of your experiences of communicating with an older adult. What did you talk about with him/her? </li></ul><ul><li>Why do you think reminiscence (remembering and talking about past events) can promote emotional well-being? </li></ul>
    7. 7. Webster’s reminiscence function scale <ul><li>8 categories </li></ul><ul><ul><li>Boredom reduction </li></ul></ul><ul><ul><li>Death preparation </li></ul></ul><ul><ul><li>Identity </li></ul></ul><ul><ul><li>Problem solving </li></ul></ul><ul><ul><li>Conversation </li></ul></ul><ul><ul><li>Intimacy maintenance </li></ul></ul><ul><ul><li>Bitterness revival </li></ul></ul><ul><ul><li>Teach / inform </li></ul></ul>
    8. 8. Reminiscence Engagement Process <ul><li>5 steps </li></ul><ul><ul><li>Introduction </li></ul></ul><ul><ul><li>Model Reminiscence </li></ul></ul><ul><ul><li>Listen and Emphasize </li></ul></ul><ul><ul><li>Facilitate process </li></ul></ul><ul><ul><li>Conclude visits </li></ul></ul><ul><li>See handouts: </li></ul><ul><ul><li>Please identify the 5 phases in this interview. </li></ul></ul><ul><ul><li>Which functions does this interview perform? </li></ul></ul>
    9. 9. Sleep disorder <ul><li>See the article about Charlie Morin and the Treatment of Insomnia in Older Adults </li></ul><ul><ul><li>1. What is the key thing that distinguishes older adults with insomnia and those without insomnia? </li></ul></ul><ul><ul><li>2. In Morin et al’s study in 1999, what were the four conditions? What were the independent variables? What was the dependent variable? What were the findings? </li></ul></ul><ul><ul><li>3. What does cognitive-behavioral therapy consist of? </li></ul></ul><ul><ul><li>4. What are the dysfunction attitudes that cognitive-behavioral therapies seek to eliminate? </li></ul></ul>
    10. 10. Older Adult Development & Communicating with older adults
    11. 11. Development of Older Adults <ul><li>Maslow’s hierarchy of needs </li></ul><ul><li>Erikson’s stages of psychosocial development </li></ul><ul><li>Elementality </li></ul><ul><li>Cohen’s four phases of the second of life </li></ul>
    12. 12. Maslow’s Hierarchy of Needs
    13. 13. Erikson’s last stage of psychosocial development <ul><li>Ego Integrity vs Despair </li></ul><ul><ul><li>Life review; find meanings </li></ul></ul><ul><ul><li>A broader perspective </li></ul></ul><ul><ul><li>Resolve feelings of guilt </li></ul></ul><ul><ul><li>Grieve losses </li></ul></ul><ul><ul><li>Celebrate past success and happiness </li></ul></ul><ul><ul><li>Awareness of death </li></ul></ul>
    14. 14. Elementality <ul><li>Quality of life </li></ul><ul><li>Awareness of death </li></ul>
    15. 15. Cohen’s 4 phases of the second half of the life <ul><li>Reevaluation and exploration (mid 30s to 60s) </li></ul><ul><li>Liberation and experimentation (mid 50s to late 70s) </li></ul><ul><li>Summing up (mid 60s to 90s) </li></ul><ul><li>Encore (late 70s to end of life) </li></ul>
    16. 16. Exercise <ul><li>See handout, “Older Adult Development” p. 35 to 38 </li></ul><ul><li>Answer questions 1, 3, 4, 5, 7, 8, and 9. </li></ul>
    17. 17. Communicating with Older Adults <ul><li>Pace </li></ul><ul><li>Volume </li></ul><ul><li>Non-verbal Communication </li></ul><ul><li>Goal directed (trying to get the message across successfully) </li></ul><ul><li>Relationship focus </li></ul>