This basic course for nurses is designed to provide a thorough introduction to rehabilitation nursing and corresponding CARF standards. The course is offered in an intensive format over two days, involving approximately 14 contact hours. The course will include an experimental component , videos, case studies, quizzes, group activities, discussions, skills demonstration and practice, and relevant competencies. Screening tools, current models, and evidence-based rehabilitation techniques will be presented.
Hearing loss is a disability that affects over 36 million American adults; 30 percent of those afflicted are 65-74 years old and 47 percent are 75 or older.
The Hearing Loss Association of America cites three types of hearing loss:
1. Conductive hearing loss is due to ear canal, ear drum, or middle ear problems. Most causes of conductive hearing loss can be treated with surgery or hearing aids, particularly bone conductive hearing aids.
2. Censorial hearing loss (nerve-related hearing loss) is due to inner ear problems. Depending upon the cause, treatments include medications or, in some cases, surgery.
3. Mixed hearing loss is when there is damage in the outer or middle ear as well as the inner ear or auditory nerve. The conductive hearing loss is usually treated first, then the censorial.
Hearing loss can have a profound impact on our work and social interactions. People with this disability may experience depression and as a result, anger at others or withdrawal from occasions where their hearing loss will be noticeable. Unfortunately, there is no cure to hearing loss, although, there are effective ways to manage it and be proactive. Learn about your disability and seek assistance to help cope.
- Hearing aids –Purchase your hearing aids from an auditory or medical professional who specializes in hearing, not someone who specializes in selling hearing aids. Hearing Denial suggests booking with ones that are able to offer evaluations and custom hearing aid fittings all within one supplier.
- Cochlear implants – You will need an evaluation by an audiologist and an implant-affiliated physician to determine if you are eligible for cochlear implants.
- Hearing Assistive Technology is available at most performing arts venues, including most movie theaters. Amplified and captioned phone systems, smoke detectors and doorbells are also available.
Responding to Others
Communication is still a two-way. There are ways you can help maintain your end of communication with others. Some suggestions include:
- Do your best to focus and concentrate.
- Admit it when you don’t understand.
- Watch for visual clues and ask for written clues if necessary.
- Maintain your sense of humor and positive attitude.
Many people become caregivers with little or no warning. Unless this happens to be your field of expertise then you will not be ready for the challenges which will lie ahead and how best to deal with them. Even if this is something that you have trained to do and are happy to dedicate your life to caring for others there are some basic things which should always be avoided:
This is probably the most obvious statement to make but it is essential to remember that this is one of the biggest fears of many older people. You not only need to not steal, you should also be aware of any situations that might leave you either open to temptation or open to an accusation of stealing.
2. Texting and web posting
Mobile phones are everywhere and you will probably have one with you whilst you are performing your caring duties. However, when you are providing care your focus should be on your patient and not on the latest web posting. The phone should only be used in times of emergency; otherwise leave it alone and focus on your patient.
3. Services outside the contract
The more you care for a client the more you will become attached to them and this can then lead to ethical problems. You may wish to help them and are happy to provide additional services for free. It is vital for your professional career to ensure that anything over the original contract is agreed in writing and signed off.
4. Making decisions for the client
Your client is still a person and should be involved in any decision concerning his or her well-being or healthcare requirements. You should never leave them out of the loop when faced with a decision. It may be preferable to limit their choices in order to make it easier for them to make a choice, but you should never rush them to make a decision. You are on their time and they will probably not be worrying about time. It is also essential to accept their decision if your client says no to something you know they should have, such as medication. You will simply need to try a different approach later or speak to your manager concerning it.
It is quite possible that as your client ages they will ask you to help them with something more personal. This request may shock you or make you feel uncomfortable. It will probably have been very hard for them to ask you to assist with something that they used to do independently. Always keep a neutral, professional approach.
It can be tempting to refuse to do something that you do not consider to be your job or that you are not comfortable with. A good caregiver will not be stubborn, but will demonstrate to the client that she is flexible in her approach. This will help you to build a good level of communication, which is essential to providing good care and to learning from any mistakes. Additionally, you will build a relationship with your client which will make your life and theirs easier.
7. Not respecting boundaries
Your client will have expectations of what service you are offering and what they expect you to do. You should also have an idea of your role and what behavior and tasks are appropriate and what is not. It is important to define these boundaries and to maintain your boundary even if your client wants more. You need to know what you can do and what you cannot do; this will ensure you provide the best care possible.
By Edward Francis and Foresthc.com!
With summer upon us, we are happy to get out and enjoy the change from the long Indiana winter. However, prolonged exposure to that bright sunshine can have dire consequences for us as we age. The risk of skin cancer is higher in older adults, and the major risk factor is sun exposure. Although there are other less serious forms of skin cancer (basal cell and squamous cell), malignant melanoma is the most dangerous kind, accounting for more than 8,700 deaths per year (American Cancer Society, 2013).
As we age and our skin becomes more fragile, sun exposure can take its toll. You can be proactive in preventing skin cancer by following some simple tips:
Wear sunscreen when out in the sun and choose SPF 15 or higher every day, but choose SPF 30 with a waterproof barrier for long exposure. Avoid tanning booths. Wear clothing and hats that protect you from exposure. Ask your primary care provider to perform a skin check with your yearly physical, or visit your dermatologist if you have concerns. Know your own skin and check it regularly using the ABCDE method. Report any suspicious lesions to your doctor right away for follow-up.
The ABCDE method can help us remember the warning signs of skin cancer:
A = Asymmetry (if a line is drawn down the middle of the lesion, the two sides do not match)
B = Border (the borders of the lesion tend to be irregular)
C = Color (a variety of colors is present; the lesion is not uniform in color)
D = Diameter (MM lesions are usually larger)
E = Evolving (note any changes in shape or size, or any bleeding)
The good news is that even the most serious kind of skin cancer can be nearly 100% curable when detected early.
So, enjoy the sun, but be sun smart as well!